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Sarkova, M and Scagnetti, N and Schnohr, C and Sentenac, M and Shtainmetz, N and Sigmundova, D and Simoe, C and Smeeton, N and Smigelskas, K and Smith, R and Sovik, M and Spanu, F and Spencer, N and Stevens, G and Tabak, I and Tael, M and Taut, D and ter Bogt, T and Tesler, R and Teutsch, F and Thorsteinsson, E and Todorova, I and Tome, G and Torsheim, T and Trab Damsgaard, M and Tynjala, J and Uysal, O and Vaiciunas, T and Valimaa, R and Van der Sluijs, W and van Dorssalaer, S and Varnai, D and Vasileva, L and Velika, B and Vereecken, C and Vieno, A and Villerusa, A and Vladu, C and Vollebergh, WAM and Wagener, Y and Walsh, P and Walsh, SD and Whitehead, R and Wickman Henriksen, P and Windlin, B and Woynarowska, B and Young, H and Zaborskis, A and Zsiros, E and Zupanic, T, Do eating behaviors in the general population account for country variance in glycemic control among adolescents with diabetes: the Hvidoere Study Group and the Health Behaviour in School-Aged Children study, Pediatric Diabetes, 14, (8) pp. 554-561. ISSN 1399-543X (2013) [Refereed Article]
© 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
Background: The Hvidoere Study Group (HSG) has demonstrated major differences in glycemic control between pediatric diabetes centers which remain largely unexplained. This study investigates whether these differences are partly attributable to healthy eating norms in the background population.
Methods: The study involved adolescents from 18 countries from (i) the Health Behaviour in School-Aged Children study (HBSC) and (ii) the HSG. There were 94 387 participants from representative HBSC samples of 11-, 13- and 15-yr-olds and 1483 11- to 15-yr-old adolescents with diabetes from the HSG. The frequency of intake of fruit, vegetables, sweets, sugary soft drinks, and daily breakfast was compared between the two groups. The glycemic control of the adolescents in the HSG cohort was determined by measuring glycated hemoglobin (HbA1c).
Results: Across countries in the HSBC survey, there was substantial variation in prevalence of healthy eating behavior and even greater variation between adolescents from the HSG centers. In all countries more adolescents with diabetes reported healthy eating behavior compared to national norms. In individuals healthy eating behavior had a significant effect on the individual level HbA1c. There was no significant correlation between the frequencies of these healthy eating behaviors at (i) the national level and (ii) diabetes center level and the center mean HbA1c.
Conclusions: Although individual healthy eating behavior is associated with better glycemic control at the individual level, such eating behavior does not explain the center differences in HbA1c. Similarly, the reported healthy eating norm of the background populations does not explain the variation in glycemic control among centers.
|Item Type:||Refereed Article|
|Keywords:||adolescents, behavior, comparative study, diabetes mellitus type 1, eating|
|Research Division:||Medical and Health Sciences|
|Research Group:||Paediatrics and Reproductive Medicine|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Author:||Skinner, TC (Professor Timothy Skinner)|
|Web of Science® Times Cited:||2|
|Deposited By:||Rural Clinical School|
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