Abstract
The objective of this scoping review was to identify and characterize studies examining
the effect of nutrition management interventions and effectiveness of medical nutrition
therapy to improve nutrition-related outcomes in children and adolescents with type
1 diabetes. An in-depth electronic search was conducted by a medical librarian in
six databases: Medline, Embase, Cochrane Central Register of Controlled Trials, PsycINFO,
The Cumulative Index to Nursing and Allied Health Literature, and Web of Science Core
Collection. The literature search resulted in 5,122 records, and five records were
identified through hand search. Of these 5,127 records, 22 articles and eight systematic
reviews met our inclusion criteria. An equal number of the studies were experimental
(ie, randomized or nonrandomized controlled trials, or noncontrolled trials) (n =
11) and observational (cohort, case-control, and cross-sectional) (n = 11) with the
remaining studies being systematic reviews/meta-analyses (n = 8). Most of these studies
were conducted in United States or Europe. Based on this scoping review, the majority
of studies focus on either carbohydrate counting or evaluation of dietary intake patterns
with little emphasis on tailored patient education/counseling services specifically
designed to meet a young child’s or his/her family's individual needs. Indeed, only
four studies in this scoping review used dietary counseling and/or medical nutrition
therapy. As such, there remains a significant gap in the literature as it relates
to the efficacy and long-term management implications of tailored nutrition interventions
in young children with type 1 diabetes.
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References
- Statistics about diabetes.https://www.diabetes.org/resources/statistics/statistics-about-diabetesDate accessed: September 21, 2020
- A snapshot: diabetes in the United States.https://www.cdc.gov/diabetes/library/socialmedia/infographics/diabetes.htmlDate accessed: September 21, 2020
- Dietary management of children with type 1 diabetes.Pediatr Child Health. 2017; 27: 176-180
- Young children with type 1 diabetes: challenges, research, and future directions.Curr Diab Rep. 2014; 14: 520
- Medical nutrition therapy for youth with type 1 diabetes mellitus: more than carbohydrate counting.J Acad Nutr Diet. 2012; 112: 1724-1727
- ISPAD Clinical Practice Consensus Guidelines 2018: Nutritional management in children and adolescents with diabetes.Pediatr Diabetes. 2018; 19: 136-154
- Scoping studies: towards a methodological framework.Int J Soc Res Methodol. 2005; 8: 19-32
- Scoping studies: advancing the methodology.Implement Sci. 2010; 5: 69
- Chapter 11: Scoping reviews.in: Aromataris E. Joanna Briggs Institute Reviewer's Manual. The Joanna Briggs Institute, Adelaide, Australia2017
- PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation.Ann Intern Med. 2018; 169: 467-473
- Rayyan-a web and mobile app for systematic reviews.Syst Rev. 2016; 5: 210
- Improving dietary quality in youth with type 1 diabetes: randomized clinical trial of a family-based behavioral intervention.Int J Behav Nutr Phys Activity. 2015; 12: 58
- Effectiveness of the Kids in Control of Food (KICk-OFF) structured education course for 11-16 year olds with tType 1 diabetes.Diabet Med. 2016; 33: 192-203
- Effect of carbohydrate counting and medical nutritional therapy on glycaemic control in type 1 diabetic subjects: a pilot study.Diabet Med. 2010; 27: 477-479
- Randomized nutrition education intervention to improve carbohydrate counting in adolescents with type 1 diabetes study: is more intensive education needed?.J Acad Nutr Diet. 2012; 112: 1736-1746
- Carbohydrate counting, nutritional status and metabolic profile of adolescents with type 1 diabetes mellitus.Scientia Medica. 2014; 24: 21
- Eating frequency and carbohydrate intake in adolescents with type 1 diabetes differ from those in their peers and are associated with glycemic control.Exper Clin Endocrinol Diabet. 2018; 126: 277-286
- Efficacy of carbohydrate counting in type 1 diabetes: a systematic review and meta-analysis.Lancet Diabet Endocrinol. 2014; 2: 133-140
- Effectiveness of advanced carbohydrate counting in type 1 diabetes mellitus: a systematic review and meta-analysis.Sci Rep. 2016; 6: 37067
- Effects of advanced carbohydrate counting in patients with type 1 diabetes: a systematic review.Diabet Med. 2014; 31: 886-896
- Evaluation the effect of vitamin D3 on glycemic indices on Iraqi children with type 1 DM.Int J Pharmaceut Sci Rev Res. 2017; 42: 134-143
- Does vitamin D supplementation improve glycaemic control in children with type 1 diabetes mellitus? A randomized controlled trial.J Clin Diagnos Res. 2017; 11: SC15-SC17
- The effects of vitamin D supplementation in newly diagnosed type 1 diabetes patients: systematic review of randomized controlled trials.Rev Diabet Studies. 2017; 14: 260-268
- Potential beneficial effects of a gluten-free diet in newly diagnosed children with type 1 diabetes: a pilot study.Springerplus. 2016; 5: 994
- Quality of life in type 1 diabetes and celiac disease: role of the gluten-free diet.J Pediatr. 2016; 179: 131-138.e131
- Lipid profile and nutritional intake in children and adolescents with type 1 diabetes improve after a structured dietician training to a Mediterranean-style diet.J Endocrinol Investig. 2012; 35: 160-168
- Change in DASH diet score and cardiovascular risk factors in youth with type 1 and type 2 diabetes mellitus: tThe SEARCH for Diabetes in Youth Study.Nutr Diabet. 2013; 3: e91
- Association of DASH diet with cardiovascular risk factors in youth with diabetes mellitus: the SEARCH for Diabetes in Youth study.Circulation. 2011; 123: 1410-1417
- A prospective clinical pilot-trial comparing the effect of an optimized mixed diet versus a flexible low-glycemic index diet on nutrient intake and HbA1c levels in children with type 1 diabetes.J Pediatr Endocrinol Metab. 2011; 24: 441-447
- Weight trajectory of youth with new-onset type 1 diabetes comparing standard and enhanced dietary education.Endocrine. 2015; 49: 155-162
- Diet, physical, and biochemical characteristics of children and adolescents with type 1 diabetes: relationship between dietary fat and glucose control.Pediatr Diabet. 2012; 13: 137-146
- Correlates of medical nutrition therapy and cardiovascular outcomes in youth with type 1 diabetes.J Nutr Educ Behav. 2013; 45: 661-668
- Alpha-lipoic acid and antioxidant diet help to improve endothelial dysfunction in adolescents with type 1 diabetes: a pilot trial.J Diabet Res. 2015; 2015: 474561
- Parent healthful eating attitudes and motivation are prospectively associated with dietary quality among youth with type 1 diabetes.Vulnerable Child Youth Studies. 2017; 12: 3
- Sugar-sweetened and diet beverage consumption is associated with cardiovascular risk factor profile in youth with type 1 diabetes.Acta Diabetologica. 2011; 48: 275-282
- Associations of dietary intake patterns identified using reduced rank regression with markers of arterial stiffness among youth with type 1 diabetes.Eur J Clin Nutr. 2014; 68: 1327-1333
- Greater diet quality is associated with more optimal glycemic control in a longitudinal study of youth with type 1 diabetes.Am J Clin Nutr. 2016; 104: 81-87
- Overweight and obesity in youth with type 1 diabetes.Annu Rev Nurs Res. 2013; 31: 47-69
- Targeting intensive versus conventional glycaemic control for type 1 diabetes mellitus: a systematic review with meta-analyses and trial sequential analyses of randomised clinical trials.BMJ Open. 2014; 4e004806
- Does nutritional counseling in telemedicine improve treatment outcomes for diabetes? A systematic review and meta-analysis of results from 92 studies.J Telemed Telecare. 2016; 22: 333-347
- Impact of technology-based interventions for children and young people with type 1 diabetes on key diabetes self-management behaviours and prerequisites: a systematic review.BMC Endocrine Disord. 2019; 19: 7
- Diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes.Diabet Med. 2018; 35: 541-547
- Children and adolescents: standards of medical care in diabetes-2019.Diabet Care. 2019; 42: S148-S164
- Diabetes (type 1 and type 2) in children and young people: diagnosis and management.(Accessed September 24, 2020, 2020)
- Type 1 diabetes in children and adolescents. 2018 clinical practice guidelines.Can J Diabet. 2018; 42: S234-S246
- Type 1 diabetes treatment guideline.https://wa.kaiserpermanente.org/static/pdf/public/guidelines/diabetes1.pdfDate accessed: September 24, 2020
Biography
D. Handu is a senior scientific director, Evidence Analysis Center, Academy of Nutrition and Dietetics, Chicago, IL.
Biography
M. Piotrowski is a lead research analyst, Evidence Analysis Center, Academy of Nutrition and Dietetics, Chicago, IL, and a registered nurse, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Article info
Publication history
Published online: April 14, 2021
Accepted:
February 18,
2021
Received:
October 21,
2020
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT The Academy of Nutrition and Dietetics, the Academy of Nutrition and Dietetics Foundation and Diabetes Dietetic Practice Group provided funding for this project (no grant number).
Identification
Copyright
© 2022 by the Academy of Nutrition and Dietetics.
