ESPE Abstracts (2022) 95 P1-35

ESPE2022 Poster Category 1 Diabetes and Insulin (86 abstracts)

Does parental food choice preferences impact on metabolic control of children with type 1 diabetes?

Claudia López-Morago Casamayor 1,2 , Jesús Domínguez Riscart 3,4 , Ana García Zarzuela 5,4 , Celia Morales Pérez 5,6 , Rosaura Leis 7,8 & Alfonso M. Lechuga-Sancho 5,4,9

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1Department of Forensic Sciences, Pathological Anatomy, Gynecology and Obstetrics and Pediatrics, Faculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain; 2Pediatric Department, Puerta del Mar University Hospita, Cádiz, Spain; 3Pediatric Endocrinology Unit, Pediatric Department, Puerta del Mar University Hospital, Cadiz, Spain; 4Biomedical Research and Innovation Institute of Cadiz (INIBiCA), Cádiz, Spain; 5Pediatric Endocrinology Unit, Pediatric Department, Puerta del Mar University Hospital, Cádiz, Spain; 6Biomedical Research and Innovation Institute of Cadiz (INIBiCA), Cadiz, Spain; 7: Department of Forensic Sciences, Pathological Anatomy, Gynecology and Obstetrics and Pediatrics, Faculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain; 8Hospital Clínico Universitario de Santiago. IDID. CiberObn, Santiago de Compostela, Spain; 9other and Child Health, and Radiology Department, Faculty of Medicine, Cádiz University, Cádiz, Spain


Introduction: Diet plays a key role in the management of type 1 diabetes (T1D), thus nutritional education is a cornerstone in T1D therapy. The integration of nutrition knowledge into nutritional behavior may help parents inculcate a healthy lifestyle to their children. However, parents' diet and its potential impact on metabolic control of the disease of their children have been scarcely analyzed. This study was aimed to examine whether parents' food choices may influence metabolic control of their children with T1D.

Patients and methods: Food Choice Questionnaire in Spanish population (FCQ-SP) was conducted to assess main caregivers of children with T1D eating behaviors. The questionnaire measures eight motivational dimensions: mood, health, natural content, sensory appeal, weight control, convenience, familiarity and price. Patients’ HbA1c was determined during medical consultation. Demographic, anthropometric and clinical data were registered on the same day that the questionnaire was taken from the parents, after informed consent. Significance was established in P-value<0.05.

Results: Fifty-five T1D patients (35 girls; 51%), with a median age in years of 12.9 (9.8-14.5), were recruited. 41 (73.2%) patients had closed-loop insulin pumps. 33 (60%) have shown HbA1c levels of <7.5%, while only 17 (30.9%) had a time in range of >70%. Main caregivers were mothers, median age 44 (40-48) years. Significant positive correlation was found between Hb1Ac and familiarity and sensory appeal (R:+0.287 and R:+0.303 respectively). Furthermore, insulin needs (UI/kg/day) showed a positive significant correlation with sensory appeal and negative with familiarity (R:+0.283 and R:-0.311) and Z-score BMI with price and weight control (R:+0.312 and R:+0.304). No correlation was found with other motivational dimensions.

R values of correlation study
  Convenience Familiarity Health Mood Natural content Price Sensorial appeal Weight control
BMI (z-score) 0.109 0.102 0.142 0.162 0.084 0.312* 0.209 0.304*
Insulin dose (UI/kg/day) 0.269 -0.311* 0.253 0.065 -0.045 -0.037 0.283* 0.094
Hb1Ac -0.020 0.303* 0.250 0.030 0.110 -0.021 0.287* 0.070
*indicates significant correlation (P<0.05).

Conclusions: Children with T1D whose parents choose food for their sensorial appeal have higher insulin needs and HbA1c. When food is chosen by familiarity, children have higher HbA1c levels and use less amount of insulin. These data provide new insights into the food choices of parents of children with T1D and support the importance of personalized nutritional education to acquire glucose control promoting nutritional habits.

Volume 95

60th Annual ESPE (ESPE 2022)

Rome, Italy
15 Sep 2022 - 17 Sep 2022

European Society for Paediatric Endocrinology 

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