Schoen Stefanie, Jergens Sibille, Barbaresko Janett, Nöthlings Ute, Kersting Mathilde, Remer Thomas, Stelmach-Mardas Marta, Ziegler Anette-G, Hummel Sandra
Research Institute of Child Nutrition, University Clinic Bochum, Bochum 44791, Germany.
Institute of Diabetes Research, Helmholtz Zentrum München, and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, Neuherberg 85764, Germany.
Nutrients. 2017 Jan 9;9(1):48. doi: 10.3390/nu9010048.
Previous studies have indicated that mothers of children at increased risk of type 1 diabetes (T1D) may modify their child's diet following risk notification. Our aim was to investigate the diet quality after notified of T1D risk in at-risk children compared to not-at-risk children. The quality of nutrient intake (PANDiet score) and food intake (analyzed by a newly developed score and the HuSKY score) were assessed using three-day dietary records collected for at-risk children (BABYDIET study, = 109) and a matched sample of not-at-risk children (DONALD study, = 205) at nine and 24 months of age. Nutrient and food intake quality were lower at nine months of age and food intake quality was lower at 24 months of age in at-risk than in not-at-risk children ( = 0.01 and < 0.0001, respectively). The amount of added sugar was higher in at-risk children at both ages ( < 0.0001). In at-risk children, dietary quality was similar between children who were first exposed to gluten at six or 12 months of age. Despite being notified about their child's risk of T1D, the child's mother did not switch to healthier diets compared with not-at-risk mothers.
先前的研究表明，1型糖尿病（T1D）风险增加的儿童的母亲在收到风险通知后可能会改变孩子的饮食。我们的目的是调查与无风险儿童相比，有风险儿童在收到T1D风险通知后的饮食质量。使用为有风险儿童（BABYDIET研究，n = 109）和匹配的无风险儿童样本（DONALD研究，n = 205）在9个月和24个月大时收集的三日饮食记录，评估营养摄入质量（PANDiet评分）和食物摄入质量（通过新开发的评分和HuSKY评分进行分析）。与无风险儿童相比，有风险儿童在9个月大时营养和食物摄入质量较低，在24个月大时食物摄入质量较低（分别为P = 0.01和P < 0.0001）。两个年龄段的有风险儿童添加糖的摄入量都更高（P < 0.0001）。在有风险儿童中，6个月或12个月大时首次接触麸质的儿童的饮食质量相似。尽管被告知孩子有患T1D的风险，但与无风险儿童的母亲相比，有风险儿童的母亲并没有转向更健康的饮食。
