Department of Internal Medicine, Division of Endocrinology and Metabolism, American University of Beirut Medical Center, Beirut, Lebanon.
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
PLoS One. 2022 Aug 4;17(8):e0270807. doi: 10.1371/journal.pone.0270807. eCollection 2022.
This study assessed lifestyle and health behavior habits among a representative sample of Saudi adolescents with self-reported diabetes and compared them to non-diabetic peers.
This was a nested case-control study, from the Jeeluna cohort, a nationwide, cross-sectional study of 12,575 Saudi boys and girls aged 10-19 years. Non-diabetic adolescents were matched to those with diabetes on a ratio of 4:1 based on age, gender and region. Retained information from the original study included: socio-demographics, lifestyle behaviors, tobacco/substance use, screen use, anthropometric measurements, and laboratory results.
The prevalence of diabetes was 0.7% (n = 87). Overall, 65% of diabetic participants were males, and 22.4% aged ≤14 years. Overall, both groups had low rates of healthful habits in their diet and physical activity. Both groups had similar rates of tobacco use, and high digital screen time. Adolescents with diabetes had more consistent sleeping pattern, were more likely to be on a diet, thought they spent enough time with their physician and obtained medical information more often from their health clinic. They were also more likely to feel down and to chat more often.
Adolescents with diabetes remain far from guideline targets but seem predisposed to better lifestyle and have more access to health as compared to their non-diabetic peers.
本研究评估了报告患有糖尿病的沙特青少年中具有代表性的生活方式和健康行为习惯，并将其与非糖尿病同龄人进行了比较。
这是一项嵌套病例对照研究，来自 Jeeluna 队列，这是一项全国性的、横断面的 12575 名 10-19 岁沙特男孩和女孩的研究。根据年龄、性别和地区，将非糖尿病青少年与糖尿病患者以 4:1 的比例进行匹配。保留了原始研究中的信息，包括：社会人口统计学、生活方式行为、烟草/物质使用、屏幕使用、人体测量学测量和实验室结果。
糖尿病的患病率为 0.7%（n=87）。总体而言，65%的糖尿病患者为男性，22.4%的年龄≤14 岁。总体而言，两组在饮食和体育活动方面的健康习惯率都较低。两组的烟草使用率相似，数字屏幕时间都很长。患有糖尿病的青少年睡眠模式更规律，更有可能节食，认为自己与医生在一起的时间足够多，并且更经常从他们的诊所获得医疗信息。他们也更有可能感到沮丧，并且更经常聊天。
与指南目标相比，糖尿病青少年仍有很大差距，但与非糖尿病同龄人相比，他们似乎更倾向于更好的生活方式，并且更有机会获得健康。
