体重管理行为与 1 型糖尿病青少年和年轻成人的高血糖结局相关。
Weight Management Behaviors are Associated with Elevated Glycemic Outcomes in Adolescents and Young Adults with Type 1 Diabetes.
机构信息
Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA.
George Washington University School of Medicine, Washington, DC, USA.
出版信息
J Clin Psychol Med Settings. 2023 Dec;30(4):876-883. doi: 10.1007/s10880-023-09936-6. Epub 2023 Feb 2.
Many adolescents and young adults (AYAs) with type 1 diabetes (T1D) engage in weight management behaviors (i.e., trying to lose weight), and efforts to manage weight may impact glycemic control. We assessed objective/subjective weight status and weight management behaviors in a diverse sample of 76 AYAs with T1D, and examined differences in sociodemographic characteristics and A1c levels by the following categories: (1) Overweight BMI/weight management (n = 21), (2) overweight BMI/no weight management (n = 6), (3) in/below-range BMI/weight management (n = 25), (4) in/below-range BMI/no weight management (n = 24). Subjective overweight status was more common among late adolescents and females; female gender was associated with weight management behaviors. AYAs endorsing weight management behaviors evidenced higher A1c values than those who did not. Clinicians working with AYAs should be aware of associations among weight management and glycemic indicators and routinely screen for weight management behaviors. Future research should explore interventions to promote healthy lifestyle behaviors among AYAs.
许多青少年和青年成年人（AYAs）患有 1 型糖尿病（T1D），他们采取了体重管理行为（即试图减肥），而这些努力可能会影响血糖控制。我们评估了 76 名患有 T1D 的 AYA 患者的客观/主观体重状况和体重管理行为，并根据以下类别检查了社会人口统计学特征和 A1c 水平的差异：（1）超重 BMI/体重管理（n = 21），（2）超重 BMI/无体重管理（n = 6），（3）在/低于范围 BMI/体重管理（n = 25），（4）在/低于范围 BMI/无体重管理（n = 24）。主观超重状态在晚期青少年和女性中更为常见；女性性别与体重管理行为有关。采取体重管理行为的 AYA 患者的 A1c 值高于未采取体重管理行为的患者。与 AYA 合作的临床医生应该意识到体重管理和血糖指标之间的关联，并定期筛查体重管理行为。未来的研究应该探索促进 AYA 健康生活方式行为的干预措施。
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