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Formative Development of a Weight Management Intervention for Adolescents with Type 1 Diabetes Mellitus and Obesity.1 型糖尿病合并肥胖青少年体重管理干预措施的形成性发展。
Pediatr Diabetes. 2023;2023. doi: 10.1155/2023/9584419. Epub 2023 Apr 19.
4
Diabetes-Related Stigma among Adolescents: Emotional Self-Efficacy, Aggressiveness, Self-Care, and Barriers to Treatment Compliance.青少年中与糖尿病相关的耻辱感：情绪自我效能感、攻击性、自我护理及治疗依从性障碍
Salud Conducta Humana. 2021 Dec 23;8(1):82-96.
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Weight Stigma and Mental Health in Youth: A Systematic Review and Meta-Analysis.青少年体重歧视与心理健康：系统评价与荟萃分析。
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Trends in Prevalence of Type 1 and Type 2 Diabetes in Children and Adolescents in the US, 2001-2017.美国儿童和青少年 1 型和 2 型糖尿病患病率趋势，2001-2017 年。
JAMA. 2021 Aug 24;326(8):717-727. doi: 10.1001/jama.2021.11165.
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Barriers to Technology Use and Endocrinology Care for Underserved Communities With Type 1 Diabetes.服务不足的 1 型糖尿病社区在使用技术和接受内分泌学治疗方面的障碍。
Diabetes Care. 2021 Jul;44(7):1480-1490. doi: 10.2337/dc20-2753. Epub 2021 May 17.
8
Percentage of Adolescents Meeting Federal Fruit and Vegetable Intake Recommendations - Youth Risk Behavior Surveillance System, United States, 2017.青少年达到联邦水果和蔬菜摄入量建议的百分比 - 美国青少年风险行为监测系统，2017 年。
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Psychobiology of Appetite and Food Reward in Adults with Type 1 and Type 2 Diabetes: Is there a Role for Exercise?1 型和 2 型糖尿病成人的食欲和食物奖赏的心理生物学：运动是否有作用？
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Weight Stigma in Youth: Prevalence, Consequences, and Considerations for Clinical Practice.青少年体重歧视：流行率、后果及临床实践中的注意事项。
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健康行为的障碍：来自患有1型糖尿病合并超重/肥胖的青少年、护理人员和儿科内分泌学家的观点。

Barriers to healthy behaviors: perspectives from teens with comorbid Type 1 diabetes and overweight/obesity, caregivers, and pediatric endocrinologists.

作者信息

Warnick Jennifer L, Darling Katherine E, Swartz Topor Lisa, Jelalian Elissa

机构信息

Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, United States.

The Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, RI, United States.

出版信息

J Pediatr Psychol. 2024 Dec 1;49(12):874-881. doi: 10.1093/jpepsy/jsae086.

DOI:10.1093/jpepsy/jsae086
PMID:39449679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11659607/
Abstract

OBJECTIVES

This study aimed to understand barriers to engagement in healthy lifestyle behaviors among adolescents with comorbid Type 1 diabetes (T1D) and overweight/obesity (n = 12), their caregivers (n = 12), and pediatric endocrinologists (n = 9).

METHODS

Participants (n = 33) completed individual, semi-structured interviews. Interviews were transcribed verbatim, and applied thematic analysis was used to analyze the interview data.

RESULTS

Results from adolescents, caregivers, and pediatric endocrinologists revealed three thematic barriers to healthy lifestyle behaviors for adolescents with T1D and overweight/obesity: (1) discomfort with aspects of T1D that draw attention to the self; (2) T1D as a barrier to engagement in healthy lifestyle behaviors; and (3) physiological dysregulation due to T1D impacting health behaviors.

CONCLUSIONS

Results identify perceived limitations to engaging in recommended healthy lifestyle behaviors and diabetes management concurrently. Results may assist research and clinical care in identifying supports and guidance needed to support adolescents in meeting behavioral recommendations for their health.

摘要

目的

本研究旨在了解1型糖尿病（T1D）合并超重/肥胖的青少年（n = 12）、他们的照顾者（n = 12）以及儿科内分泌学家（n = 9）在参与健康生活方式行为方面的障碍。

方法

参与者（n = 33）完成了个人半结构化访谈。访谈内容逐字转录，并采用主题分析法对访谈数据进行分析。

结果

青少年、照顾者和儿科内分泌学家的访谈结果揭示了T1D合并超重/肥胖青少年在健康生活方式行为方面存在的三个主题障碍：（1）对T1D中引起他人注意的方面感到不适；（2）T1D成为参与健康生活方式行为的障碍；（3）T1D导致的生理失调影响健康行为。

结论

研究结果确定了同时参与推荐的健康生活方式行为和糖尿病管理方面存在的感知限制。这些结果可能有助于研究和临床护理确定支持青少年遵循健康行为建议所需的支持和指导。