Diet and Physical Activity by Prediabetes Status Among U.S. Adolescents: National Health and Nutrition Examination Survey, 2007-2018.

IF 1.5 4区医学 Q2 PEDIATRICS

Childhood Obesity Pub Date : 2024-02-12 DOI:10.1089/chi.2023.0110

Tashara M Leak, Francine Overcash, Marla Reicks, Cindy W Leung, Daheia J Barr-Anderson, Marisa Censani

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Abstract

Background: Prediabetes among adolescents is on the rise, yet it is unclear if modifiable risk factors vary by prediabetes status. Methods: This study examined associations between diet (primary objective) and physical activity (secondary objective) by prediabetes status among U.S. adolescents (12-19 years) who participated in the National Health and Nutrition Examination Survey from 2007-2018. Differences in Healthy Eating Index (HEI)-2015-2020 scores (total and 13 component scores), nutrients of public health concern, and physical activity were examined by prediabetes status (no prediabetes vs. prediabetes). Results: Adolescents (n = 2,487) with prediabetes had significantly lower whole grains component scores and intakes of vitamin D, phosphorus, and potassium (all p < .05), than adolescents without prediabetes. Physical activity levels were not optimal for either group, there were no differences by prediabetes status (n = 2,188). Conclusion: Diabetes prevention interventions for adolescents are needed and should promote a healthy diet target and encourage physical activity.

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按糖尿病前期状态划分的美国青少年饮食和体育活动情况：2007-2018 年全国健康与营养状况调查》。

背景：青少年中的糖尿病前期患者呈上升趋势，但目前尚不清楚可改变的风险因素是否会因糖尿病前期状态的不同而有所差异。研究方法本研究调查了 2007-2018 年期间参加全国健康与营养检查调查的美国青少年（12-19 岁）中不同糖尿病前期状态的饮食（主要目标）和体育锻炼（次要目标）之间的关联。根据糖尿病前期状态（无糖尿病前期与糖尿病前期）对健康饮食指数（HEI）-2015-2020 分数（总分和 13 个组成部分分数）、公众健康关注的营养素和体育锻炼的差异进行了研究。研究结果患有糖尿病前期的青少年（n = 2,487）的全谷物成分得分以及维生素 D、磷和钾的摄入量明显较低（所有 p n = 2,188）。结论需要对青少年进行糖尿病预防干预，并应提倡健康饮食目标和鼓励体育锻炼。

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来源期刊

Childhood Obesity PEDIATRICS-

CiteScore

4.70

自引率

8.00%

发文量

期刊介绍： Childhood Obesity is the only peer-reviewed journal that delivers actionable, real-world obesity prevention and weight management strategies for children and adolescents. Health disparities and cultural sensitivities are addressed, and plans and protocols are recommended to effect change at the family, school, and community level. The Journal also reports on the problem of access to effective healthcare and delivers evidence-based solutions to overcome these barriers.