Family-Based Behavioral Medical Nutrition Therapy Education in Children and Adolescents With Type 1 Diabetes
Condition: Type1diabetes
MeSH terms: Diabetes Mellitus; Diabetes Mellitus, Type 1
Study type: Interventional

Summary: 
      Type 1 Diabetes Mellitus (T1DM) is a heterogeneous condition and is an absolute insulin
      deficiency resulting from autoimmune-mediated destruction of pancreatic β-cells (1). The
      incidence of T1DM has been increasing globally since the 1950s, particularly in children,
      with an average annual increase of 3-4% over the past three decades.Despite the advances in
      medical treatment and technology, nutritional therapy continues to be the main component of
      diabetes treatment. Medical nutrition further improves metabolic control outcomes when T1DM
      care is combined with other treatments.This study was conducted to examine the effect of
      family-based behavioral medical nutrition therapy training on nutritional status and
      metabolic control in children and adolescents with Type 1 diabetes.
    

Detailed description: 
      The research was carried out with children and adolescents aged 8-18 years who were followed
      up with the diagnosis of Type 1 Diabetes Mellitus in Gaziantep Cengiz Gökçek Gynecology and
      Pediatrics Hospital. The sample of the study was consisted of 75 (male= 36, female= 39)
      children and adolescents in total, including Intervention 1 group (n=25), Intervention 2
      (n=25) group and Control (n=25) group determined by double-blind, stratified, random method.
      Medical nutrition therapy and carbohydrate counting training were given to mothers and
      children in the Intervention 1 group, and only to children and adolescents in the
      Intervention 2 group. The control group did not receive medical nutrition therapy and
      carbohydrate counting training. At the beginning (0. month) and at the end (6. month) of the
      study, 3 consecutive day/24-hour food consumption records and anthropometric measurements of
      the individuals were assessed, BMI z-scores and height z-scores were calculated,
      Mediterranean Diet Quality Index Scale (KIDMED), Diabetes Eating Problems Survey-Revised
      (DEPS-R), Physical Activity Questionnaire for Children and Adolescents (PAQ-C and PAQ-A) were
      administered and Healthy Eating Index 2015 (HEI-2015) scores were calculated. Routinely
      assessed blood findings of the individuals were checked at the beginning (0. month), 3rd
      month and 6th month of the study.
    

Intervention name(s): Medical nutrition therapy and carbohydrate counting education; Medical nutrition therapy and carbohydrate counting education; No intervention
Intervention type(s): Other; Other; Other
Intervention description(s): Children and their mothers have received family-based behavioral medical nutrition therapy and carbohydrate counting education for 6 months by trained dietitian; Only children have received family-based behavioral medical nutrition therapy and carbohydrate counting education for 6 months by trained dietitian; Control group didn't receive any intervention by trained dietitian. Furthermore they continued their routine health controls.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: The sample of the study was consisted of 75 (male= 36, female= 39) children and adolescents in total, including Intervention 1 group (n=25), Intervention 2 (n=25) group and Control (n=25) group determined by double-blind, stratified, random method.
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Type 1 diabetes, nutrition education, metabolic control