Nutrition interventions in pediatric patients with type 1 diabetes: an evidence analysis center scoping review
Abstract
The objective of this scoping review was to identify and characterize studies examining the effect of nutrition management interventions and effectiveness of medical nutrition therapy to improve nutrition-related outcomes in children and adolescents with type 1 diabetes. An in-depth electronic search was conducted by a medical librarian in six databases: Medline, Embase, Cochrane Central Register of Controlled Trials, PsycINFO, The Cumulative Index to Nursing and Allied Health Literature, and Web of Science Core Collection. The literature search resulted in 5,122 records, and five records were identified through hand search. Of these 5,127 records, 22 articles and eight systematic reviews met our inclusion criteria. An equal number of the studies were experimental (ie, randomized or nonrandomized controlled trials, or noncontrolled trials) (n = 11) and observational (cohort, case-control, and cross-sectional) (n = 11) with the remaining studies being systematic reviews/meta-analyses (n = 8). Most of these studies were conducted in United States or Europe. Based on this scoping review, the majority of studies focus on either carbohydrate counting or evaluation of dietary intake patterns with little emphasis on tailored patient education/counseling services specifically designed to meet a young child's or his/her family's individual needs. Indeed, only four studies in this scoping review used dietary counseling and/or medical nutrition therapy. As such, there remains a significant gap in the literature as it relates to the efficacy and long-term management implications of tailored nutrition interventions in young children with type 1 diabetes.
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There remains a significant gap in the literature as it relates to the efficacy and long-term management implications of nutrition interventions for young children with type 1 diabetes.
“There remains a significant gap in the literature as it relates to the efficacy and long-term management implications of nutrition interventions for young children with type 1 diabetes (142).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [142]
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- Authors
- Handu, D., & Piotrowski, M.
- Affiliations
- Academy of Nutrition and Dietetics (US)
- Cincinnati Children's Hospital Medical Center (US)
- Corresponding author
- Handu, Deepa
- ORCID
- Handu, Deepa
- Venue
- Journal of the Academy of Nutrition and Dietetics
- Publisher
- Elsevier BV
- Published
- 2022-02
- Volume
- 122
- Issue
- 2
- Pages
- 424-431
- ISSN
- 2212-2672 (ISSN-L)
- OpenAlex
- W3154971630
- Cited by
- 5
- References
- 45
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2022: 1
- FWCI
- 0.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the Academy of Nutrition and Dietetics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Academy of Nutrition and Dietetics Foundation
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Keywords
- type 1 diabetes, pediatric diabetes, medical nutrition therapy, nutrition interventions, carbohydrate counting, nutrition counseling, dietary habits, children and adolescents
- MeSH terms
- Adolescent, Child, Child, Preschool, Clinical Trials as Topic, Counseling, Diabetes Mellitus, Type 1, Diet, Diabetic, Dietary Carbohydrates, Eating, Female, Humans, Male, Patient Education as Topic, Nutrition Therapy, Diet, Carbohydrate-Restricted, Observational Studies as Topic
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