title: Self-reported dietary intake of youth with recent onset of type 2 diabetes: results from the TODAY study.
abstract: Despite the widely recognized importance of diet in managing diabetes, few studies have documented usual dietary intake in young people with type 2 diabetes. The objectives of our study were to assess dietary intake among a large, ethnically diverse cohort of young people with type 2 diabetes and compare intake to current recommendations. The Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study is a multicenter randomized clinical trial of 699 youth aged 10 to 17 years. At baseline, following a run-in period that included standard diabetes education, diet was assessed using a food frequency questionnaire between 2004 and 2009. Analysis of variance and nonparametric tests were used to compare mean and median nutrient intakes; logistic regression was used to compare the odds of meeting predefined dietary intake recommendation cutpoints between subgroups of age, sex, and race-ethnicity. Percent of energy from saturated fat was consistently 13% to 14% across all subgroups-substantially exceeding national recommendations. Overall, only 12% of youth met Healthy People 2010 guidelines for intake of <10% of energy from saturated fat and only 1% of youth met American Diabetes Association recommendations for intake of <7% of energy from saturated fat. Dietary intake fell substantially below other Healthy People 2010 targets; only 3% met calcium intake goals, 11% met fruit consumption goals, 5% met vegetable consumption goals, and 67% met grain intake goals. Overall, dietary intake in this large cohort of young people with type 2 diabetes fell substantially short of recommendations, in ways that were consistent by sex, age, and race-ethnicity. The data suggest a critical need for better approaches to improve dietary intake of these young people.
authors: Linda
authors: L
authors: Delahanty
authors: Andrea
authors: A
authors: Kriska
authors: Sharon
authors: S
authors: Edelstein
authors: Nancy
authors: N
authors: Amodei
authors: Jennifer
authors: J
authors: Chadwick
authors: Kenneth
authors: K
authors: Copeland
authors: Bryan
authors: B
authors: Galvin
authors: Laure
authors: L
authors: El Ghormli
authors: Morey
authors: M
authors: Haymond
authors: Megan M
authors: MM
authors: Kelsey
authors: Chad
authors: C
authors: Lassiter
authors: Kerry
authors: K
authors: Milaszewski
authors: Amy
authors: A
authors: Syme
authors: Elizabeth
authors: E
authors: Mayer-Davis
mesh_terms: D000293:Adolescent; D000704:Analysis of Variance; D000886:Anthropometry; D002648:Child; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy* / Q000209:etiology; D004032:Diet / Q000009:adverse effects / Q000592:standards / Q000706:statistics & numerical data*; D004041:Dietary Fats / Q000008:administration & dosage; D002149:Energy Intake; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D005638:Fruit; D006801:Humans; D008019:Life Style; D008297:Male; D015596:Nutrition Assessment; D018673:Nutrition Policy; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014675:Vegetables
chemical_list: D004041:Dietary Fats