title: Examining mealtime behaviors in families of young children with type 1 diabetes on intensive insulin therapy.
abstract: This study examined mealtime behaviors in families of young children with type 1 diabetes (T1DM) on intensive insulin therapy. Behaviors were compared to published data for children on conventional therapy and examined for correlations with glycemic control. Thirty-nine families participated and had at least three home meals videotaped while children wore a continuous glucose monitor. Videotaped meals were coded for parent, child, and child eating behaviors using a valid coding system. A group difference was found for child request for food only. There were also associations found between children's glycemic control and child play and away. However, no associations were found between parent and child behaviors within meals and children's corresponding post-prandial glycemic control. Results reinforce existing research indicating that mealtime behavior problems exist for families of young children even in the context of intensive therapy and that some child behaviors may relate to glycemic control.
authors.affiliation: Division of Behavioral Pediatrics, Department of Pediatrics, University of Kansas Medical Center, 3901 Rainbow Blvd, MS 4004, Kansas City, KS 66160, USA. Electronic address: spatton2@kumc.edu.
authors.forename: Susana R
authors.initials: SR
authors.lastname: Patton
authors.forename: Lawrence M
authors.initials: LM
authors.lastname: Dolan
authors.forename: Laura B
authors.initials: LB
authors.lastname: Smith
authors.forename: Morton B
authors.initials: MB
authors.lastname: Brown
authors.forename: Scott W
authors.initials: SW
authors.lastname: Powers
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D015190:Blood Glucose Self-Monitoring; D002648:Child; D002652:Child Behavior / Q000523:psychology*; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000523:psychology; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007328:Insulin / Q000627:therapeutic use*; D008297:Male; D062407:Meals / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D014743:Videotape Recording
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin
keywords: Children; Diabetes mellitus; Glycemic control; Insulin therapy; Mealtime behaviors; preschool