Associations between Diet Behaviors and Measures of Glycemia, in Clinical Setting, in Obese Adolescents

Kelly A. Wagner, Seth M. Armah, Lisa G. Smith, Julie Pike, Wanzhu Tu, Wayne W. Campbell, Carol J. Boushey, Tamara Hannon, Nana Gletsu-Miller

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To determine the influence of dietary behaviors, assessed in a clinical setting, on measures of glycemia in overweight and obese adolescents. Study Design: The study is a retrospective, cross-sectional chart review. Eligible participants were overweight youth (N = 146, age 9-21 years) who attended the Youth Diabetes Prevention Clinic in Indianapolis, IN. Glycemic status was assessed during a 2-hour oral glucose tolerance test (OGTT). In the Bright Futures Questionnaire, a recommended clinical tool for assessing unhealthy behaviors in youth, nutrition-specific questions were modified to quantify dietary habits. Associations between dietary habits and measures of glycemia were determined using multiple linear regression models. Skewed data are presented as geometric means and 95% confidence intervals. Results: Of the 146 adolescents who were assessed [60% girls, age 13.7 years (13.3, 14.0), BMI 33.9 kg/m2 (33.3, 34.5)], 40% were diagnosed with prediabetes. Higher intake of dessert foods was associated with increased glucose levels at 2 hours following the OGTT (β = 0.23, p = 0.004), and higher intake of packaged snack foods was associated with elevated levels of hemoglobin A1c (β = 0.04, p = 0.04), independent of adiposity. Conclusions: In obese youth, high intakes of dessert and packaged snack items were associated with elevated concentrations of glucose at 2 hours following the OGTT and hemoglobin A1c. Findings demonstrate the usefulness of a modified Bright Futures Questionnaire, used in a clinical setting, for identifying dietary behaviors associated with hyperglycemia in obese adolescents. ClinicalTrials.gov registration number: NCT02535169

Original languageEnglish (US)
Pages (from-to)341-347
Number of pages7
JournalChildhood Obesity
Volume12
Issue number5
DOIs
StatePublished - Oct 1 2016

Fingerprint

Diet
Glucose Tolerance Test
Snacks
Feeding Behavior
Linear Models
Hemoglobins
Prediabetic State
Glucose
Adiposity
Hyperglycemia
Eating
Confidence Intervals
Surveys and Questionnaires

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Wagner, K. A., Armah, S. M., Smith, L. G., Pike, J., Tu, W., Campbell, W. W., ... Gletsu-Miller, N. (2016). Associations between Diet Behaviors and Measures of Glycemia, in Clinical Setting, in Obese Adolescents. Childhood Obesity, 12(5), 341-347. https://doi.org/10.1089/chi.2015.0232

Associations between Diet Behaviors and Measures of Glycemia, in Clinical Setting, in Obese Adolescents. / Wagner, Kelly A.; Armah, Seth M.; Smith, Lisa G.; Pike, Julie; Tu, Wanzhu; Campbell, Wayne W.; Boushey, Carol J.; Hannon, Tamara; Gletsu-Miller, Nana.

In: Childhood Obesity, Vol. 12, No. 5, 01.10.2016, p. 341-347.

Research output: Contribution to journalArticle

Wagner, KA, Armah, SM, Smith, LG, Pike, J, Tu, W, Campbell, WW, Boushey, CJ, Hannon, T & Gletsu-Miller, N 2016, 'Associations between Diet Behaviors and Measures of Glycemia, in Clinical Setting, in Obese Adolescents', Childhood Obesity, vol. 12, no. 5, pp. 341-347. https://doi.org/10.1089/chi.2015.0232
Wagner, Kelly A. ; Armah, Seth M. ; Smith, Lisa G. ; Pike, Julie ; Tu, Wanzhu ; Campbell, Wayne W. ; Boushey, Carol J. ; Hannon, Tamara ; Gletsu-Miller, Nana. / Associations between Diet Behaviors and Measures of Glycemia, in Clinical Setting, in Obese Adolescents. In: Childhood Obesity. 2016 ; Vol. 12, No. 5. pp. 341-347.
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