Evidence map›Paper›PMID 31392807›Full record

ArticlePediatric diabetes2019

The interplay of type 1 diabetes and weight management: A qualitative study exploring thematic progression from adolescence to young adulthood.

Ananta Addala, Daria Igudesman, Anna R Kahkoska, Franklin R Muntis, Katherine J Souris, Keri J Whitaker, Richard E Pratley, Elizabeth Mayer-Davis

Open access · greenAbstract read
In one paragraph

Article in Pediatric diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ananta AddalaDepartment of Pediatric Endocrinology, Stanford University, Stanford, California.ORCID 0000-0002-0508-4309
Daria IgudesmanDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.
Anna R KahkoskaDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0003-2701-101X
Franklin R MuntisDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.
Katherine J SourisDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.
Keri J WhitakerAdventHealth Translational Research Institute for Metabolism and Diabetes, Orlando, Florida.
Richard E PratleyAdventHealth Translational Research Institute for Metabolism and Diabetes, Orlando, Florida.
Elizabeth Mayer-DavisDepartment of Nutrition, University of North Carolina, Chapel Hill, North Carolina.
University of North Carolina at Chapel Hill · USTranslational Research Institute for Metabolism and Diabetes · USStanford University · US

Funding

NUTRITION TRAINING PROGRAMT32DK007686 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BECK, MELINDA A., MAYER-DAVIS, ELIZABETH J · 1992 to 2022
$4.3M
Characterizing Impulsivity as a Determinant of Weight and Glycemic Control in Youth with Type 1 DiabetesF30DK113728 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAHKOSKA, ANNA RACHEL · 2017 to 2020
$171k
NIDDK NIH HHS F30 DK113728NIDDK NIH HHS T32 DK007686
6 · The paper itself

Abstract

backgroundThe impact of weight management in persons with type 1 diabetes (T1D) from childhood into adulthood has not been well described. The purpose of the study was to explore qualitative themes presented by young adults with T1D with respect to the dual management of weight and T1D.

methodsWe analyzed focus group data from 17 young adults with T1D (65% female, age 21.7 ± 2.1 years, HbA1c 8.1% ± 1.5) via inductive qualitative analysis methods. Major themes were compared to themes presented by youth with T1D ages 13-16 years in previously published study in order to categorize thematic progression from early adolescence through adulthood.

resultsThemes from young adults with T1D, when compared to those from youth were categorized as: (a) persistent and unchanged themes, (b) evolving themes, and (c) newly reported themes. Hypoglycemia and a sense of futility around exercise was an unchanged theme. Importance of insulin usage and a healthy relationship with T1D evolved to gather greater conviction. Newly reported themes are unique to integration of adulthood into T1D, such as family planning and managing T1D with work obligations. Young adults also reported negative experiences with providers in their younger years and desire for more supportive provider relationships.

conclusionsIssues identified by youth regarding the dual management of T1D and weight rarely resolve, but rather, persist or evolve to integrate other aspects of young adulthood. Individualized and age-appropriate clinical support and practice guidelines are warranted to facilitate the dual management of weight and T1D in persons with T1D.

Indexed as

PerceptionTransition to Adult CareWeight Reduction ProgramsAdolescentAdultAttitude to HealthBody WeightBody Weight MaintenanceDiabetes Mellitus, Type 1Feeding BehaviorFemaleHealth BehaviorHumansMalePediatric ObesitySelf Efficacypediatric obesitypediatric type 1 diabetesqualitative researchweight management

Identifiers

PMID31392807
PMCPMC7196280
OpenAlexW2967849806

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.