Evidence map›Paper›PMID 41497311›Full record

ArticleJournal of obesity2025

Type 1 Diabetes Is a Barrier to Obesity Treatment: Patient Insights From a Mixed-Methods Study.

Ebaa Al Ozairi, Dalal Alsaeed, Alvin Mondoh, Etab Taghadom, Mohammad Irshad, Dherar Alroudhan, Jumana Al Kandari, Werd Al-Najim, Carel W le Roux

Abstract read
In one paragraph

Article in Journal of obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Ebaa Al OzairiDAFNE Unit, Clinical Care Research and Clinical Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait, dasmaninstitute.org.ORCID 0000-0001-5006-4369
Dalal AlsaeedDAFNE Unit, Clinical Care Research and Clinical Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait, dasmaninstitute.org.
Alvin MondohDiabetes Complications Research Centre, University College Dublin, Dublin, Ireland, ucd.ie.ORCID 0009-0004-0206-3803
Etab TaghadomDAFNE Unit, Clinical Care Research and Clinical Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait, dasmaninstitute.org.
Mohammad IrshadDAFNE Unit, Clinical Care Research and Clinical Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait, dasmaninstitute.org.ORCID 0000-0002-7520-0221
Dherar AlroudhanDAFNE Unit, Clinical Care Research and Clinical Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait, dasmaninstitute.org.
Jumana Al KandariDAFNE Unit, Clinical Care Research and Clinical Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait, dasmaninstitute.org.
Werd Al-NajimDiabetes Complications Research Centre, University College Dublin, Dublin, Ireland, ucd.ie.
Carel W le RouxDAFNE Unit, Clinical Care Research and Clinical Trials Unit, Dasman Diabetes Institute, Kuwait City, Kuwait, dasmaninstitute.org.ORCID 0000-0001-5521-5445

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Globally, many patients with Type 1 diabetes (T1D) are now characterized by excess adipose tissue and features of insulin resistance. In Kuwait, rapid urbanization, shifts in dietary patterns, and decreased physical activity have contributed to rising obesity prevalence in the general population. Objectives: We aimed to investigate the interplay between the diseases of obesity and T1D, examining patients' perspectives on why they gained body weight, psychological aspects, and management challenges. Methods: A mixed-methods approach was employed, encompassing quantitative analysis of body mass index (BMI) and lifestyle factors among 51 participants with T1D and obesity or obesity-related complications and a thematic analysis of perceptions and experiences related to obesity and T1D using an online survey. Results: Participants identified lifestyle factors as the primary contributors to obesity, emphasizing the need for holistic interventions. About 56.8% of the participants perceived T1D as a barrier to obesity treatment. The qualitative analysis revealed four themes: 1) negative perceptions about obesity, 2) poor interface with healthcare professionals (HCPs), 3) lack of suggestions for improving obesity management, and 4) poor self-image and awareness. This provided in-depth insights into participants' perceptions, worries, experiences, and suggestions for managing obesity in the context of T1D. Conclusions: This study contributes a nuanced understanding of obesity in patients with T1D, shedding light on the complexities beyond glycemic control. The findings emphasize the need for patient-centered, multidisciplinary approaches that consider both medical and psychological aspects in the management of obesity within patients with T1D.

Indexed as

Diabetes Mellitus, Type 1ObesityAdultBody Mass IndexFemaleHumansKuwaitLife StyleMaleMiddle AgedSurveys and QuestionnairesYoung Adultbody weight perceptionsobesityT1D

Identifiers

PMID41497311
PMCPMC12767016

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LicenceCC BY
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Registered trials

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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.