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311305

Food Insecurity Among Families of Children with Type 1 Diabetes Mellitus and Its Relation to Glycemic Control.

Article

Last updated: 23 Dec 2024

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Abstract

BACKGROUND: Food insecurity, (FI) a significant public health issue, can have a serious detrimental effect on controlling diabetes. The objective of the study was to assess frequency of household FI in the type 1 diabetes mellitus (T1D) families attending in diabetes clinic and to determine relation between FI and glycemic control among T1D children
METHODS: A cross-sectional study was conducted in the period from November 2021 to October 2022 0n (237) parents of TIDM children who come to receive periodic insulin therapy and routine checkups using structured questionnaire consist of three parts; socioeconomic level, medical history, and food security questionnaire. Body mass index (BMI) and Hemoglobin A1c levels were assessed in all children.
RESULTS: According to glycemic control, 50.6% had poor glycemic control and 59.6% of studied patients belonged to food insecure families. Low socioeconomic standard (SES ), maternal basic education, secondary education and comorbid celiac disease significantly increased risk of food insecurity by 5.308, 4.176 and 10.406 folds respectively. Comorbid celiac disease, thyroid diseases, low SES, low mother education, hospitalization in the last year, significantly associated with poor glycemic control. Low BMI, obese, comorbid celiac disease, FI significantly increase risk of poor glycemic control by 12.349, 19.313, 6.39 and 2.353 folds respectively.
CONCLUSION: Low SES, poor glycemic control, and lower maternal education were predictors of food insecure patients. FI prevailed in a larger percentage of studied patients, and it is independently associated with poor glycemic control in patients with T1DM.

DOI

10.21608/ejcm.2023.214479.1259

Keywords

Families, Food Insecurity, Glycemic Control and Type 1 Diabetes

Authors

First Name

Lamiaa

Last Name

Elhawy

MiddleName

Lotfy

Affiliation

Public Health And Community Medicine, Faculty Of Medicine, Zagazig University

Email

lamiaa102elhawy@yahoo.com

City

zagazig

Orcid

0000-0002-4464-1526

First Name

Amany

Last Name

AbdAllah

MiddleName

-

Affiliation

Family medicine department, Faculty of Medicine, Zagazig University, Egypt

Email

dr.amanymohammed@gmail.com

City

-

Orcid

0000-0001-5302-838X

First Name

Faika

Last Name

Arab

MiddleName

-

Affiliation

Department of pediatrics, Faculty of Medicine, Zagazig university

Email

faikaarab84@gmail.com

City

-

Orcid

-

First Name

Nesma

Last Name

abdallah

MiddleName

-

Affiliation

Public health and community medicine, Faculty of Medicine, Zagazig university

Email

drnesmaabdallah@gmail.com

City

-

Orcid

0000-0002-3272-5618

Volume

42

Article Issue

1

Related Issue

45827

Issue Date

2024-01-01

Receive Date

2023-05-30

Publish Date

2024-01-01

Page Start

1

Page End

10

Print ISSN

1110-1865

Online ISSN

2090-2611

Link

https://ejcm.journals.ekb.eg/article_311305.html

Detail API

https://ejcm.journals.ekb.eg/service?article_code=311305

Order

1

Type

Original Article

Type Code

234

Publication Type

Journal

Publication Title

The Egyptian Journal of Community Medicine

Publication Link

https://ejcm.journals.ekb.eg/

MainTitle

Food Insecurity Among Families of Children with Type 1 Diabetes Mellitus and Its Relation to Glycemic Control.

Details

Type

Article

Created At

23 Dec 2024