{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T03:38:32Z","timestamp":1768534712441,"version":"3.49.0"},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rocz Panstw Zakl Hig"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>Background.<\/strong> Micronutrient malnutrition is a serious public health problem in most developing countries, including\u00a0Morocco, due to poor and therefore lower quality diets that lack dietary diversity.<br \/><strong>Objective.<\/strong> The present study aimed to assess dietary diversity and variety and their relationship with micronutrient\u00a0adequacy in children and adolescents with type 1 diabetes (T1D).<br \/><strong>Materials and methods.<\/strong> A cross-sectional study was carried among 240 children and adolescents with T1D. Weight\u00a0and height were measured and BMI was calculated. Dietary intake data were obtained from two 24-h recalls. A Dietary\u00a0diversity (DDS) and dietary variety scores (DVS) and mean adequacy ratio (MAR) and nutritional adequacy ratios\u00a0(NARs) were calculated and compared according to sociodemographic\/anthropometric categories.<br \/><strong>Results.<\/strong> 52.1% of the patients were female. The mean age of the patients was 8.49 \u00b1 4.1 years. The mean BMI was 19.44\u00a0\u00b1 5.24 kg\/m2; the mean DDS was 4.62\u00b11.20 and the mean MAR was 0.66 \u00b1 0.11. Older children living in rural areas have\u00a0a low DDS\/DVS. Parental education and income level are associated with DDS\/DVS. General and central obesity were\u00a0significantly elevated in children with high DDS. In addition, a high intake of vegetables, eggs, fiber and micronutrients\u00a0(Magnesium, Calcium, Potassium, Zinc, Phosphorus and Vit B1) is associated with a high DDS; however, high DVS\u00a0is associated with high consumption of dairy products, carbohydrates and low intake of protein and fat. There are also\u00a0positive correlations between DDS\/DVS and NARs for various nutrients.<br \/><strong>Conclusion.<\/strong> The quality of the respondents\u2019 diets are moderately diversified. DDS or DVS can be used as indicators of\u00a0micronutrient adequacy in Moroccan T1D children. Nutritional education needs to be strengthened to improve dietary diversity in children, especially in rural areas.<\/p><\/jats:p>","DOI":"10.32394\/rpzh.2022.0229","type":"journal-article","created":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T08:56:03Z","timestamp":1671699363000},"page":"413-422","source":"Crossref","is-referenced-by-count":2,"title":["Assessment of diet quality in children and adolescents with type 1 diabetes"],"prefix":"10.32394","volume":"73","author":[{"given":"Sanaa","family":"El\u2013Jamal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houda","family":"Elfane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Chamlal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imane","family":"Barakat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halima","family":"Daif","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Mziwira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aziz","family":"Fassouane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rekia","family":"Belahsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2022,12,31]]},"container-title":["Roczniki Pa\u0144stwowego Zak\u0142adu Higieny"],"original-title":[],"link":[{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182736-103232","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/roczniki.pzh.gov.pl\/pdf-182736-103232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T10:59:12Z","timestamp":1768474752000},"score":1,"resource":{"primary":{"URL":"https:\/\/roczniki.pzh.gov.pl\/Assessment-of-diet-quality-in-children-and-adolescents-with-type-1-diabetes,182736,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,31]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"alternative-id":["182736"],"URL":"https:\/\/doi.org\/10.32394\/rpzh.2022.0229","relation":{},"ISSN":["0035-7715","2451-2311"],"issn-type":[{"value":"0035-7715","type":"print"},{"value":"2451-2311","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,31]]}}}