{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T16:22:32Z","timestamp":1782750152875,"version":"3.54.5"},"reference-count":36,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T00:00:00Z","timestamp":1706227200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Aims: To evaluate the association between dietary patterns, obesity, and glycemic control in children and adolescents with type 1 diabetes mellitus (T1DM). Methods: A cross-sectional study was carried out in 2015 at a diabetes reference center in Rio de Janeiro. Sociodemographic data and those related to outpatient follow-ups were obtained from the medical records. The assessment of food consumption was performed using a 24 h food recall. Obesity was defined as body mass index-for-age (BMI-for-age) \u2265 +1 z-score. Glycemic control was assessed using glycated hemoglobin (HbA1c). Dietary patterns were generated by factorial analysis, and each individual\u2019s adherence to these dietary patterns was determined by the factor loadings and then classified into terciles. Results: The study population included 120 children and adolescents, among whom 5 dietary patterns were identified. The prevalence of obesity was 31.7% (n = 38), and 64.2% (n = 77) of the participants had inadequate glycemic control. We observed that individuals with higher adherence to dietary pattern five, characterized by a greater consumption of ultra-processed foods, had higher odds of having higher HbA1c levels (OR = 3.49; 95% CI = 1.18\u201311.16). Conclusions: Higher consumption of ultra-processed foods can be detrimental to glycemic control in children and adolescents. Thus, food intake monitoring is of paramount importance as part of the multidisciplinary care of patients with T1DM.<\/jats:p>","DOI":"10.3390\/nu16030364","type":"journal-article","created":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T04:05:46Z","timestamp":1706241946000},"page":"364","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The Association between Dietary Pattern, Obesity, and Glycemic Control of Children and Adolescents with Type 1 Diabetes Mellitus"],"prefix":"10.3390","volume":"16","author":[{"given":"Let\u00edcia Victoria","family":"Souza da Cunha","sequence":"first","affiliation":[{"name":"Instituto de Nutri\u00e7\u00e3o Josu\u00e9 de Castro (INJC\/UFRJ), Rio de Janeiro 21941-590, Brazil"},{"name":"Instituto de Puericultura e Pediatria Martag\u00e3o Gesteira (IPPMG), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro 21941-590, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2821-7223","authenticated-orcid":false,"given":"Dayan","family":"Carvalho Ramos Salles de Oliveira","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz (FIOCRUZ), Escola Nacional de Sa\u00fade P\u00fablica (ENSP), Av. Brasil, 4365-Manguinhos, Rio de Janeiro 21040-360, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1312-1808","authenticated-orcid":false,"given":"Leticia","family":"de Oliveira Cardoso","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz (FIOCRUZ), Escola Nacional de Sa\u00fade P\u00fablica (ENSP), Av. Brasil, 4365-Manguinhos, Rio de Janeiro 21040-360, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2028-3274","authenticated-orcid":false,"given":"Daniela Saes","family":"Sartorelli","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Social, Faculdade de Medicina de Ribeir\u00e3o Preto (FMRP), Universidade de S\u00e3o Paulo, Campus da USP\u2014Cidade Universit\u00e1ria, Ribeir\u00e3o Preto 14040-900, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Xavier Peniche","sequence":"additional","affiliation":[{"name":"Instituto de Nutri\u00e7\u00e3o Josu\u00e9 de Castro (INJC\/UFRJ), Rio de Janeiro 21941-590, Brazil"},{"name":"Instituto de Puericultura e Pediatria Martag\u00e3o Gesteira (IPPMG), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro 21941-590, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz Bastos","family":"de Araujo","sequence":"additional","affiliation":[{"name":"Instituto de Nutri\u00e7\u00e3o Josu\u00e9 de Castro (INJC\/UFRJ), Rio de Janeiro 21941-590, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge Luiz","family":"Luescher","sequence":"additional","affiliation":[{"name":"Instituto de Puericultura e Pediatria Martag\u00e3o Gesteira (IPPMG), Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro 21941-590, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel Nascimento Chanca","family":"Silverio","sequence":"additional","affiliation":[{"name":"Instituto de Nutri\u00e7\u00e3o Josu\u00e9 de Castro (INJC\/UFRJ), Rio de Janeiro 21941-590, Brazil"},{"name":"Divis\u00e3o de Alimenta\u00e7\u00e3o e Nutri\u00e7\u00e3o (DAN), R. Prof. Marcos Waldemar de Freitas Reis s\/n\u2014Campus Gragoat\u00e1\u2014S\u00e3o Domingos, Universidade Federal Fluminense (UFF), Niter\u00f3i 24210-201, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Davalos","sequence":"additional","affiliation":[{"name":"Instituto Madrille\u00f1o de Alimentaci\u00f3n (IMDEA), Crta. de, Carr. de Canto Blanco, n\u00ba8, E, 28049 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia de Carvalho","family":"Padilha","sequence":"additional","affiliation":[{"name":"Instituto de Nutri\u00e7\u00e3o Josu\u00e9 de Castro (INJC\/UFRJ), Rio de Janeiro 21941-590, Brazil"},{"name":"Funda\u00e7\u00e3o Oswaldo Cruz (FIOCRUZ), Escola Nacional de Sa\u00fade P\u00fablica (ENSP), Av. Brasil, 4365-Manguinhos, Rio de Janeiro 21040-360, Brazil"},{"name":"Instituto Madrille\u00f1o de Alimentaci\u00f3n (IMDEA), Crta. de, Carr. de Canto Blanco, n\u00ba8, E, 28049 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Diabetes Association Professional Practice Committee (2024). 6. Glycemic Goals and Hypoglycemia: Standards of Care in Diabetes-2024. Diabetes Care, 47, S111\u2013S125.","DOI":"10.2337\/dc24-S006"},{"key":"ref_2","unstructured":"International Diabetes Federation (2022, March 03). IDF Diabetes Atlas\u201410th Edition. Available online: https:\/\/diabetesatlas.org\/atlas\/tenth-edition\/."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Rodacki, M., Teles, M., Gabbay, M., Montenegro, R., and Bertoluci, M. (2023, January 17). 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