Feeding problems reported by parents of young children with type 1 diabetes on insulin pump therapy and their associations with children’s glycemic control
Article first published online: 13 MAR 2009
© 2009 The Authors. Journal compilation © 2009 Blackwell Munksgaard
Volume 10, Issue 7, pages 455–460, November 2009
How to Cite
Patton, S. R., Williams, L. B., Dolan, L. M., Chen, M. and Powers, S. W. (2009), Feeding problems reported by parents of young children with type 1 diabetes on insulin pump therapy and their associations with children’s glycemic control. Pediatric Diabetes, 10: 455–460. doi: 10.1111/j.1399-5448.2009.00506.x
- Issue published online: 27 OCT 2009
- Article first published online: 13 MAR 2009
- Submitted 26 November 2008. Accepted for publication 27 January 2009
- glycemic control;
- type 1 diabetes mellitus;
- young children
Objective: Previous research demonstrated high rates of perceived mealtime behavior problems in families of young children with type 1 diabetes who were managed with conventional therapy. Because of new insulin regimens that offer greater flexibility, reexamination of mealtime behaviors is required. We assessed parent-reported mealtime behaviors in a sample of young children using an insulin pump. An additional aim was to evaluate the associations of two measures of parental feeding behavior with children’s glycemic control.
Methods: Primary caregivers of 31 young children (mean age = 5.0 ± 1.3 yr) completed the Child Feeding Questionnaire (CFQ) and the Behavioral Pediatric Feeding Assessment Scale (BPFAS). Hemoglobin A1c (HbA1c) was used as a surrogate marker for children’s glycemic control.
Results: Children had a mean HbA1c of 7.8 ± 0.64%. Mean CFQ – Restriction and Pressure to Eat scores were 3.1 ± 0.94 and 2.0 ± 0.88, respectively (range = 1–5). Mean BPFAS – Parent and Child scores were 16.0 ± 4.3 (range = 10–50) and 44.9 ± 9.3 (range = 25–125), respectively. Positive correlations were found between children’s HbA1c levels and caregivers’ reporting of frequency of child mealtime behavior problems.
Conclusions: Caregivers of young children on pump therapy report relatively low rates of mealtime behavior problems. However, correlations with children’s HbA1c suggest that parent–child mealtime behaviors continue to relate to children’s health outcomes. Research is needed to determine if changing mealtime interactions can improve children’s glycemic control; items from the BPFAS and CFQ can offer targets to guide interventions.