Kimberly A Driscoll1, Karen D Corbin2, David M Maahs3, Richard Pratley2, Franziska K Bishop4, Anna Kahkoska5, Korey K Hood3, Elizabeth Mayer-Davis6. 1. Barbara Davis Center for Diabetes, University of Colorado Denver, 1775 Aurora Ct, Aurora, CO, 80045, USA. kimberly.driscoll@ucdenver.edu. 2. Florida Hospital Translational Research Institute for Metabolism and Diabetes, 301 East Princeton Street, Orlando, FL, 32804, USA. 3. Division of Endocrinology, Department of Pediatrics, Stanford University, 300 Pasteur Dr, Stanford, CA, 94305, USA. 4. Barbara Davis Center for Diabetes, University of Colorado Denver, 1775 Aurora Ct, Aurora, CO, 80045, USA. 5. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC, 27599, USA. 6. Department of Nutrition, The University of North Carolina Chapel Hill, Chapel Hill, NC, 27599-7461, USA.
Abstract
PURPOSE OF REVIEW: This review aims to summarize the type 1 diabetes (T1D) and weight literature with an emphasis on barriers associated with weight management, the unique T1D-specific factors that impact weight loss success, maladaptive and adaptive strategies for weight loss, and interventions to promote weight loss. RECENT FINDINGS: Weight gain is associated with intensive insulin therapy. Overweight and obese weight status in individuals with T1D is higher than the general population and prevalence is rising. A variety of demographic (e.g., female sex), clinical (e.g., greater insulin needs), environmental (e.g., skipping meals), and psychosocial (e.g., depression, stress) factors are associated with overweight/obese weight status in T1D. Fear of hypoglycemia is a significant barrier to engagement in physical activity. Studies evaluating adaptive weight loss strategies in people with T1D are limited. There is a growing literature highlighting the prevalence and seriousness of overweight and obesity among both youth and adults with T1D. There is an urgent need to develop evidence-based weight management guidelines and interventions that address the unique concerns of individuals with T1D and that concurrently address glycemic control.
PURPOSE OF REVIEW: This review aims to summarize the type 1 diabetes (T1D) and weight literature with an emphasis on barriers associated with weight management, the unique T1D-specific factors that impact weight loss success, maladaptive and adaptive strategies for weight loss, and interventions to promote weight loss. RECENT FINDINGS:Weight gain is associated with intensive insulin therapy. Overweight and obese weight status in individuals with T1D is higher than the general population and prevalence is rising. A variety of demographic (e.g., female sex), clinical (e.g., greater insulin needs), environmental (e.g., skipping meals), and psychosocial (e.g., depression, stress) factors are associated with overweight/obese weight status in T1D. Fear of hypoglycemia is a significant barrier to engagement in physical activity. Studies evaluating adaptive weight loss strategies in people with T1D are limited. There is a growing literature highlighting the prevalence and seriousness of overweight and obesity among both youth and adults with T1D. There is an urgent need to develop evidence-based weight management guidelines and interventions that address the unique concerns of individuals with T1D and that concurrently address glycemic control.
Entities:
Keywords:
Bariatric surgery; Body mass index; Diet; Insulin management; Interventions; Obesity; Overweight; Physical activity; Weight status
Authors: David M Maahs; Stephen R Daniels; Sarah D de Ferranti; Helén L Dichek; Joseph Flynn; Benjamin I Goldstein; Aaron S Kelly; Kristen J Nadeau; Pamela Martyn-Nemeth; Stavroula K Osganian; Laurie Quinn; Amy S Shah; Elaine Urbina Journal: Circulation Date: 2014-08-28 Impact factor: 29.690
Authors: Karl E Minges; Robin Whittemore; Ariana M Chao; Vanessa Jefferson; Kathryn M Murphy; Margaret Grey Journal: Diabetes Educ Date: 2016-06-13 Impact factor: 2.140
Authors: Eva O Melin; Maria Thunander; Ralph Svensson; Mona Landin-Olsson; Hans O Thulesius Journal: Eur J Endocrinol Date: 2013-05-02 Impact factor: 6.664
Authors: Jeannie Tay; Natalie D Luscombe-Marsh; Campbell H Thompson; Manny Noakes; Jonathan D Buckley; Gary A Wittert; William S Yancy; Grant D Brinkworth Journal: Am J Clin Nutr Date: 2015-07-29 Impact factor: 7.045
Authors: Mara Z Vitolins; Andrea M Anderson; Linda Delahanty; Hollie Raynor; Gary D Miller; Connie Mobley; Rebecca Reeves; Monica Yamamoto; Catherine Champagne; Rena R Wing; Elizabeth Mayer-Davis Journal: J Am Diet Assoc Date: 2009-08
Authors: Alison B Evert; Jackie L Boucher; Marjorie Cypress; Stephanie A Dunbar; Marion J Franz; Elizabeth J Mayer-Davis; Joshua J Neumiller; Robin Nwankwo; Cassandra L Verdi; Patti Urbanski; William S Yancy Journal: Diabetes Care Date: 2013-10-09 Impact factor: 19.112
Authors: Daria Igudesman; Jamie Crandell; Victor W Zhong; Angelica Cristello Sarteau; Anna R Kahkoska; Karen Corbin; Richard Pratley; Michael R Kosorok; David M Maahs; Elizabeth J Mayer-Davis Journal: Pediatr Diabetes Date: 2020-10-05 Impact factor: 3.409
Authors: Karen D Corbin; Daria Igudesman; Ananta Addala; Anna Casu; Jamie Crandell; Michael R Kosorok; David M Maahs; Teeranan Pokaprakarn; Richard E Pratley; Katherine J Souris; Joan M Thomas; Dessi P Zaharieva; Elizabeth J Mayer-Davis Journal: Contemp Clin Trials Date: 2022-04-20 Impact factor: 2.261
Authors: Anna R Kahkoska; Madison E Watts; Kimberly A Driscoll; Franziska K Bishop; Paul Mihas; Joan Thomas; Jennifer R Law; Nina Jain; Elizabeth J Mayer-Davis Journal: Obes Med Date: 2018-02-22
Authors: Ananta Addala; Daria Igudesman; Anna R Kahkoska; Franklin R Muntis; Katherine J Souris; Keri J Whitaker; Richard E Pratley; Elizabeth Mayer-Davis Journal: Pediatr Diabetes Date: 2019-08-15 Impact factor: 3.409
Authors: Anna R Kahkoska; Christina M Shay; Sarah C Couch; Jamie Crandell; Dana Dabelea; Evgenia Gourgari; Jean M Lawrence; Angela D Liese; Catherine Pihoker; Beth A Reboussin; Natalie The; Elizabeth J Mayer-Davis Journal: Pediatr Diabetes Date: 2018-09-14 Impact factor: 3.409
Authors: Anna R Kahkoska; Crystal T Nguyen; Linda A Adair; Allison E Aiello; Kyle S Burger; John B Buse; Dana Dabelea; Lawrence M Dolan; Faisal S Malik; Amy K Mottl; Catherine Pihoker; Beth A Reboussin; Katherine A Sauder; Michael R Kosorok; Elizabeth J Mayer-Davis Journal: J Clin Endocrinol Metab Date: 2019-12-01 Impact factor: 6.134
Authors: A J Roberts; C E Taplin; S Isom; J Divers; S Saydah; E T Jensen; E J Mayer-Davis; L A Reid; A D Liese; L M Dolan; D Dabelea; J M Lawrence; C Pihoker Journal: Pediatr Diabetes Date: 2020-08-18 Impact factor: 3.409