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Abstract: https://www.acpjournals.org/doi/10.7326/M22-3078
URL goes live when the embargo lifts
A brief research report found adults with type 1 diabetes had overweight or obesity at the same rates as adults without diabetes, but only half of these patients received lifestyle recommendations from providers or engaged in lifestyle modification for weight management. The report is published in Annals of Internal Medicine.
Survival has significantly improved in patients with type 1 diabetes over the past 2 decades, shifting the health profile of this population. Obesity, once rare among persons with type 1 diabetes, now affects up to 37 percent of U.S. adults with type 1 diabetes. However, current studies are based on selected populations and have not considered engagement in lifestyle modification.
Researchers from Johns Hopkins Bloomberg School of Public Health conducted an analysis of data from 128,571 nonpregnant adults included in the National Health Interview Survey. They report that between 2016 and 2021, 64 percent of adults without diabetes had overweight or obesity, compared with 62 percent of adults with type 1 diabetes and 86 percent with type 2 diabetes. The authors also found that adults with overweight or obesity and type 1 diabetes received lifestyle recommendations more frequently than those without diabetes but less frequently than those with type 2 diabetes. They also found that persons with type 1 diabetes were the least likely of those groups to report increased physical activity or reduced caloric intake to manage overweight or obesity. According to the authors, the development of more comprehensive clinical guidelines, with an emphasis on individualized patient education, may improve weight management in these patients.
