Author(s): 1 Divya Pakalla, 2 Dr. Rekha Battalwar
Authors Affiliations:
1Post Graduate Student Masters in Specialized Dietetics – Pediatric Nutrition, Sir Vithaldas Thackersey College of Home Science (Empowered Autonomous Status Status), S.N.D.T. Women’s University, Juhu, Mumbai, India, 400049
2Professor & Director – Administration & Planning, Sir Vithaldas Thackersey College of Home Science (Empowered Autonomous Status Status), S.N.D.T. Women’s University, Juhu, Mumbai, India, 400049.
DOIs:10.2015/IJIRMF/202507024     |     Paper ID: IJIRMF202507024
Abstract: Adolescents with Type 1 Diabetes Mellitus (T1DM) face multifaceted nutritional and psychosocial challenges that can impact disease management and long-term outcomes. This study aimed to assess their nutritional status and explore how socio-demographic, dietary, and clinical variables influence health indicators. A cross-sectional study was conducted among 50 adolescents (13–17 years) with T1DM in Mumbai. Data were collected using structured questionnaires, anthropometric measurements, 24-hour dietary recalls, and recent HbA1c levels. Socioeconomic status was assessed using the Modified Kuppuswamy Scale. Statistical analysis was done using SPSS v25, with significance set at p < 0.05. Boys were significantly taller and heavier than girls (p=0.001, p=0.012). Girls had significantly higher EAR for energy (p=0.001), EAR for protein (p=0.020), and RDA for protein (p=0.020). Participants from upper-middle SES had higher fiber intake (p=0.001) and better coping scores (p=0.024), while lower-middle SES adolescents reported more hypoglycemia due to skipped meals (p=0.018). Rapid-acting and long-acting insulin regimens were significantly more common in upper-middle SES (p=0.002). Fiber intake negatively correlated with BMI (r = –0.312, p = 0.028). Only 16% had good-to-fair glycemic control, while 64% had poor or very poor control. The study found that while most adolescents with T1DM had acceptable nutritional status, gender and socioeconomic differences influenced dietary intake and diabetes management. Boys consumed more carbohydrates; girls had better protein adherence and support. Higher fiber intake, more common in upper-middle SES, was linked to lower BMI and better insulin access.
Key Words: Adolescents, Type 1 Diabetes Mellitus (T1DM), Nutritional Status, Socioeconomic Status, Glycemic Control, Dietary Intake, Family Support, Fiber Intake, Carbohydrate Consumption, Insulin Regimens.
Divya Pakalla, Dr. Rekha Battalwar (2025); ASSESSMENT OF NUTRITIONAL STATUS OF ADOLESCENTS (13-17 YEARS) WITH TYPE 1 DIABETES – A CROSS-SECTIONAL STUDY, International Journal for Innovative Research in Multidisciplinary Field, ISSN(O): 2455-0620, Vol-11, Issue-7, Pp.161-169. Available on – https://www.ijirmf.com/