Maternal efforts to prevent type 1 diabetes in at-risk children

Amy E. Baughcum, Suzanne Bennett Johnson, Stacy K. Carmichael, Adam B. Lewin, Jin-Xiong She, Desmond A. Schatz

Research output: Contribution to journalReview article

20 Citations (Scopus)

Abstract

OBJECTIVE - The aim of this study was to assess maternal diabetes prevention efforts aimed at children identified as at risk through newborn genetic screening. RESEARCH DESIGN AND METHODS - A total of 192 mothers of children identified as at risk for type 1 diabetes through newborn genetic screening were administered a structured interview 3.6 ± 0.8 years after risk notification. The interview assessed possible diabetes prevention behaviors across six domains: health surveillance, diet, physical activity, illness prevention, medications, and stress reduction. A mother's cognitive (diabetes risk perception and perceived control), affective (anxiety), and coping responses to the child's at-risk status were assessed. RESULTS - A total of 67% of mothers reported one or more diabetes prevention behaviors. Monitoring behaviors (e.g., watching for signs of diabetes and checking blood glucose) were the most common, reported in 59%, followed by modifications in the child's diet in 34% and physical activity in 14%. Potentially harmful prevention behaviors (e.g., limiting contact with other children, delaying immunizations, and giving medications including insulin) were rare. Mothers who engaged in diabetes prevention behaviors reported higher diabetes risk perception, greater anxiety, and more use of certain coping styles. Infants of these mothers were more likely to have a first-degree relative with diabetes. CONCLUSIONS - In the absence of known methods of preventing type 1 diabetes, most mothers of at-risk children report diabetes prevention behaviors. Such behaviors must be more carefully assessed to ensure accurate interpretation of data obtained from natural history studies and prevention trials.

Original languageEnglish (US)
Pages (from-to)916-921
Number of pages6
JournalDiabetes Care
Volume28
Issue number4
DOIs
StatePublished - Apr 1 2005

Fingerprint

Type 1 Diabetes Mellitus
Mothers
Genetic Testing
Anxiety
Newborn Infant
Interviews
Exercise
Diet
Natural History
Blood Glucose
Immunization
Research Design
Insulin
Health

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

Cite this

Baughcum, A. E., Johnson, S. B., Carmichael, S. K., Lewin, A. B., She, J-X., & Schatz, D. A. (2005). Maternal efforts to prevent type 1 diabetes in at-risk children. Diabetes Care, 28(4), 916-921. https://doi.org/10.2337/diacare.28.4.916

Maternal efforts to prevent type 1 diabetes in at-risk children. / Baughcum, Amy E.; Johnson, Suzanne Bennett; Carmichael, Stacy K.; Lewin, Adam B.; She, Jin-Xiong; Schatz, Desmond A.

In: Diabetes Care, Vol. 28, No. 4, 01.04.2005, p. 916-921.

Research output: Contribution to journalReview article

Baughcum, AE, Johnson, SB, Carmichael, SK, Lewin, AB, She, J-X & Schatz, DA 2005, 'Maternal efforts to prevent type 1 diabetes in at-risk children', Diabetes Care, vol. 28, no. 4, pp. 916-921. https://doi.org/10.2337/diacare.28.4.916
Baughcum AE, Johnson SB, Carmichael SK, Lewin AB, She J-X, Schatz DA. Maternal efforts to prevent type 1 diabetes in at-risk children. Diabetes Care. 2005 Apr 1;28(4):916-921. https://doi.org/10.2337/diacare.28.4.916
Baughcum, Amy E. ; Johnson, Suzanne Bennett ; Carmichael, Stacy K. ; Lewin, Adam B. ; She, Jin-Xiong ; Schatz, Desmond A. / Maternal efforts to prevent type 1 diabetes in at-risk children. In: Diabetes Care. 2005 ; Vol. 28, No. 4. pp. 916-921.
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AB - OBJECTIVE - The aim of this study was to assess maternal diabetes prevention efforts aimed at children identified as at risk through newborn genetic screening. RESEARCH DESIGN AND METHODS - A total of 192 mothers of children identified as at risk for type 1 diabetes through newborn genetic screening were administered a structured interview 3.6 ± 0.8 years after risk notification. The interview assessed possible diabetes prevention behaviors across six domains: health surveillance, diet, physical activity, illness prevention, medications, and stress reduction. A mother's cognitive (diabetes risk perception and perceived control), affective (anxiety), and coping responses to the child's at-risk status were assessed. RESULTS - A total of 67% of mothers reported one or more diabetes prevention behaviors. Monitoring behaviors (e.g., watching for signs of diabetes and checking blood glucose) were the most common, reported in 59%, followed by modifications in the child's diet in 34% and physical activity in 14%. Potentially harmful prevention behaviors (e.g., limiting contact with other children, delaying immunizations, and giving medications including insulin) were rare. Mothers who engaged in diabetes prevention behaviors reported higher diabetes risk perception, greater anxiety, and more use of certain coping styles. Infants of these mothers were more likely to have a first-degree relative with diabetes. CONCLUSIONS - In the absence of known methods of preventing type 1 diabetes, most mothers of at-risk children report diabetes prevention behaviors. Such behaviors must be more carefully assessed to ensure accurate interpretation of data obtained from natural history studies and prevention trials.

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