Abstract
Background:
Prediabetes among adolescents is on the rise, yet it is unclear if modifiable risk factors vary by prediabetes status.
Methods:
This study examined associations between diet (primary objective) and physical activity (secondary objective) by prediabetes status among U.S. adolescents (12–19 years) who participated in the National Health and Nutrition Examination Survey from 2007–2018. Differences in Healthy Eating Index (HEI)-2015–2020 scores (total and 13 component scores), nutrients of public health concern, and physical activity were examined by prediabetes status (no prediabetes vs. prediabetes).
Results:
Adolescents (n = 2,487) with prediabetes had significantly lower whole grains component scores and intakes of vitamin D, phosphorus, and potassium (all p < .05), than adolescents without prediabetes. Physical activity levels were not optimal for either group, there were no differences by prediabetes status (n = 2,188).
Conclusion:
Diabetes prevention interventions for adolescents are needed and should promote a healthy diet target and encourage physical activity.
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