Impact of the culturally adapted kids in control of food (KICk OFF) educational program on glycemic control and BMI in adolescents with type 1 diabetes in Kuwait: A retrospective study

To examine the effectiveness of the culturally adapted Kids in Control Of Food (KICk OFF) structured educational program on glycemic control and BMI z-scores (BMIz) in adolescents with type 1 diabetes in Kuwait. We conducted a retrospective analysis of 161 adolescents aged 11–16 years with type 1 di...

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Bibliographic Details
Published in:	Primary care diabetes Vol. 18; no. 6; pp. 632 - 636
Main Authors:	Al-Lahou, Badreya A., AlMatrook, Reem Y., AlSarraf, Ali H., AlShammari, Asmaa A., AlSumaiti, Durra K., Al-Mahdi, Maria J., Alozairi, Ebaa A.
Format:	Journal Article
Language:	English
Published:	England Elsevier Ltd 01-12-2024
Subjects:	Adolescents Arab countries Educational program HbA1c Kuwait Type 1 diabetes Educational program Arab countries Adolescents Kuwait Type 1 diabetes HbA1c
Online Access:	Get full text
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Summary:	To examine the effectiveness of the culturally adapted Kids in Control Of Food (KICk OFF) structured educational program on glycemic control and BMI z-scores (BMIz) in adolescents with type 1 diabetes in Kuwait. We conducted a retrospective analysis of 161 adolescents aged 11–16 years with type 1 diabetes who participated in the culturally adapted KICk OFF program at Dasman Diabetes Institute from 2019 to 2023. Changes in glycated hemoglobin (HbA1c) and BMIz were assessed from baseline to six months post-program using paired t-tests and Wilcoxon signed-rank tests, respectively. After six months post-program, there was a significant reduction in HbA1c levels (mean ± standard deviation) from 9.3 ± 1.8 % (78 ± 20 mmol/mol) to 8.9 ± 1.7 % (74 ± 19 mmol/mol), P <0.0001. The greatest improvements observed in participants with baseline HbA1c >9.5 % (reduction of 0.70 % [8 mmol/mol]) and those with HbA1c 7.5–9.5 % (reduction of 0.32 % [4 mmol/mol]). There was a slight increase in median BMIz by 0.08 (interquartile range –0.04–0.22). The culturally adapted KICk OFF program shows a potential in improving glycemic control among adolescents with type 1 diabetes, particularly in those with initially suboptimal control. Future research through randomized controlled trials and over longer periods is recommended to validate these results. •Many Arab adolescents with T1D struggle with managing their glycemic levels.•Educational programs are recommended but are scarce in the Arab region.•The UK Kids In Control Of Food program was adapted to Kuwaitis adolescents.•Participation in the adapted program led to decreased HbA1c levels.•The program shows potential to improve glycemic control in adolescents with T1D.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1751-9918 1878-0210 1878-0210
DOI:	10.1016/j.pcd.2024.09.002