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Sundheim B, Hirani K, Blaschke M, Lemos JRN, Mittal R. Pre-Type 1 Diabetes in Adolescents and Teens: Screening, Nutritional Interventions, Beta-Cell Preservation, and Psychosocial Impacts. J Clin Med 2025; 14:383. [PMID: 39860389 PMCID: PMC11765808 DOI: 10.3390/jcm14020383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2024] [Revised: 12/19/2024] [Accepted: 01/03/2025] [Indexed: 01/27/2025] Open
Abstract
Type 1 Diabetes (T1D) is a progressive autoimmune disease often identified in childhood or adolescence, with early stages detectable through pre-diabetic markers such as autoantibodies and subclinical beta-cell dysfunction. The identification of the pre-T1D stage is critical for preventing complications, such as diabetic ketoacidosis, and for enabling timely interventions that may alter disease progression. This review examines the multifaceted approach to managing T1D risk in adolescents and teens, emphasizing early detection, nutritional interventions, beta-cell preservation strategies, and psychosocial support. Screening for T1D-associated autoantibodies offers predictive insight into disease risk, particularly when combined with education and family resources that promote lifestyle adjustments. Although nutritional interventions alone are not capable of preventing T1D, certain lifestyle interventions, such as weight management and specific nutritional choices, have shown the potential to preserve insulin sensitivity, reduce inflammation, and mitigate metabolic strain. Pharmacological strategies, including immune-modulating drugs like teplizumab, alongside emerging regenerative and cell-based therapies, offer the potential to delay disease onset by protecting beta-cell function. The social and psychological impacts of a T1D risk diagnosis are also significant, affecting adolescents' quality of life, family dynamics, and mental health. Supportive interventions, including counseling, cognitive-behavioral therapy (CBT), and group support, are recommended for managing the emotional burden of pre-diabetes. Future directions call for integrating universal or targeted screening programs within schools or primary care, advancing research into nutrition and psychosocial support, and promoting policies that enhance access to preventive resources. Advocacy for the insurance coverage of screening, nutritional counseling, and mental health services is also crucial to support families in managing T1D risk. By addressing these areas, healthcare systems can promote early intervention, improve beta-cell preservation, and support the overall well-being of adolescents at risk of T1D.
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Affiliation(s)
- Brody Sundheim
- Young Leaders Advocacy Group, Diabetes Research Institute Foundation, Hollywood, FL 33021, USA; (B.S.); (K.H.); (M.B.); (J.R.N.L.)
- Ransom Everglades High School, 3575 Main Hwy, Miami, FL 33133, USA
- Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA
| | - Krish Hirani
- Young Leaders Advocacy Group, Diabetes Research Institute Foundation, Hollywood, FL 33021, USA; (B.S.); (K.H.); (M.B.); (J.R.N.L.)
- Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA
- American Heritage School, 12200 W Broward Blvd, Plantation, FL 33325, USA
| | - Mateo Blaschke
- Young Leaders Advocacy Group, Diabetes Research Institute Foundation, Hollywood, FL 33021, USA; (B.S.); (K.H.); (M.B.); (J.R.N.L.)
- Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA
- Coral Gables High School, 450 Bird Rd, Coral Gables, FL 33146, USA
| | - Joana R. N. Lemos
- Young Leaders Advocacy Group, Diabetes Research Institute Foundation, Hollywood, FL 33021, USA; (B.S.); (K.H.); (M.B.); (J.R.N.L.)
- Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA
| | - Rahul Mittal
- Young Leaders Advocacy Group, Diabetes Research Institute Foundation, Hollywood, FL 33021, USA; (B.S.); (K.H.); (M.B.); (J.R.N.L.)
- Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL 33136, USA
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Schnettler B, Miranda-Zapata E, Orellana L, Saracostti M, Poblete H, Concha-Salgado A, Lobos G, Adasme-Berríos C, Lapo M, Beroiza K, Riquelme-Segura L, Sepúlveda JA, Thomas E. Family-to-work conflict linked to psychological distress and family life satisfaction during the second year of the COVID-19 pandemic in dual-earner parents with adolescents. Front Public Health 2024; 12:1476549. [PMID: 39678244 PMCID: PMC11638038 DOI: 10.3389/fpubh.2024.1476549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2024] [Accepted: 11/20/2024] [Indexed: 12/17/2024] Open
Abstract
Introduction Research on work-family dynamics during the COVID-19 pandemic shows that family demands increased for workers, particularly those with children. This heightened family-to-work conflict negatively affects the subjective well-being of parents and their children. However, these outcomes have been mainly examined on individuals without considering the family as the unit of analysis. This study aimed to explore the relationships between family-to-work conflict, psychological distress, and family life satisfaction in dual-earner parents with adolescent children during the second year of the COVID-19 pandemic. Moreover, the potential mediating role of psychological distress among FtoWC and family life satisfaction and the moderating role of household monthly income were tested. Methods The non-probabilistic sample in Chile comprised 860 dual-earner parents and one of their adolescent children (mean age 13.5 years, 50.8% female). Parents answered an online questionnaire with FtoWC scale, whereas parents and adolescents answered the Depression, Anxiety, Stress Scale and the Satisfaction with Family Life Scale. Analysis was conducted using structural equation modeling and the mediation actor-partner interdependence model. Results FtoWC was directly linked to lower family life satisfaction in fathers and via a mediating role of psychological distress in both parents. Mothers' FtoWC was related via the mediating role of the fathers' psychological distress to fathers' lower family life satisfaction and via the mediating role of the adolescents' psychological distress to adolescents' lower family life satisfaction. Monthly household income moderated three APIM model paths involving mothers' variables. Discussion These findings underscore the importance of implementing family-oriented workplace policies. Such policies may help mitigate both parents' experiences of FtoWC and their resulting psychological distress.
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Affiliation(s)
- Berta Schnettler
- Facultad de Ciencias Agropecuarias y Medioambiente, Universidad de La Frontera, Temuco, Chile
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
- Scientific and Technological Bioresource Nucleus (BIOREN-UFRO), Universidad de La Frontera, Temuco, Chile
- Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
| | | | - Ligia Orellana
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
- Departamento de Psicología, Universidad de La Frontera, Temuco, Chile
| | - Mahia Saracostti
- Escuela de Trabajo Social, Universidad de Valparaíso, Valparaíso, Chile
- Departamento de Trabajo Social, Universidad de Chile, Santiago, Chile
| | - Héctor Poblete
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
| | | | - Germán Lobos
- Facultad de Economía y Negocios, Universidad de Talca, Talca, Chile
| | | | - María Lapo
- Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
| | - Katherine Beroiza
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
| | | | - José A. Sepúlveda
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
- Departamento de Psicología, Universidad de La Frontera, Temuco, Chile
| | - Enid Thomas
- Doctorado en Ciencias Agroalimentarias y Medioambiente, Universidad de La Frontera, Temuco, Chile
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Jara-Gavilán K, Schnettler B. [Typologies of fathers and mothers according to their parental feeding practices: a latent profile analysis in dual-income families with adolescent children]. NUTR HOSP 2023. [PMID: 37929837 DOI: 10.20960/nh.04757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2023] Open
Abstract
BACKGROUND this research sought to identify profiles of parents according to their food parenting practices (FPFP) (monitoring, restriction, modeling and child control) and to determine whether the profiles differed according to their satisfaction with food-related life (SWFoL), work-family interface, diet quality of parents and adolescent children, type of work and sociodemographic characteristics (socioeconomic level, gender and age). METHODS the sample consisted of 430 two-parent dual-income families with adolescent children in Santiago, Chile. The Comprehensive Questionnaire of Parental Eating Practices, Satisfaction with Food-related Life scale (SWFoL), Adapted Healthy Eating Index (AHEI) and Work-Family Interface Scale (work-family conflict and work-family enrichment) were used. RESULTS latent profile analysis showed five profiles of fathers and mothers: a) mothers and fathers with high control and restraint (32.1 %); b) mothers and fathers with high control and very low monitoring, restriction and modeling (29.5 %); c) mothers with high monitoring and fathers with low control and restriction (18.8 %); d) mothers and fathers with high monitoring (14.9 %); and e) mothers and fathers with high restraint and modeling (4.7 %). CONCLUSIONS the profiles differed in fathers' and mothers' SWFoL scores, fathers' work-family conflict, fathers' work-family enrichment, diet quality of all three family members, and mothers' body mass index. The results suggest that fathers and mothers use different combinations of FPP according to the characteristics of their families and workplaces.
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Schnettler B, Concha-Salgado A, Orellana L, Saracostti M, Miranda-Zapata E, Poblete H, Lobos G, Adasme-Berríos C, Lapo M, Beroíza K, Riquelme L. Revisiting the link between domain satisfaction and life satisfaction during the COVID-19 pandemic: Job-related moderators in triadic analysis in dual-earner parents with adolescent children. Front Public Health 2023; 11:1108336. [PMID: 36815165 PMCID: PMC9939631 DOI: 10.3389/fpubh.2023.1108336] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 01/18/2023] [Indexed: 02/08/2023] Open
Abstract
Introduction Research has evaluated the impact of COVID-19 pandemic and lockdowns on individuals' life satisfaction, but wellbeing interrelations between family members in this context have been less explored. This study examined the spillover and crossover effects of one parent's job satisfaction (JS), satisfaction with family life (SWFaL) and satisfaction with food-related life (SWFoL) on their own, their partner's, and their adolescent children's life satisfaction (LS), and the influence of adolescents' SWFaL and SWFoL on their own and their parents' LS, in dual-earner families with adolescents. The moderating role of job-related variables of both parents were also explored. Methods Questionnaires were administered to 860 dual-earner parents with adolescents in two cities in Chile during 2020. Mothers and fathers answered the Overall Job Satisfaction Scale and the three family members answered the Satisfaction with Life Scale, the Satisfaction with Family Life Scale and the Satisfaction with Food-related Life Scale. Results Using the Actor-Partner Interdependence Model and structural equation modeling, we found that fathers' LS was positively associated with their own JS, SWFaL and SWFoL (spillover), and negatively with adolescents' SWFoL (crossover). Likewise, mothers' LS was positively associated with their own JS, SWFaL and SWFoL (spillover), with fathers' and adolescents' SWFaL, and negatively with adolescents' SWFoL. Adolescents' LS was positively associated with their own SWFaL and SWFoL (spillover), and with their fathers' JS, and negatively with their fathers' SWFoL. JS showed gendered patterns in spillover and crossover associations. Parents' type of employment, mothers' working hours and city of residence moderated some spillover and crossover associations for father-mother and parent-adolescent dyads. Discussion These findings suggest that, for dual-earner parents with adolescents, improving individuals' LS requires interventions that should be carried out not individually, but at a family level.
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Affiliation(s)
- Berta Schnettler
- Facultad de Ciencias Agropecuarias y Medioambiente, Universidad de La Frontera, Temuco, Chile
- Scientific and Technological Bioresource Nucleus (BIOREN-UFRO), Universidad de La Frontera, Temuco, Chile
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
- Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
| | | | - Ligia Orellana
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
- Departamento de Psicología, Universidad de la Frontera, Temuco, Chile
| | - Mahia Saracostti
- Escuela de Trabajo Social, Universidad de Valparaíso, Valparaíso, Chile
| | - Edgardo Miranda-Zapata
- Facultad de Educación, Centro de Investigación Escolar y Desarrollo (CIED-UCT), Universidad Católica de Temuco, Temuco, Chile
- Universidad Autónoma de Chile, Temuco, Chile
| | - Héctor Poblete
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
| | - Germán Lobos
- Facultad de Economía y Negocios, Universidad de Talca, Talca, Chile
| | | | - María Lapo
- Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
| | - Katherine Beroíza
- Centro de Excelencia en Psicología Económica y del Consumo, Universidad de La Frontera, Temuco, Chile
| | - Leonor Riquelme
- Doctorado en Ciencias Sociales, Universidad de La Frontera, Temuco, Chile
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Orellana L, Schnettler B, Miranda-Zapata E, Saracostti M, Poblete H, Lobos G, Adasme-Berríos C, Lapo M, Concha-Salgado A. Job satisfaction as a mediator between family-to-work conflict and satisfaction with family life: a dyadic analysis in dual-earner parents. APPLIED RESEARCH IN QUALITY OF LIFE 2022; 18:491-520. [PMID: 35966805 PMCID: PMC9361244 DOI: 10.1007/s11482-022-10082-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 06/03/2022] [Accepted: 07/05/2022] [Indexed: 06/15/2023]
Abstract
Family-to-work conflict has received less attention in the literature compared to work-to-family conflict. This gap in knowledge is more pronounced during the COVID-19 pandemic, despite the documented increase in family responsibilities in detriment of work performance, particularly for women. Job satisfaction has been identified as a mediator between the family and work domains for the individual, but these family-to-work dynamics remain unexplored at a dyadic level during the pandemic. Therefore, this study tested the relationship between family-to-work conflict and job and family satisfaction, and the mediating role of job satisfaction between family-to-work conflict and family satisfaction, in dual-earner parents. A non-probability sample of 430 dual-earner parents with adolescent children were recruited in Rancagua, Chile. Mothers and fathers answered an online questionnaire with a measure of family-to-work conflict, the Job Satisfaction Scale and Satisfaction with Family Life Scale. Data was analysed using the Actor-Partner Interdependence Model with structural equation modelling. Results showed that, for individuals, a higher family-to-work conflict is linked to lower satisfaction with both their job and family life, and these two types of satisfaction are positively associated with one another. Both parents experience a double negative effect on their family life satisfaction, due to their own, and to their partner's family-to-work conflict; however, for fathers, this effect from their partner occurs via their own job satisfaction. Limitations and implications of this study are discussed, indicating the need of family-oriented workplace policies with a gender perspective to increase satisfaction in the family domain for workers and their families.
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Affiliation(s)
- Ligia Orellana
- Centro de Excelencia en Psicología Económica y del Consumo. Núcleo de Ciencias Sociales, Universidad de La Frontera, Temuco, Chile
| | - Berta Schnettler
- Centro de Excelencia en Psicología Económica y del Consumo. Núcleo de Ciencias Sociales, Universidad de La Frontera, Temuco, Chile
- Facultad de Ciencias Agropecuarias y Medioambiente, Universidad de La Frontera, PO Box 54-D, Temuco, Chile
- Universidad de La Frontera, Scientific and Technological Bioresource Nucleus (BIOREN-UFRO), Temuco, Chile
- Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
| | - Edgardo Miranda-Zapata
- Universidad Católica de Temuco, Facultad de Educación, Centro de Investigación Escolar y Desarrollo (Cied-UCT), Temuco, Chile
- Universidad Autónoma de Chile, Temuco, Chile
| | - Mahia Saracostti
- Universidad de Valparaíso, Escuela de Trabajo Social, Valparaíso, Chile
| | - Héctor Poblete
- Centro de Excelencia en Psicología Económica y del Consumo. Núcleo de Ciencias Sociales, Universidad de La Frontera, Temuco, Chile
| | - Germán Lobos
- Facultad de Economía y Negocios, Universidad de Talca, Talca, Chile
| | | | - María Lapo
- Universidad Católica de Santiago de Guayaquil, Guayaquil, Ecuador
| | - Andrés Concha-Salgado
- Centro de Excelencia en Psicología Económica y del Consumo. Núcleo de Ciencias Sociales, Universidad de La Frontera, Temuco, Chile
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