The burdens imposed on a child and his/her parents by a diagnosis of type 1 diabetes mellitus (T1DM) adversely affect their health-related quality of life (HRQoL). HRQoL is important for prognosis and is related to metabolic control. To evaluate the HRQoL of Turkish children and adolescents with T1DM and to assess the correlation of HRQoL subscales (including physical and psychosocial health) with metabolic control, and particularly with hypo- and hyperglycaemic episodes. This cross-sectional study included 70 participants with T1DM aged between 8 and 18 years (study group) and 72 healthy controls who were matched to the study group in terms of age, gender, and sociodemographic characteristics (control group), and their parents. HRQoL was determined by the Pediatric Quality of Life Inventory. As an indicator of metabolic control, the most recent hemoglobin A1c (HbA1c) levels were obtained and the number of hypo- and hyperglycaemic episodes over the past one month were checked. The study group had similar HRQoL scores for children's self-reports and parents' proxy-reports to the control group apart from a decreasing psychosocial health score for parents' proxy-reports in the study group. Although HbA1c level was not related to HRQoL scores, lower number of hypo- and hyperglycaemic episodes were associated with an increase in psychosocial health scores and physical health scores as well as an increase in the total score for parents' proxy-reports. Although there was no correlation between metabolic control and HRQoL in children's self-reports, the improving HRQoL levels in parents' proxy-reports were associated with good metabolic control.

Background: The rise of digital platforms as sources of nutrition information has highlighted the need for digital healthy eating literacy to ensure informed dietary choices. Understanding the role of digital healthy eating literacy in shaping sustainable dietary behaviours is crucial for promoting both individual and planetary health. This study aimed to examine the associations between digital healthy eating literacy, environmentally responsible food choices, and adherence to the Mediterranean diet (MedDiet), a sustainable dietary model, among adults in Türkiye. Methods: A total of 1,516 adults (mean age: 28.9 ± 9.8 years) residing in Türkiye were recruited through an online survey distributed via social platforms. Participants completed an online questionnaire comprising the e-Healthy Diet Literacy (e-HDL) Questionnaire, the Environmentally Responsible Food Choice Scale, and the 14-item Mediterranean Diet Adherence Screener (MEDAS). This cross-sectional study employed multivariable regression analyses to examine the associations between digital healthy eating literacy, environmentally responsible food choices, and adherence to the MedDiet. Results: Higher e-HDL scores were significantly associated with increased environmentally responsible food choices (β = 0.283, 95% CI: 0.233–0.333, p < 0.001) and a 1.039-fold increase in the odds of adherence to the MedDiet (95% CI: 1.021–1.058, p < 0.001). The strength of the association between e-HDL and the outcomes varied by subgroup, with stronger associations observed for environmentally responsible food choices among non-smokers, non-drinkers, daily exercisers, and higher-income individuals, and for adherence to the MedDiet among women, non-smokers, non-drinkers, and those with lower or equal income levels. Among the MedDiet adherents, e-HDL explained 10.5% of the variance in environmentally responsible food choices (p < 0.001). Conclusions: This study highlights the potential importance of digital healthy eating literacy in relation to sustainable dietary behaviours and environmental health. Targeted digital nutrition education programmes may help support improvements in digital healthy eating literacy and encourage sustainable diets, supporting planetary health. Future policies should focus on increasing awareness and accessibility of reliable nutrition information on digital platforms to improve dietary practices and environmental sustainability.

This cross-sectional descriptive study aimed to determine the prevalence and risk factors of technology addiction (TA) in adolescents, as well as investigate the association of TA with food addiction and emotional eating by body weight status. Adolescents (n = 1388) completed a questionnaire that featured socio-demographic characteristics, the Game Addiction Scale (GAS), the Social Media Disorder Scale (SMD), the dimensional Yale Food Addiction Scale for Children 2.0 (dYFAS‐C 2.0), and the Emotional Eating Scale Adapted for Use in Children and Adolescents (EES-C). The body mass index (BMI) Z-score was classified according to the World Health Organization. TA was present in one-fifth of adolescents, and boys were four times more likely to develop a digital game addiction (p < 0.001). A 1-point increase in the GAS score is associated with a 1.08-point increase in the dYFAS-C-2.0 score and a 0.5-point increase in the total EES-C score (p < 0.001). A 1-point increase in the SMD score was also related to an increased of 1.21 and 1.26, respectively (p < 0.001). All of these positive associations were significant in adolescents with overweight (p < 0.001). Given the rapidly increasing prevalence of TA among adolescents, its association with food addiction, emotional eating, and body weight status is worrisome, and our findings shed light on the relevance of developing strategies to reduce the prevalence of TA in this population.