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medRxiv PreprintsInternational6 October 2026

Changes in body composition and adiposity following an eight-week health-promotion intervention among adolescents and young adults with type 1 diabetes in Wakiso, Uganda: A controlled before-and-after study

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Background: Nutrition education and physical activity support are important components of type 1 diabetes mellitus (T1DM) care, but their association with body composition outcomes in routine Ugandan diabetes services remains uncertain. We evaluated a culturally tailored health promotion programme among adolescents and young adults living with T1DM. Methods: We conducted a trial study in Wakiso Health Centre IV, Uganda. Sixty participants aged 13 to 26 years were allocated through an alternating clinic-week schedule to an intervention group or usual-care control group, with 30 participants per
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