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Prevalence of Underweight, Overweight, and Obesity in Children and Adolescents with Type 1 Diabetes: Data From the International SWEET Registry

2018Journal article Open access
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dc.contributor.authorMaffeis, C
dc.contributor.authorBirkebaek, NH
dc.contributor.authorKonstantinova, M
dc.contributor.authorSchwandt, A
dc.contributor.authorVazeou, A
dc.contributor.authorCasteels, K
dc.contributor.authorJali, S
dc.contributor.authorLimbert, C
dc.contributor.authorPundziute-Lycka, A
dc.contributor.authorToth-Heyn, P
dc.contributor.authorde Beaufort, C
dc.contributor.authorSumnik, Z
dc.contributor.authorCherubini, V
dc.contributor.authorSvensson, J
dc.contributor.authorPacaud, D
dc.contributor.authorKanaka-Gantenbein, C
dc.contributor.authorShalitin, S
dc.contributor.authorBratina, N
dc.contributor.authorHanas, R
dc.contributor.authorAlonso, GT
dc.contributor.authorPoran, L
dc.contributor.authorPereira, AL
dc.contributor.authorMarigliano, M
dc.date.accessioned2021-03-22T17:21:55Z
dc.date.available2021-03-22T17:21:55Z
dc.date.issued2018
dc.description.abstractObjective: To assess the prevalence of underweight (UW), overweight (OW), and obesity in children and adolescents with type 1 diabetes (T1D). Methods: An international cross-sectional study including 23 026 T1D children (2-18 years, duration of diabetes ≥1 year) participating in the SWEET prospective, multicenter diabetes registry. Body mass index SD score (BMI-SDS) was calculated using the World Health Organization BMI charts. Children were categorized as UW (BMI-SDS < -2SD), OW (+1SD < BMI-SDS ≤ +2SD), and obese (OB) (BMI-SDS > +2SD). Hierarchic regression models were applied with adjustment for sex, age, and duration of diabetes. Results: The prevalence of UW, OW, and obesity was: 1.4%, 22.3%, and 7.3% in males and 0.6%, 27.2%, and 6.8% in females. Adjusted BMI-SDS was significantly higher in females than in males (mean ± SEM: 0.54 ± 0.05 vs 0.40 ± 0.05, P < 0.0001). In males, BMI-SDS significantly decreased by age (P < 0.0001) in the first three age categories 0.61 ± 0.06 (2 to <10 years), 0.47 ± 0.06 (10 to <13 years), 0.34 ± 0.05 (13 to <16 years). In females, BMI-SDS showed a U-shaped distribution by age (P < 0.0001): 0.54 ± 0.04 (2 to <10 years), 0.39 ± 0.04 (10 to <13 years), 0.55 ± 0.04 (13 to <16 years). BMI-SDS increased by diabetes duration (<2 years: 0.38 ± 0.05, 2 to <5 years: 0.44 ± 0.05, and ≥5 years: 0.50 ± 0.05, P < 0.0001). Treatment modality did not affect BMI-SDS. Adjusted HbA1c was significantly higher in females than in males (8.20% ± 0.10% vs 8.06% ± 0.10%, P < 0.0001). In both genders, the association between HbA1c and BMI-SDS was U-shaped with the highest HbA1c in the UW and obesity groups. Conclusions: The high rate of OW and obesity (31.8%) emphasize the need for developing further strategies to prevent and treat excess fat accumulation in T1D.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPediatr Diabetes . 2018 Nov;19(7):1211-1220.pt_PT
dc.identifier.doi10.1111/pedi.12730pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3630
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.subjectAdolescentpt_PT
dc.subjectChildpt_PT
dc.subjectChild, Preschoolpt_PT
dc.subjectCross-Sectional Studiespt_PT
dc.subjectDiabetes Mellitus, Type 1pt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectObesitypt_PT
dc.subjectPrevalencept_PT
dc.subjectThinnesspt_PT
dc.subjectRegistriespt_PT
dc.subjectHDE END PEDpt_PT
dc.titlePrevalence of Underweight, Overweight, and Obesity in Children and Adolescents with Type 1 Diabetes: Data From the International SWEET Registrypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1220pt_PT
oaire.citation.issue7pt_PT
oaire.citation.startPage1211pt_PT
oaire.citation.titlePediatric diabetespt_PT
oaire.citation.volume19pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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