Prevalência de sobrepeso e obesidade em pacientes com diabetes tipo 1

Moraes, Cristiane Moulin de; Portella, Renata Boschi; Pinheiro, Virgínia S.; Oliveira, Marcelo Moizinho; Fuks, Anna Gabriela; Cunha, Edna F.; Gomes, Marília Brito

doi:10.1590/s0004-27302003000600009

Cited by 18 publications

(14 citation statements)

References 29 publications

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“…The evaluation of data on BMI in the studied group evidences a high percentage of overweight patients, confirming recent studies on DM1 (34,35). However, the values for nutritional parameters in dyspeptic patients were reduced compared with those observed in patients without dyspepsia, suggesting that digestive symptoms may influence the nutritional status of DM1 patients.…”

Section: Discussionsupporting

confidence: 86%

Dyspeptic symptoms in patients with type 1 diabetes: endoscopic findings, Helicobacter pylori infection, and associations with metabolic control, mood disorders and nutritional factors

Faria

Pavin

Parisi

et al. 2015

Arch. Endocrinol. Metab.

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Objectives: To evaluate, in a group of patients with long-standing type 1 diabetes (DM1), an association of dyspepsia symptoms with: changes in the gastroduodenal mucosa, infection by Helicobacter pylori, glycemic control, and psychological and nutritional factors. Subjects and methods: A total of 32 patient with DM1 were studied (age: 38 ± 9 years; females: 25; diabetes duration: 22 ± 5 years). All patients answered a standardized questionnaire for the evaluation of gastrointestinal symptoms and underwent upper gastrointestinal endoscopy, with gastric biopsies for the evaluation of Helicobacter pylori infection. The presence of anxiety and depression was evaluated by the HAD scale. Nutritional parameters were BMI, arm and waist circumference, skinfold measurement, and body fat percentage. Results: Upper endoscopy detected lesions in the gastric mucosa in 34.4% of the patients, with similar frequency in those with (n = 21) and without dyspepsia (n = 11). The patients with dyspepsia complaints showed greater frequency of depression (60% vs. 0%; p = 0.001), higher values for HbA1c (9.6 ± 1.7 vs. 8.2 ± 1.3%; p = 0.01) and lower values for BMI (24.3 ± 4.1 vs. 27.2 ± 2.6 kg/m 2 ; p = 0.02), body fat percentage (26.6 ± 6.2 vs. 30.8 ± 7.7%; p = 0.04), and waist circumference (78.7 ± 8 vs. 85.8 ± 8.1 cm; p = 0.02). No association was found between the symptoms and the presence of Helicobacter pylori. Conclusions: Dyspepsia symptoms in patients with long-standing DM1 were associated with glycemic control and depression, and they seem to negatively influence the nutritional status of these patients. Arch Endocrinol Metab. 2015;59(2):129-36

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Section: Discussionsupporting

confidence: 86%

Dyspeptic symptoms in patients with type 1 diabetes: endoscopic findings, Helicobacter pylori infection, and associations with metabolic control, mood disorders and nutritional factors

Faria

Pavin

Parisi

et al. 2015

Arch. Endocrinol. Metab.

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“…Obesity is associated with several endocrine and metabolic comorbidities, including type 2 diabetes mellitus, hypertension, and DLP, and is considered an independent risk factor for increased mortality (5,22,24). In the present study, we found an association between overweight and DLP, however we found no correlation between BMI and poor GC or lipid profile.…”

Section: Discussioncontrasting

confidence: 70%

Dyslipidemia in young patients with type 1 diabetes mellitus

Homma

Endo

Saruhashi

et al. 2015

Arch. Endocrinol. Metab.

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Objective: The association between type 1 diabetes mellitus (T1D) and dyslipidemia (DLP) increases the risk of cardiovascular disease (CVD). The aim of this study was to evaluate the presence of dyslipidemia in young T1D patients. Materials and methods: The study design was cross-sectional and descriptive. We reviewed medical records of T1D patients followed at an endocrinology service, from 1998-2012. Data collected: gender, actual age and age at diagnosis, duration of T1D since diagnosis, body mass index (BMI), pubertal stage, glycemic control (GC) determined by glycated hemoglobin (HbA1c), total cholesterol (TC), HDL, LDL, triglycerides (TG). To analyze lipid profile and metabolic control, we used the Brazilian Society of Diabetes Guidelines. Results: Were included 239 T1D patients, 136 (56.9%) females; mean ± SD: actual age 15.7 ± 5.0 years and at T1D diagnosis 7.3 ± 3.9; T1D duration 10.6 ± 6.4 years, 86.6% puberty, 15.1% overweight. The prevalence of DLP was 72.5%, 63.3% females, 86.6% puberty, mean ± SD: actual age 15.4 ± 4.8 years and at T1D diagnosis 7.2 ± 4.1 years, duration of T1D 10.7 ± 6.1 years. We found high-CT in 56.7%, low-HDL = 21.7%, high LDL = 44.0%, high-TG = 11.8%. Between females with DLP, 83.5% was in puberty. We find correlation between the presence of DLP, a poor GC and BMC. Conclusion: We found a high prevalence of DLP in young patients with T1D, particularly in puberty females. Programs targeting the prevention of dyslipidemia should be adopted, especially for this group, in order to prevent/delay chronic complications and cardiovascular disease. Arch Endocrinol Metab. 2015;59(3):215-9

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“…Observou-se baixa prevalência de excesso de peso neste grupo, diferentemente do que vem sendo relatado em vários outros estudos envolvendo crianças e adolescentes com DM1 (19,34,35).…”

Section: Discussionunclassified

Associação entre fatores nutricionais e o controle glicêmico de crianças e adolescentes com diabetes melito tipo 1

Queiroz

Silva

Alfenas

2010

Arq Bras Endocrinol Metab

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Objective: To identify nutritional factors that affected the glycemic control of the studied population. Subjects and methods: One hundred forty-six children and adolescents, aged 7 to 19 years, followed-up at the Division of Pediatric Endocrinology of the Hospital das Clínicas da Universidade Federal de Minas Gerais participated in the study. The diet of each participant was evaluated by means of a Quantitative Food Frequency Questionnaire, previously validated in a pilot-project. Glycemic control was assessed through the average of HbA1c results obtained six months prior to date of diet evaluation. Results: Diets with high protein content, less saturated fats, and lower glycemic index (GI)/glycemic load (GL) had a positive effect on glycemic control. The consumption of sucrose and of free snacks provided by the school had a negative influence on glycemic control. Conclusion: The consumption of nutritionally adequate and low GI/GL diets favored glycemic control of the studied population. Arq Bras Endocrinol Metab. 2010;54(3):319-25 Keywords Diabetes mellitus type 1; food consumption; diabetic diet; blood glucose InTRODUçãO O diabetes melito tipo 1 (DM1) é o distúrbio endocrinometabólico mais frequente na infância e na adolescência e apresenta incidência crescente com alta morbimortalidade e perda da qualidade de vida de seus portadores (1,2).Estudos clínicos e epidemiológicos demonstram associação entre as complicações do DM e controle glicêmico inadequado: no Diabetes Control and Complications Trial (DCCT) foi demonstrado que o controle glicêmico adequado retarda o início e a progressão das complicações microvasculares, bem como reduz o risco

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Prevalência de sobrepeso e obesidade em pacientes com diabetes tipo 1

Cited by 18 publications

References 29 publications

Dyspeptic symptoms in patients with type 1 diabetes: endoscopic findings, Helicobacter pylori infection, and associations with metabolic control, mood disorders and nutritional factors

Dyspeptic symptoms in patients with type 1 diabetes: endoscopic findings, Helicobacter pylori infection, and associations with metabolic control, mood disorders and nutritional factors

Dyslipidemia in young patients with type 1 diabetes mellitus

Associação entre fatores nutricionais e o controle glicêmico de crianças e adolescentes com diabetes melito tipo 1

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