Determination of malnutrition status of children with diabetes during diagnosis

Şi̇mşek, Dilek; Bakır, Binnur Okan

doi:10.1016/j.hnm.2021.200123

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…[ 20 ] In contrast to our study, a Turkish study found that 21 out of 72 study participants (29.1%) had BMI less than the 10 th percentile. [ 21 ] Similarly, a study from Iraq has reported a 19.7% prevalence of undernutrition in children with T1D which was much higher than in non-diabetic subjects (2.44%). [ 22 ] Single-centre studies in children with T1DM from India (13.2%) and Croatia have also reported a higher prevalence of undernutrition.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status of Underprivileged Indian Children and Youth with Type-1 Diabetes - A Multicentre Study

Khadilkar

Oza

Mondkar

et al. 2023

Indian Journal of Endocrinology and Metabolism

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Background: India has the highest number of prevalent type-1 diabetes (T1D) cases in the under-20-year age population. Data on the anthropometry of underprivileged Indian children with T1D are scarce. In economically disadvantaged countries like India, poor growth in patients with T1D is a major concern due to limited accessibility and affordability. Besides, due to the double burden of malnutrition, the prevalence of obesity is increasing mirroring the global trends, which may lead to the development of insulin resistance. Objectives: This study aims to assess the prevalence of malnutrition in Indian children and youth with T1D and to identify the determinants of short stature. Methods: A registry-based cross-sectional analysis of data collected from various centres across India enrolled in the Changing Diabetes in Children (CDiC) programme. Results: We observed that 6.4% were undernourished (3.4% severe undernutrition) and 17.7% (overweight 13.2%) had combined overweight/obesity. 21.2% of participants had short stature (adjusted for mid-parental height) with 7.4% cases of familial short stature. Longer duration of illness and insulin requirement were significant positive predictors of short stature while glycaemic control, insulin regimen and mid-parental height did not have a significant relationship with short stature. Participants on basal-bolus regimen had significantly higher insulin requirements and better glycaemic control than the ones on mixed-split regimen. Conclusion: We report that around one-fifth of children and youth with T1D were overweight/obese and around a fourth were stunted, especially those with longer duration of diabetes and higher insulin requirements. Close monitoring of anthropometric parameters is necessary for all children with T1D to optimize growth and nutrition.

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Section: Discussionmentioning

confidence: 99%

Nutritional Status of Underprivileged Indian Children and Youth with Type-1 Diabetes - A Multicentre Study

Khadilkar

Oza

Mondkar

et al. 2023

Indian Journal of Endocrinology and Metabolism

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“…Apart from phosphate redistribution and urinary losses, low intestinal absorption may also contribute to phosphate depletion in diabetes. In poorly controlled patients, anorexia and malnutrition can be frequent [34], as dietary quality is poor nowadays [35]. Moreover, phosphorus absorption may be impaired by vitamin D deficiency.…”

Section: Discussionmentioning

confidence: 99%

Mild Hypophosphatemia-Associated Conditions in Children: The Need for a Comprehensive Approach

Docio

Llorente-Pelayo

García‐Unzueta

et al. 2022

IJMS

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To better understand the causes of hypophosphatemia in children, we evaluated all serum phosphate tests performed in a tertiary hospital with unexpected but persistent temporary or isolated hypophosphatemia over an 18 year period. We collected 29,279 phosphate tests from 21,398 patients, of which 268 (1.2%) had at least one result showing hypophosphatemia. We found that endocrinopathies (n = 60), tumors (n = 10), and vitamin D deficiency (n = 3) were the medical conditions most commonly associated with mild hypophosphatemia, but in many patients the cause was unclear. Among patients with endocrinopathies, those with diabetes mellitus were found to have lower mean serum phosphate levels (mean 3.4 mg/dL) than those with short stature (3.7 mg/dL) or thyroid disorders (3.7 mg/dL). In addition, we found a correlation between glycemia and phosphatemia in patients with diabetes. However, despite the potential relevance of monitoring phosphate homeostasis and the underlying etiologic mechanisms, renal phosphate losses were estimated in less than 5% of patients with hypophosphatemia. In the pediatric age group, malignancies, hypovitaminosis D, and endocrine disorders, mostly diabetes, were the most common causes of hypophosphatemia. This real-world study also shows that hypophosphatemia is frequently neglected and inadequately evaluated by pediatricians, which emphasizes the need for more education and awareness about this condition to prevent its potentially deleterious consequences.

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Evaluation of the effect of training given according to Pender's Health Promotion Model on psychological insulin resistance

Bağriaçik

Bayraktar

2022

Human Nutrition & Metabolism

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Determination of malnutrition status of children with diabetes during diagnosis

Cited by 4 publications

References 9 publications

Nutritional Status of Underprivileged Indian Children and Youth with Type-1 Diabetes - A Multicentre Study

Nutritional Status of Underprivileged Indian Children and Youth with Type-1 Diabetes - A Multicentre Study

Mild Hypophosphatemia-Associated Conditions in Children: The Need for a Comprehensive Approach

Evaluation of the effect of training given according to Pender's Health Promotion Model on psychological insulin resistance

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