Prevalence of obesity in prepubertal and pubertal with Turkish population type 1 diabetes

Özkaya, Volkan; Eren, Erdal; Özkaya, Şebnem Özgen; Öngen, Yasemin Denkboy

doi:10.1007/s13340-021-00498-2

Cited by 3 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One in four T1D patients in this study had a BMI over the 85 th percentile, which is a higher prevalence than that of healthy Turkish children ( 21 , 22 , 23 ). Although there are no nationwide statistics on the frequency of Ob in children and adolescents with T1D, a few regional studies also found a similar prevalence ( 24 , 25 ). Previous research from various regions of the world revealed that 25-38.5% of children with T1D were either OW or Ob ( 6 , 8 , 9 ).…”

Section: Discussionmentioning

confidence: 96%

Cardiovascular Risk Factors in Adolescents with Type 1 Diabetes: Prevalence and Gender Differences

Vurallı

Jalilova

Alikaşifoğlu

et al. 2023

Jcrpe

View full text Add to dashboard Cite

Objective: Cardiovascular diseases (CVD) are the most important cause of morbidity and mortality in patients with type 1 diabetes (T1D). Children with T1D have a similar or higher prevalence of being overweight (OW) or obese (Ob) compared to healthy peers. The aim of this study was to determine the prevalence of CVD risk factors in children and adolescents with T1D and the impact of obesity and sex differences on these factors. Methods: Data of patients aged 10-21 years and who had been using intensive insulin therapy with a diagnosis of T1D for at least three years were evaluated. Patients were divided into normal weight (NW), OW and Ob groups based on body mass index percentiles. Risk factors for CVD (obesity, dyslipidemia, hypertension) were compared between groups, and impact of gender was also analyzed. Results: Data of 365 patients (200 girls, 54.8%), were evaluated. Prevalence of OW/Ob was 25.9% and was significantly higher in girls (30.6% vs 20.1%, p<0.001). Rate of hypertension was highest in OW/Ob girls followed by OW/Ob boys, and similar in NW girls and boys (p=0.003). Mean low density lipoprotein cholesterol (LDL-c) and triglyceride (TG) levels were highest in OW/Ob girls, followed by OW/Ob boys, NW girls and NW boys, respectively (p<0.001 and p<0.001, respectively). Mean high density lipoprotein-cholesterol (HDL-c) levels were similar among groups. Rates of high LDL-c and TG were similar between OW/Ob girls and boys and higher than NW girls, followed by NW boys (p<0.001 and p<0.001, respectively). The rate of low HDL-c was similar in OW/Ob girls and boys, and higher than NW girls, followed by NW boys (p<0.001). Overall, girls were 1.9 times more likely than boys to have two or more risk factors for CVD. Factors associated with risk for CVD in multiple logistic regression analyses were being a girl, followed by higher daily insulin dose, higher hemoglobin A1c, and longer duration of diabetes (r=0.856; p<0.001). Conclusion: In spite of the increased prevalence for obesity in both sexes, the trend for CVD risk factors was greater in Ob girls, followed by Ob boys and NW girls. Girls with T1D are more likely to be OW/Ob and to have CVD risk than boys, highlighting the need for early intervention and additional studies to elucidate the causes.

show abstract

Section: Discussionmentioning

confidence: 96%

Cardiovascular Risk Factors in Adolescents with Type 1 Diabetes: Prevalence and Gender Differences

Vurallı

Jalilova

Alikaşifoğlu

et al. 2023

Jcrpe

View full text Add to dashboard Cite

show abstract

Current status of metabolic surgery in patients with type I diabetes mellitus and obesity: a nationwide multicenter study

Thaher

Iaroshevych²,

Driouch

et al. 2023

Langenbecks Arch Surg

View full text Add to dashboard Cite

Validity of Different Anthropometric Indices in the Assessment of Body Composition of Children and Adolescents with Type 1 Diabetes

Ozer,

Gunes Kaya,

Ulgen

et al. 2024

Iran J Pediatr

View full text Add to dashboard Cite

Background: The prevalence of overweight and obesity in young people with type 1 diabetes (T1D) has been increasing despite current advancements in the management of T1D. Objectives: This study aimed to assess the prevalence of overweight/obesity using bioelectrical impedance analysis (BIA) in children and adolescents with T1D and evaluate the validity of new anthropometric indices, which have been recommended for defining overweight and obesity. Methods: A cross-sectional study was performed on subjects with T1D between the ages of 5 and 21 years. The patients' anthropometric measurements were obtained, and Body Mass Index (BMI), waist/height ratio (WHtR), Tri-Ponderal Mass Index (TMI), Body Adiposity Index (BAI), Body Shape Index (ABSI), Body Roundness Index (BRI), Abdominal Volume Index (AVI), and Conicity Index (CI) were calculated. The percentage of body fat (PBF) was measured with BIA. Results: Our study included 133 subjects (48.1% male, 77.4% pubertal) with a median age of 14.0 years (11.3 - 16.5) and a median duration of T1D of 4.5 years (1.5 - 7.3). The prevalence of overweight/obesity was 21.8% according to BMI-SDS and 30.1% according to BIA. BMI-SDS, WC, WHtR, TMI, AVI, BRI, and BAI were effective methods in differentiating overweight/obesity. BMI-SDS demonstrated a sensitivity of 78.79%, a positive predictive value of 72.22%, a negative predictive value of 89.71%, and an AUC of 0.895 at a cut point of 0.63, highlighting its effectiveness in distinguishing overweight/obesity. Conclusions: In children and adolescents with T1D, the prevalence of obesity/overweight identified using BIA was significantly higher compared to BMI-SDS. When reference methods are unavailable, BMI-SDS is the optimal anthropometric method for determining overweight/obesity in this population, independent of sex and puberty. These findings suggest that BMI-SDS can be a reliable alternative for body composition assessment, ensuring accurate identification and management of overweight/obesity in this population.

show abstract

Prevalence of obesity in prepubertal and pubertal with Turkish population type 1 diabetes

Cited by 3 publications

References 24 publications

Cardiovascular Risk Factors in Adolescents with Type 1 Diabetes: Prevalence and Gender Differences

Cardiovascular Risk Factors in Adolescents with Type 1 Diabetes: Prevalence and Gender Differences

Current status of metabolic surgery in patients with type I diabetes mellitus and obesity: a nationwide multicenter study

Validity of Different Anthropometric Indices in the Assessment of Body Composition of Children and Adolescents with Type 1 Diabetes

Contact Info

Product

Resources

About