Assessment of Nutrients Intake in Pediatrics with Type 1 Diabetes and Dyslipidemia in Jordan

Reema Tayyem, Hala Nawaiseh, Sara Zakarneh, Yasmen Khial, Sabika S. Allehdan
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Abstract

Background: Dyslipidemias are disorders of lipoprotein metabolism that occur during childhood and adolescence, often persist into adulthood, and increase the risk of developing atherosclerotic lesions. This study aimed to assess the potential association between nutrient intake and dyslipidemia in Jordanian pediatric patients diagnosed with type 1 diabetes mellitus. Methods: This cross-sectional study was conducted in Amman, Jordan, and involved 90 children and adolescents diagnosed with type 1 diabetes mellitus. Caregivers provided the following data: sex, age, type and dose of insulin, age at onset of type 1 diabetes, and level of physical activity. Anthropometric measurements were obtained using calibrated scales, and CDC growth charts were used to assess participants’ body weight status. Nutrient intake was estimated using a 120-item food frequency questionnaire (FFQ) previously validated in Jordanian children and adolescents. Serum lipid levels, including total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C), were measured. Binary logistic regression was used to assess the relationship between nutrient intake and dyslipidemia. Results: The results indicated that 36.7% of study participants had dyslipidemia. There were no significant differences in nutrient intake between dyslipidemic and normolipidemic individuals, except for a significantly higher median intake of vitamin B12 in the dyslipidemic group compared to the normolipidemic group (3.6 versus 2.7 µg, P-value = 0.046). Conclusion: This study found no significant association between the prevalence of dyslipidemia and nutrient intake in children and adolescents diagnosed with type 1 diabetes mellitus.
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约旦 1 型糖尿病和血脂异常儿科患者的营养素摄入评估
背景:血脂异常是指发生在儿童和青少年时期的脂蛋白代谢紊乱,通常会持续到成年,并增加动脉粥样硬化病变的风险。本研究旨在评估被诊断为 1 型糖尿病的约旦儿童患者的营养摄入与血脂异常之间的潜在关联。研究方法这项横断面研究在约旦安曼进行,涉及 90 名确诊为 1 型糖尿病的儿童和青少年。护理人员提供了以下数据:性别、年龄、胰岛素类型和剂量、1 型糖尿病发病年龄以及体育锻炼水平。使用校准过的体重秤进行人体测量,并使用美国疾病预防控制中心的生长图表评估参与者的体重状况。营养摄入量的估算采用了之前在约旦儿童和青少年中验证过的 120 项食物频率问卷 (FFQ)。测量了血清脂质水平,包括总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)。采用二元逻辑回归评估营养素摄入量与血脂异常之间的关系。结果显示结果显示,36.7% 的研究参与者患有血脂异常。血脂异常者与血脂正常者的营养素摄入量无明显差异,但血脂异常组维生素 B12 的摄入量中位数明显高于血脂正常组(3.6 微克对 2.7 微克,P 值 = 0.046)。结论本研究发现,在确诊为 1 型糖尿病的儿童和青少年中,血脂异常发生率与营养素摄入量之间没有明显关联。
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Assessment of Nutrients Intake in Pediatrics with Type 1 Diabetes and Dyslipidemia in Jordan
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