Change in Body Mass Index in Youth in the First 5 Years After Type 1 Diabetes Mellitus Diagnosis

IF 3.7 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Endocrine Practice Pub Date : 2024-08-01 DOI:10.1016/j.eprac.2024.05.003

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Abstract

Objective

Examine body mass index (BMI) trajectories in American youth with type 1 diabetes (T1D) over the first 5 years following diagnosis.

Methods

Retrospective record review of BMI trajectories in youth with T1D diagnosed in 2015 to 2016.

Results

Near the time of diabetes diagnosis, 35.5% of youth had BMIs in the overweight/obesity range. These rates increased over time (P < .001), with 52.8% having overweight/obesity 5 years after diagnosis. Average age when BMI rose from healthy to overweight/obese or overweight to obese (rise group) was at 12.7 years, occurring 2.5 years after diagnosis. There were no differences between hemoglobin A1c, use of continuous glucose monitors, or use of insulin pumps between the rise group and those with healthy BMI throughout the study period.

Conclusions

Alarmingly high rates of overweight/obesity in youth were observed within 5 years following T1D diagnosis. Awareness and further research are necessary to address this independent risk factor for morbidities.

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1 型糖尿病确诊后 5 年内青少年体重指数的变化。

目标：研究美国青年 1 型糖尿病患者在确诊后五年内的体重指数（BMI）轨迹：研究设计/方法：对2015-2016年确诊的1型糖尿病青少年的体重指数轨迹进行回顾性记录：在糖尿病确诊时，35.5%的青少年的体重指数处于超重/肥胖范围。随着时间的推移，这一比例有所上升（p < 0.001），52.8%的青少年在确诊5年后出现超重/肥胖。体重指数从健康上升到超重/肥胖或超重到肥胖（上升组）的平均年龄为 12.7 岁，发生在诊断后 2.5 年。在整个研究期间，体重指数上升组与体重指数健康组在 HbA1c、使用连续血糖监测仪 (CGM) 或使用胰岛素泵方面没有差异：结论：在确诊 1 型糖尿病后的 5 年内，观察到青少年超重/肥胖率高得惊人。有必要提高认识并开展进一步研究，以应对这一独立的发病风险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Endocrine Practice ENDOCRINOLOGY & METABOLISM-

CiteScore

7.60

自引率

2.40%

发文量

546

审稿时长

41 days

期刊介绍： Endocrine Practice (ISSN: 1530-891X), a peer-reviewed journal published twelve times a year, is the official journal of the American Association of Clinical Endocrinologists (AACE). The primary mission of Endocrine Practice is to enhance the health care of patients with endocrine diseases through continuing education of practicing endocrinologists.

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