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Sökning: L773:1399 543X OR L773:1399 5448 > (2015-2019) > Body mass index sta...

  • Birkebaek, N. H.Aarhus Univ, Denmark (författare)

Body mass index standard deviation score and obesity in children with type 1 diabetes in the Nordic countries. HbA(1c) and other predictors of increasing BMISDS

  • Artikel/kapitelEngelska2018

Förlag, utgivningsår, omfång ...

  • 2018-05-31
  • WILEY,2018
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:liu-152371
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-152371URI
  • https://doi.org/10.1111/pedi.12693DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies|Health Research Fund of Central Denmark Region; Program for Clinical Research Infrastructure (PROCRIN); The Swedish Board of Health and Welfare; Swedish Association of Local Authorities and Regions; The Danish Regions Clinical Quality Development Programme; The South-Eastern Norway Regional Health Authority
  • Background: Intensified insulin therapy may increase body weight and cause obesity. This study compared body mass index standard deviation score (BMISDS) and obesity rate in children with type 1 diabetes (T1D) in Denmark, Iceland, Norway and Sweden, and uncovered predictors for increasing BMISDS. Methods: Data registered in the Nordic national childhood diabetes databases during the period 2008-2012 on children below 15 years with T1D for more than 3 months were compiled, including information on gender, age, diabetes duration, hemoglobin A(1c) (HbA(1c)), insulin dose, severe hypoglycemia (SH), treatment modality, height and weight. The Swedish reference chart for BMI was used for calculating BMISDS. Results: Totally, 11025 children (48% females) (30994 registrations) were included. Medians by the last recorded examination were: age, 13.5 years; diabetes duration, 4.3 years; HbA(1c), 7.9% (63 mmol/mol); insulin dose, 0.8 IU/kg/d and BMISDS, 0.70. Obesity rate was 18.5%. Adjusted mean BMISDS (BMISDS adj) was inversely related to HbA(1c) and directly to diabetes duration. Higher BMISDS adj was found in those with an insulin dose above 0.6 IU/kg/d, and in girls above 10 years. Pump users had higher BMISDS adj than pen users, and patients with registered SH had higher BMISDS adj than patients without SH (both P amp;lt; .001). Conclusion: Obesity rate in children with T1D in the Nordic countries is high, however, with country differences. Low HbA(1c), long diabetes duration, higher insulin dose, pump treatment and experiencing a SH predicted higher BMISDS. Diabetes caregivers should balance the risk of obesity and the benefit of a very low HbA(1c).

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Kahlert, J.Aarhus Univ Hosp, Denmark (författare)
  • Bjarnason, R.Landspitali Univ Hosp, Iceland; Univ Iceland, Iceland (författare)
  • Drivvoll, A. K.Oslo Univ Hosp, Norway (författare)
  • Johansen, A.Rigshosp, Denmark (författare)
  • Konradsdottir, E.Landspitali Univ Hosp, Iceland; Univ Iceland, Iceland (författare)
  • Pundziute-Lycka, A.Queen Silvia Childrens Hosp, Sweden (författare)
  • Samuelsson, UlfLinköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus(Swepub:liu)ulfsa43 (författare)
  • Skrivarhaug, T.Oslo Univ Hosp, Norway (författare)
  • Svensson, J.Univ Copenhagen, Denmark (författare)
  • Aarhus Univ, DenmarkAarhus Univ Hosp, Denmark (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Pediatric Diabetes: WILEY19:7, s. 1198-12051399-543X1399-5448

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