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Nutritional status of children and adolescents with Type 1 Diabetes Mellitus in Baghdad: a case-control study

Diabetes mellitus (DM) is a major life-long non-communicable illness correlated with obesity and chronic undernutrition. It is particularly important to monitor the nutritional status of children with type 1 diabetes mellitus (T1DM), as they are still growing and may be affected by the disease or as...

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Autores principales: Hussein, Sawsan Ali, Ibrahim, Basma Adel, Abdullah, Wasnaa Hadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Carol Davila University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10015568/
https://www.ncbi.nlm.nih.gov/pubmed/36937480
http://dx.doi.org/10.25122/jml-2022-0233
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author Hussein, Sawsan Ali
Ibrahim, Basma Adel
Abdullah, Wasnaa Hadi
author_facet Hussein, Sawsan Ali
Ibrahim, Basma Adel
Abdullah, Wasnaa Hadi
author_sort Hussein, Sawsan Ali
collection PubMed
description Diabetes mellitus (DM) is a major life-long non-communicable illness correlated with obesity and chronic undernutrition. It is particularly important to monitor the nutritional status of children with type 1 diabetes mellitus (T1DM), as they are still growing and may be affected by the disease or associated conditions like celiac disease. This study aimed to evaluate the nutritional status of children and adolescents with T1DM in Baghdad city and identify possible risk factors for undernutrition. A single-center, case-control study was conducted in Central Child's Teaching Hospital, Baghdad, Iraq, over 9 months from November 2021 to July 2022. The study included patients with T1DM and healthy controls. Detailed history, clinical examination, and anthropometric measures were performed for all participants in the study. The mean age of the sample was 10.0 ±3.73 years and 8.68±3.1 years in diabetic patients and controls, respectively. Anthropometric measures in patients with type 1 diabetes were significantly lower than those of controls (P<0.001). All patients within the undernourished group were from large-size families compared with 75.76% of the normally nourished group, with a significant difference. The mean age of disease onset in the normal nourished group was 6.61 ± 2.78 years which was significantly earlier than that of the undernourished group (8.83 ± 2.89). Weight-for-age and BMI z-score had a significant negative correlation with HbA1c (r=-0.312, p=0.004, and r=-0.295, p=0.006, respectively). Patients with T1DM had significantly lower anthropometric measures than the normal population. Older children, female gender, large family size, and disease duration are independent predictors of undernutrition in T1DM. BMI and weight-for-age have a significant negative correlation with metabolic control of diabetes represented by HbA1c.
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spelling pubmed-100155682023-03-16 Nutritional status of children and adolescents with Type 1 Diabetes Mellitus in Baghdad: a case-control study Hussein, Sawsan Ali Ibrahim, Basma Adel Abdullah, Wasnaa Hadi J Med Life Original Article Diabetes mellitus (DM) is a major life-long non-communicable illness correlated with obesity and chronic undernutrition. It is particularly important to monitor the nutritional status of children with type 1 diabetes mellitus (T1DM), as they are still growing and may be affected by the disease or associated conditions like celiac disease. This study aimed to evaluate the nutritional status of children and adolescents with T1DM in Baghdad city and identify possible risk factors for undernutrition. A single-center, case-control study was conducted in Central Child's Teaching Hospital, Baghdad, Iraq, over 9 months from November 2021 to July 2022. The study included patients with T1DM and healthy controls. Detailed history, clinical examination, and anthropometric measures were performed for all participants in the study. The mean age of the sample was 10.0 ±3.73 years and 8.68±3.1 years in diabetic patients and controls, respectively. Anthropometric measures in patients with type 1 diabetes were significantly lower than those of controls (P<0.001). All patients within the undernourished group were from large-size families compared with 75.76% of the normally nourished group, with a significant difference. The mean age of disease onset in the normal nourished group was 6.61 ± 2.78 years which was significantly earlier than that of the undernourished group (8.83 ± 2.89). Weight-for-age and BMI z-score had a significant negative correlation with HbA1c (r=-0.312, p=0.004, and r=-0.295, p=0.006, respectively). Patients with T1DM had significantly lower anthropometric measures than the normal population. Older children, female gender, large family size, and disease duration are independent predictors of undernutrition in T1DM. BMI and weight-for-age have a significant negative correlation with metabolic control of diabetes represented by HbA1c. Carol Davila University Press 2023-02 /pmc/articles/PMC10015568/ /pubmed/36937480 http://dx.doi.org/10.25122/jml-2022-0233 Text en ©2023 JOURNAL of MEDICINE and LIFE https://creativecommons.org/licenses/by/3.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Original Article
Hussein, Sawsan Ali
Ibrahim, Basma Adel
Abdullah, Wasnaa Hadi
Nutritional status of children and adolescents with Type 1 Diabetes Mellitus in Baghdad: a case-control study
title Nutritional status of children and adolescents with Type 1 Diabetes Mellitus in Baghdad: a case-control study
title_full Nutritional status of children and adolescents with Type 1 Diabetes Mellitus in Baghdad: a case-control study
title_fullStr Nutritional status of children and adolescents with Type 1 Diabetes Mellitus in Baghdad: a case-control study
title_full_unstemmed Nutritional status of children and adolescents with Type 1 Diabetes Mellitus in Baghdad: a case-control study
title_short Nutritional status of children and adolescents with Type 1 Diabetes Mellitus in Baghdad: a case-control study
title_sort nutritional status of children and adolescents with type 1 diabetes mellitus in baghdad: a case-control study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10015568/
https://www.ncbi.nlm.nih.gov/pubmed/36937480
http://dx.doi.org/10.25122/jml-2022-0233
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