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

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  • Additional Information
    • Source:
      Publisher: Elsevier Inc Country of Publication: United States NLM ID: 9607439 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1530-891X (Print) Linking ISSN: 1530891X NLM ISO Abbreviation: Endocr Pract Subsets: MEDLINE
    • Publication Information:
      Publication: 2021- : [New York] : Elsevier Inc.
      Original Publication: Jacksonville, Fla. : The College and the Association,
    • Subject Terms:
      Diabetes Mellitus, Type 1*/epidemiology ; Diabetes Mellitus, Type 1*/diagnosis ; Body Mass Index* ; Pediatric Obesity*/epidemiology; Humans ; Adolescent ; Female ; Male ; Retrospective Studies ; Child ; Overweight/epidemiology ; Overweight/complications ; Glycated Hemoglobin/analysis ; Time Factors
    • 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.
      Competing Interests: Disclosure The authors have no multiplicity of interest to disclose.
      (Copyright © 2024 AACE. Published by Elsevier Inc. All rights reserved.)
    • Contributed Indexing:
      Keywords: overweight; pediatric obesity; type 1 diabetes mellitus
    • Accession Number:
      0 (Glycated Hemoglobin)
    • Publication Date:
      Date Created: 20240509 Date Completed: 20240803 Latest Revision: 20240803
    • Publication Date:
      20240804
    • Accession Number:
      10.1016/j.eprac.2024.05.003
    • Accession Number:
      38723891