Growth and skeletal maturation in children with type 1 diabetes mellitus

Suresh, V; Sunil, E; Sachan, Alok; Rajitha, D; Sarala, S; Arun, Mehmet Zuhuri; Sailaja, A.; Srinivasrao, C; Shalini, P; Subramaniam, Sangeetha

doi:10.15380/2277-5706.jcsr.15.059

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…Another study from south India reports a 27% prevalence of short stature in subjects with T1D. [ 27 ] Studies from Rwanda and Iraq have reported a 30.9% and 15% prevalence of stunting in children with T1D, respectively. [ 28 , 19 ] On binary logistic regression analysis, we identified the duration of illness and insulin requirement as significant predictors of short stature.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status of Underprivileged Indian Children and Youth with Type-1 Diabetes - A Multicentre Study

Khadilkar

Oza

Mondkar

et al. 2023

Indian Journal of Endocrinology and Metabolism

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Background: India has the highest number of prevalent type-1 diabetes (T1D) cases in the under-20-year age population. Data on the anthropometry of underprivileged Indian children with T1D are scarce. In economically disadvantaged countries like India, poor growth in patients with T1D is a major concern due to limited accessibility and affordability. Besides, due to the double burden of malnutrition, the prevalence of obesity is increasing mirroring the global trends, which may lead to the development of insulin resistance. Objectives: This study aims to assess the prevalence of malnutrition in Indian children and youth with T1D and to identify the determinants of short stature. Methods: A registry-based cross-sectional analysis of data collected from various centres across India enrolled in the Changing Diabetes in Children (CDiC) programme. Results: We observed that 6.4% were undernourished (3.4% severe undernutrition) and 17.7% (overweight 13.2%) had combined overweight/obesity. 21.2% of participants had short stature (adjusted for mid-parental height) with 7.4% cases of familial short stature. Longer duration of illness and insulin requirement were significant positive predictors of short stature while glycaemic control, insulin regimen and mid-parental height did not have a significant relationship with short stature. Participants on basal-bolus regimen had significantly higher insulin requirements and better glycaemic control than the ones on mixed-split regimen. Conclusion: We report that around one-fifth of children and youth with T1D were overweight/obese and around a fourth were stunted, especially those with longer duration of diabetes and higher insulin requirements. Close monitoring of anthropometric parameters is necessary for all children with T1D to optimize growth and nutrition.

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Section: Discussionmentioning

confidence: 99%

Nutritional Status of Underprivileged Indian Children and Youth with Type-1 Diabetes - A Multicentre Study

Khadilkar

Oza

Mondkar

et al. 2023

Indian Journal of Endocrinology and Metabolism

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Characteristics of Selected Somatic and Motor Abilities of Youth Soccer Players with Diabetes Type 1 Treated with Insulin Pump Therapy

Krzykała

Domaszewska²,

Woźniewicz-Dobrzyńska

et al. 2021

IJERPH

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Long-term insulin treatment can slow the growth process and decrease physical fitness level in children. In diabetic children, these two developments should be constantly monitored. The aim of the present study was to examine differences in somatic and physical fitness characteristics between soccer-training boys with type 1 diabetes and healthy boys of the same age (reference values based on Polish population norms for somatic and motor parameters). The participants were 94 boys (8–17 years), diagnosed with diabetes, who participated in soccer training on a regular basis and received routine medical care. The study involved (a) anthropometric and body composition measurements, (b) general motor ability assessments, and (c) comparison of those characteristics with the healthy Polish population. The diabetic boys were found to have lower levels of almost all somatic traits and motor abilities as compared with the healthy boys (p ≤ 0.05). Handgrip strength was a variable with the smallest difference between the two groups. The observed differences indicate the necessity to design an appropriate control and assessment system based on simple medical and fitness field tests for diabetic children and adolescents. It will allow optimizing advanced training as well as minimize health risks before, during, or after exercise.

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Growth and skeletal maturation in children with type 1 diabetes mellitus

Cited by 2 publications

References 23 publications

Nutritional Status of Underprivileged Indian Children and Youth with Type-1 Diabetes - A Multicentre Study

Nutritional Status of Underprivileged Indian Children and Youth with Type-1 Diabetes - A Multicentre Study

Characteristics of Selected Somatic and Motor Abilities of Youth Soccer Players with Diabetes Type 1 Treated with Insulin Pump Therapy

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