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Overweight and obese youth with type 1 or type 2 diabetes share similar elevation in triglycerides during middle and late adolescence

Overweight and obesity have been observed in children with type 1 diabetes (T1D). This further increases their future risk of Cardiovascular Disease (CVD) as well as the development of other risk factors, such as dyslipidemia. To compare lipid profiles in children and adolescents with Type 1 diabete...

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Published in:Obesity research & clinical practice 2022-03, Vol.16 (2), p.138-143
Main Authors: Ashour, Dina, AlSubaihin, Abdulmajeed, Lim, Yvonne Yijuan, Legault, Laurent
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description Overweight and obesity have been observed in children with type 1 diabetes (T1D). This further increases their future risk of Cardiovascular Disease (CVD) as well as the development of other risk factors, such as dyslipidemia. To compare lipid profiles in children and adolescents with Type 1 diabetes and lean mass (T1L), Type 1 diabetes and overweight or obese (T1OW/OB), and type 2 diabetes (T2D). This was a cross-sectional study of 669 patients with T1D or T2D aged 2–19 years using retrospective data collected from 2003 to 2014. Included patients were categorized into lean (BMI
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This further increases their future risk of Cardiovascular Disease (CVD) as well as the development of other risk factors, such as dyslipidemia. To compare lipid profiles in children and adolescents with Type 1 diabetes and lean mass (T1L), Type 1 diabetes and overweight or obese (T1OW/OB), and type 2 diabetes (T2D). This was a cross-sectional study of 669 patients with T1D or T2D aged 2–19 years using retrospective data collected from 2003 to 2014. Included patients were categorized into lean (BMI &lt; 85th ile and overweight or Obese (BMI ≥ 85th ile). Patients were subcategorized into three age groups: &lt; 10 years, 10–14 years, and 15–19 years. 7.6% of patients had T2D. Of the patients with T1D, 58.9% were lean, 26.4% were overweight, and 14.7% were obese. Total Cholesterol (TC), Low-density lipoprotein cholesterol (LDL-C) and Non-HDL-C levels were similar across groups. In the 15–19 years group, Triglycerides (TG) levels were significantly higher in T1OW/OB and similar to T2D. High-density lipoprotein Cholesterol (HDL-C) was significantly lower in T2D. Weight status significantly correlated with TG and HDL-C levels in T1D and T2D groups. T1OW/OB constitutes a significant proportion of the T1D population. Patients with obesity and T1D, especially if in their late adolescence, have an adverse lipid profile pattern that is comparable to adolescents with T2D. Based on these findings, risk for future CVD in T1OW/OB and T2D may be equivalent. •A significant proportion of Adolescents with Type 1 diabetes is overweight or obese.•Type 2 diabetes, when compared with Type 1 diabetes and overweight or obesity, is associated with higher triglycerides.•Extent of hypertriglyceridemia was similar in overweight or obese late adolescents with type 1 or type diabetes.•Prevalence of hypercholesterolemia, measured by Non-HDL-C, varries according to weight category in adolescnets with diabetes.</description><identifier>ISSN: 1871-403X</identifier><identifier>EISSN: 1878-0318</identifier><identifier>DOI: 10.1016/j.orcp.2022.03.003</identifier><identifier>PMID: 35430167</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Cardiovascular Diseases - epidemiology ; Child ; Cholesterol ; Cross-Sectional Studies ; Diabetes mellitus ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - epidemiology ; Dyslipidemias ; Humans ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Overweight - complications ; Retrospective Studies ; Triglycerides</subject><ispartof>Obesity research &amp; clinical practice, 2022-03, Vol.16 (2), p.138-143</ispartof><rights>2022 The Authors</rights><rights>Copyright © 2022 The Authors. 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This further increases their future risk of Cardiovascular Disease (CVD) as well as the development of other risk factors, such as dyslipidemia. To compare lipid profiles in children and adolescents with Type 1 diabetes and lean mass (T1L), Type 1 diabetes and overweight or obese (T1OW/OB), and type 2 diabetes (T2D). This was a cross-sectional study of 669 patients with T1D or T2D aged 2–19 years using retrospective data collected from 2003 to 2014. Included patients were categorized into lean (BMI &lt; 85th ile and overweight or Obese (BMI ≥ 85th ile). Patients were subcategorized into three age groups: &lt; 10 years, 10–14 years, and 15–19 years. 7.6% of patients had T2D. Of the patients with T1D, 58.9% were lean, 26.4% were overweight, and 14.7% were obese. Total Cholesterol (TC), Low-density lipoprotein cholesterol (LDL-C) and Non-HDL-C levels were similar across groups. In the 15–19 years group, Triglycerides (TG) levels were significantly higher in T1OW/OB and similar to T2D. High-density lipoprotein Cholesterol (HDL-C) was significantly lower in T2D. Weight status significantly correlated with TG and HDL-C levels in T1D and T2D groups. T1OW/OB constitutes a significant proportion of the T1D population. Patients with obesity and T1D, especially if in their late adolescence, have an adverse lipid profile pattern that is comparable to adolescents with T2D. 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This further increases their future risk of Cardiovascular Disease (CVD) as well as the development of other risk factors, such as dyslipidemia. To compare lipid profiles in children and adolescents with Type 1 diabetes and lean mass (T1L), Type 1 diabetes and overweight or obese (T1OW/OB), and type 2 diabetes (T2D). This was a cross-sectional study of 669 patients with T1D or T2D aged 2–19 years using retrospective data collected from 2003 to 2014. Included patients were categorized into lean (BMI &lt; 85th ile and overweight or Obese (BMI ≥ 85th ile). Patients were subcategorized into three age groups: &lt; 10 years, 10–14 years, and 15–19 years. 7.6% of patients had T2D. Of the patients with T1D, 58.9% were lean, 26.4% were overweight, and 14.7% were obese. Total Cholesterol (TC), Low-density lipoprotein cholesterol (LDL-C) and Non-HDL-C levels were similar across groups. In the 15–19 years group, Triglycerides (TG) levels were significantly higher in T1OW/OB and similar to T2D. High-density lipoprotein Cholesterol (HDL-C) was significantly lower in T2D. Weight status significantly correlated with TG and HDL-C levels in T1D and T2D groups. T1OW/OB constitutes a significant proportion of the T1D population. Patients with obesity and T1D, especially if in their late adolescence, have an adverse lipid profile pattern that is comparable to adolescents with T2D. 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subjects Adolescent
Cardiovascular Diseases - epidemiology
Child
Cholesterol
Cross-Sectional Studies
Diabetes mellitus
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Dyslipidemias
Humans
Obesity
Obesity - complications
Obesity - epidemiology
Overweight - complications
Retrospective Studies
Triglycerides
title Overweight and obese youth with type 1 or type 2 diabetes share similar elevation in triglycerides during middle and late adolescence
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