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GP135 Prevalence of overweight and obesity in children with type 1 diabetes attending a tertiary clinic in ireland and the relationship with glycaemic control
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GP135 Prevalence of overweight and obesity in children with type 1 diabetes attending a tertiary clinic in ireland and the relationship with glycaemic control
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Journal Article
GP135 Prevalence of overweight and obesity in children with type 1 diabetes attending a tertiary clinic in ireland and the relationship with glycaemic control
2019
Overview
AimsWe aim to find the prevalence of overweight and obesity in children aged over the age 5 with type 1 diabetes who attend the tertiary referral clinic in our Lady’s Children’s Hospital Crumlin, Dublin.MethodsWe measured heights and weights of the children with type 1 diabetes attending the clinic. We entered the data into our electronic database (Diamond version 1, Hicom). The electronic database calculates the child’s body mass index (kg/m²). We exported the data to SPSS Version 24 IBM. We calculated the children’s BMI Z-score using the WHO Reference 2007 SPSS macros package. We used the WHO 2007 Reference normative data and the definition of overweight as BMI z-score for age more than 1 standard deviation away from the mean (represents 85th centile). We used the WHO definition of obesity as BMI z-score for age of more than 2 standard deviations away from the mean (represents 97th centile). We ran descriptive statistics. We analysed the relationship between BMI z-score and HbA1c using a linear regression model.Results541 children attended the diabetes clinic. 511 of these children were over the age of 5. Of these children 38.7% had a BMI z-score +1 SD away from the mean in the WHO reference data reflecting overweight. Of the 511 children 47 or 9.2% of them had a BMI z-score +2SD from the mean normative data reflecting obesity and 1.2% had a BMI z-score of +3SD away from the mean reflecting severe obesity. There was no statistically significant relationship between BMI z-score and HbA1c using linear regression.ConclusionOur results highlight the high prevalence of overweight and obesity in children with type 1 diabetes. The prevalence of overweight and obesity is nearly double that of the general population. This is a relatively new phenomena. Various causes have been postulated including intensive insulin therapy since the early 90s as well as the secular trend in overweight and obesity.
Publisher
BMJ Publishing Group LTD
