Longitudinal growth in children and adolescents with type 1 diabetes

Indian Pediatrics - Tập 53 - Trang 990-992 - 2016
Lavanya Parthasarathy1, Vaman Khadilkar1, Shashi Chiplonkar1, Anuradha Khadilkar1
1Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India

Tóm tắt

To study longitudinal growth in children with type 1 diabetes mellitus. Anthropometry, disease duration, insulin regimens and HbA1C recorded from patients with diabetes enrolled in a specialty clinic. 160 children (75 boys; mean (SD) age 9.4 (3.3) y) were enrolled. 35% children had low (<25th centile) height velocity. Disease duration and HbA1C affected height velocity (adjusted for puberty). Children on basal-bolus had higher height velocity Z scores than those on a split mix regimen [(0.5(1.6) vs. -0.3(1.4), P<0.05)]. Children diagnosed before 5 years of age had lowest height velocity. Of the children who reached final height, 53% remained below target height. Children with type 1 diabetes mellitus have lower height velocity compared to healthy children; those diagnosed at younger age were at higher risk for growth failure.

Tài liệu tham khảo

Chiarelli F, Giannini C, Mohn A. Growth, growth factors and diabetes. Eur J Endocrinol. 2004;151:U109–17. Holl RW, Grabert M, Heinze E, Sorgo W, Debatin KM. Age at onset and long-term metabolic control affect height in type-1 diabetes mellitus. Eur J Pediatr. 1998;157:972–7. Timóteo C, Castanhinha S, Constant C, Robalo B, Pereira C, Sampaio L. Growth and puberty in type 1 diabetes mellitus -experience from a pediatric endocrinology unit. Acta Med Port. 2012;25:213–8. Salerno M, Argenziano A, Di Maio S, Gasparini N, Formicola S, De Filippo G, et al. Pubertal growth, sexual maturation, and final height in children with IDDM. Effects of age at onset and metabolic control. Diabetes Care. 1997;20:721–4. Khadilkar VV, Parthasarathy LS, Mallade BB, Khadilkar AV, Chiplonkar SA, Borade AB. Growth status of children and adolescents with type 1 diabetes mellitus. Indian J Endocrinol Metab. 2013;17:1057–60. Tanner JM, Whitehouse RH, Takaishi M. Standards from birth to maturity for height, weight, height velocity, and weight velocity: British children, 1965. I. Arch Dis Child. 1966;41:454–71. Khadilkar VV, Khadilkar AV, Cole TJ, Sayyad MG. Crosssectional growth curves for height, weight and body mass index for affluent Indian children, 2007. 2009;46:477–89. Khadilkar VV, Khadilkar AV, Parthasarathy LS, Chiplonkar SA, Ekbote VH, Phanse SS, et al. Height velocities in 5-16 year old apparently healthy Indian children. 16th International Congress of Endocrinology. 2014. P. 404. Tanner JM, Goldstein H, Whitehouse RH. Standards for children’s height at ages 2-9 years allowing for heights of parents. Arch Dis Child. 1970;45:755–62. Demir K, Altýncýk A, Abacý A, Büyükgebiz A, Böber E. Growth of children with type 1 diabetes mellitus. J Clin Res Pediatr Endocrinol. 2010;2:72–7. Gunczler P, Lanes R, Esaa S, Paoli M. Effect of glycemic control on the growth velocity and several metabolic parameters of conventionally treated children with insulin dependent diabetes mellitus. J Pediatr Endocrinol Metab. 1996;9:569–75. Bognetti E, Riva MC, Bonfanti R, Meschi F, Viscardi M, Chiumello G. Growth changes in children and adolescents with short-term diabetes. Diabetes Care. 1998;21:1226–9. Dunger D, Ahmed L, Ong K. Growth and body composition in type 1 diabetes mellitus. Horm Res. 2002;58:66–71. Danne T, Kordonouri O, Enders I, Weber B. Factors influencing height and weight development in children with diabetes. Results of the Berlin Retinopathy Study. Diabetes Care. 1997;20:281–5.