title: Not as skinny as we used to think: Body mass index in children and adolescents at diagnosis of type 1 diabetes mellitus.
abstract: This retrospective analysis of clinical data for children (2-18 years old) with incident T1D found surprisingly low (9%) prevalence of underweight, and high (15% overweight; 8% obesity) respectively at diagnosis. These results suggests a need to rethink the classic clinical teaching surrounding skinnier presentation at diagnosis, and importantly, the corresponding expectation of weight gain after insulin therapy initiation.
authors.affiliation: University of Ottawa, School of Human Kinetics, Ottawa, ON, Canada. Electronic address: tmanyanga@cheo.on.ca.
authors.forename: Taru
authors.initials: T
authors.lastname: Manyanga
authors.affiliation: University of Manitoba, Department of Pediatrics and Child Health, Winnipeg, MB, Canada; Children's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada.
authors.forename: Elizabeth A C
authors.initials: EA
authors.lastname: Sellers
authors.affiliation: University of Manitoba, Department of Pediatrics and Child Health, Winnipeg, MB, Canada; Children's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada.
authors.forename: Brandy A
authors.initials: BA
authors.lastname: Wicklow
authors.affiliation: University of Manitoba, Manitoba Centre for Health Policy, Winnipeg, MB, Canada.
authors.forename: Malcolm
authors.initials: M
authors.lastname: Doupe
authors.affiliation: University of Manitoba, Manitoba Centre for Health Policy, Winnipeg, MB, Canada.
authors.forename: Randall
authors.initials: R
authors.lastname: Fransoo
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002170:Canada / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D050177:Overweight / Q000150:complications / Q000453:epidemiology*; D063766:Pediatric Obesity / Q000150:complications / Q000453:epidemiology*; D015995:Prevalence; D012189:Retrospective Studies
keywords: Body mass index; Children; Insulin therapy; Retrospective cohort study; Type 1 diabetes