title: [Overweight, obesity and lipids abnormalities in adolescents with type 1 diabetes].
abstract: BACKGROUND
  Overweight children are growing problem as in the pediatric, as well in the diabetic population. The aim of the study was to research the percentage of overweight and obesity in a group of adolescents with type 1 diabetes, and to analyzethe lipid parameters, as well risk factors of these abnormalities.
  
  
  METHODS
  The study group consist of 60 type 1 diabetic adolescents (including 32 girls, 53.3%), aged above 12 years (mean age for girls 14.6+/-0,3years, boys 15.6+/-0.4 years) with diabetes duration (girls 5.7+-0.6 years, boys 4.4+/-0.8 years). Statistical analysis was performed using Statistica v 9.0 and SPSS v20.
  
  
  RESULTS
  The study revealed that boys with type 1 diabetes are significantly higher than healthy population, with weight, waist circumference and BMI comparable to the healthy counterparts. However, diabetic girls are more likely to be overweight and have bigger waist circumference, and higher BMI than the healthy population. Overweight were 12 adolescents (20%) using BMI ≥1SD criterion, and 10 (16%) using waist circumference as obesity parameter. Logistic regression revealed that the most important factors for obesity and abdominal obesity are female gender (OR=2.43 and OR=4.56for obesity and abdominal, respectively), diabetes duration above 5 years (respectively OR=1.96 and OR=3.27) and poor metabolic control (respectively OR=1.74 and OR=2.89).
  
  
  CONCLUSIONS
  The most important risk factor for obesity in adolescents with type 1 diabetes is female gender. Lipids profile is closely dependent on metabolic control and mass excess. Diabetes duration, metabolic control and lipids profile are significant risk factors for overweight and abdominal obesity.
authors.affiliation: Klinika Endokrynologii i Diabetologii, Instytut "Pomnik Centrum Zdrowia Dziecka", Warszawa.
authors.forename: Marta
authors.initials: M
authors.lastname: Wysocka-Mincewicz
authors.affiliation: Pracownia Antropologii, Instytut "Pomnik Centrum Zdrowia Dziecka", Warszawa.
authors.forename: Honorata
authors.initials: H
authors.lastname: Kołodziejczyk
authors.affiliation: Katedra Żywienia Człowieka, Szkoła Główna Gospodarstwa Wiejskiego, Warszawa.
authors.forename: Elżbieta
authors.initials: E
authors.lastname: Wierzbicka
authors.affiliation: Klinika Endokrynologii i Diabetologii, Instytut "Pomnik Centrum Zdrowia Dziecka", Warszawa; Wydział Nauki o Zdrowiu UJK, Kielce.
authors.forename: Mieczysław
authors.initials: M
authors.lastname: Szalecki
mesh_terms: D000293:Adolescent; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000209:etiology*; D008055:Lipids / Q000097:blood*; D008297:Male; D009765:Obesity / Q000150:complications* / Q000503:physiopathology*; D050177:Overweight / Q000150:complications* / Q000503:physiopathology*; D012307:Risk Factors; D012737:Sex Factors
chemical_list: D008055:Lipids