Abstract
Objectives
To compare lipid parameters between diabetics and controls and to study association between metabolic control and lipid profile.
Methods
Lipid profile and HbA1c were measured (n=80, 39 boys) in diabetic children [age 10.7(3.4) y] and 54 controls, tests repeated after 1 year (in 45 diabetics).
Results
Diabetic children had higher mean (SD) LDL-C [95.3(27.7) vs 84.5(26.4) mg/dL], lower HDL-C [48.2 (13.1) vs 53.1(11.9) mg/dl]. Moderate physical activity (P=0.014) protected against high LDL-C levels. HbA1c (P=0.00) predicted total and LDL-C levels. At 1year, 63% showed reduced LDL-C with improving HbA1c; 72% showed increased LDL-C with deteriorated HbA1c.
Conclusion
Improving metabolic control is cardinal to reduce cardiometabolic risk; physical activity is beneficial.
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References
Kershnar AK, Daniels SR, Imperatore G, Palla SL, Petitti DB, Pettitt DJ, et al. Lipid abnormalities are prevalent in youth with type 1 and type 2 diabetes: the SEARCH for Diabetes in Youth study. J Pediatr. 2006;149:314–9.
Guy J, Ogden L, Wadwa RP, Hamman RF, Mayer-Davis EJ, Liese AD, et al. Lipid and lipoprotein profiles in youth with and without type 1 diabetes: the SEARCH for Diabetes in Youth case-control study. Diabetes Care. 2009;32:416–20.
Ladeia AM, Adan L, Couto-Silva AC, Hiltner A, Guimarães AC. Lipid profile correlates with glycemic control in young patients with type 1 diabetes mellitus. Prev Cardiol. 2006;9:82–8.
Petitti DB, Imperatore G, Palla SL, Daniels SR, Dolan LM, Kershnar AK, et al. SEARCH for Diabetes in Youth Study Group. Serum lipids and glucose control: the SEARCH for Diabetes in Youth study. Arch Pediatr Adolesc Med. 2007;161:159–65.
Schwab KO, Doerfer J, Naeke A, Rohrer T, Wiemann D, Marg W, et al.; German/Austrian Pediatric DPV Initiative. Influence of food intake, age, gender, HbA1c, and BMI levels on plasma cholesterol in 29,979 children and adolescents with type 1 diabetes—reference data from the German diabetes documentation and quality management system (DPV). Pediatr Diabetes. 2009;10:184–92.
Babar GS, Zidan H, Widlansky ME, Das E, Hoffmann RG, Daoud M, et al. Impaired endothelial function in preadolescent children with type 1 diabetes. Diabetes Care. 2011;34:681–5.
Khadilkar VV, Khadilkar AV, Cole TJ, Sayyad MG. Crosssectional growth curves for height, weight and body mass index for affluent Indian children, 2007. Indian Pediatr. 2009;46:477–89.
Barbosa N, Sanchez CE, Vera JA, Perez W, Thalabard JC, Rieu M. A physical activity questionnaire: Reproducibility and validity. J Sports Sci Med. 2007;6:505–18.
CDC, 1999. Available from: www.cdc.gov/nccdphp/ dnpa/ physical/pdf/PA_Intensity_table_2_1.pdf. Accessed December 22, 2013.
American Diabetes Association. Management of dyslipidemia in children and adolescents with diabetes. Diabetes Care. 2003;26:2194–7.
Beraki A, Magnuson A, Särnblad S, Åman J, Samuelsson U. Increase in physical activity is associated with lower HbA1c levels in children and adolescents with type 1 diabetes: results from a cross-sectional study based on the Swedish Pediatric Diabetes Quality Registry (SWEDIABKIDS). Diabetes Res Clin Pract. 2014;105:119–25.
Quirk H, Blake H, Tennyson R, Randell TL, Glazebrook C. Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis. Diabet Med. 2014;31:1163–73.
Leclair E, de Kerdanet M, Riddell M, Heyman E. Type 1 diabetes and physical activity in children and adolescents. J Diabetes Metab. 2013;S10:004.
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Parthasarathy, L., Chiplonkar, S., Khadilkar, V. et al. Association between metabolic control and lipid parameters in Indian children with type 1 diabetes. Indian Pediatr 53, 39–41 (2016). https://doi.org/10.1007/s13312-016-0787-2
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DOI: https://doi.org/10.1007/s13312-016-0787-2