Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria
Aim. To evaluate the prevalence of overweight and obesity in paediatric type 1 diabetes (T1D) subjects, based on four commonly used reference populations. Methods. Using WHO, IOTF, AGA (German pediatric obesity), and KiGGS (German Health Interview and Examination Survey for Children and Adolescents)...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2015/370753 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832566553956057088 |
|---|---|
| author | M. Flechtner-Mors K. O. Schwab E. E. Fröhlich-Reiterer T. M. Kapellen T. Meissner J. Rosenbauer R. Stachow R. W. Holl |
| author_facet | M. Flechtner-Mors K. O. Schwab E. E. Fröhlich-Reiterer T. M. Kapellen T. Meissner J. Rosenbauer R. Stachow R. W. Holl |
| author_sort | M. Flechtner-Mors |
| collection | DOAJ |
| description | Aim. To evaluate the prevalence of overweight and obesity in paediatric type 1 diabetes (T1D) subjects, based on four commonly used reference populations. Methods. Using WHO, IOTF, AGA (German pediatric obesity), and KiGGS (German Health Interview and Examination Survey for Children and Adolescents) reference populations, prevalence of overweight (≥90th percentile) and obesity (≥97th percentile) and time trend between 2000 (n = 9,461) and 2013 (n = 18,382) were determined in 2–18-year-old T1D patients documented in the German/Austrian DPV database. Results. In 2000, the overweight prevalence was the highest according to IOTF (22.3%), followed by WHO (20.8%), AGA (15.5%), and KiGGS (9.4%). The respective rates in 2013 were IOTF (24.8%), WHO (22.9%), AGA (18.2%), and KiGGS (11.7%). Obesity prevalence in 2000 was the highest according to WHO (7.9%), followed by AGA (4.5%), IOTF (3.1%), and KiGGS (1.8%). In 2013, the respective rates were WHO (9.6%), AGA (6.2%), IOTF (4.5%), and KiGGS (2.6%). Overall, the prevalence of overweight and obesity increased from 2000 to 2006 (p < 0.001) but showed stabilization thereafter in girls and overweight in boys. Conclusion. Overweight and obesity prevalence in T1D subjects differs significantly if it is assessed by four separate reference populations. More detailed assessment of each child is required to determine obesity-related risks. |
| format | Article |
| id | doaj-art-98b8b78080f7493aaa28b28a2aab8f17 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-98b8b78080f7493aaa28b28a2aab8f172025-02-03T01:03:45ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/370753370753Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and AustriaM. Flechtner-Mors0K. O. Schwab1E. E. Fröhlich-Reiterer2T. M. Kapellen3T. Meissner4J. Rosenbauer5R. Stachow6R. W. Holl7Institute of Epidemiology and Medical Biometry, ZIBMT, University of Ulm, 89081 Ulm, GermanyDepartment of Pediatrics and Adolescent Medicine, University Hospital Freiburg, 79106 Freiburg, GermanyDepartment of Paediatrics, Medical University of Graz, 8036 Graz, AustriaHospital for Children and Adolescents, University of Leipzig, 04317 Leipzig, GermanyDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, University Children’s Hospital, 40225 Düsseldorf, GermanyInstitute of Biometrics and Epidemiology, German Diabetes Center, Leibniz Center at University of Düsseldorf, 40225 Düsseldorf, GermanyRehabilitation Clinic for Children and Adolescents, Westerland, 25980 Sylt, GermanyInstitute of Epidemiology and Medical Biometry, ZIBMT, University of Ulm, 89081 Ulm, GermanyAim. To evaluate the prevalence of overweight and obesity in paediatric type 1 diabetes (T1D) subjects, based on four commonly used reference populations. Methods. Using WHO, IOTF, AGA (German pediatric obesity), and KiGGS (German Health Interview and Examination Survey for Children and Adolescents) reference populations, prevalence of overweight (≥90th percentile) and obesity (≥97th percentile) and time trend between 2000 (n = 9,461) and 2013 (n = 18,382) were determined in 2–18-year-old T1D patients documented in the German/Austrian DPV database. Results. In 2000, the overweight prevalence was the highest according to IOTF (22.3%), followed by WHO (20.8%), AGA (15.5%), and KiGGS (9.4%). The respective rates in 2013 were IOTF (24.8%), WHO (22.9%), AGA (18.2%), and KiGGS (11.7%). Obesity prevalence in 2000 was the highest according to WHO (7.9%), followed by AGA (4.5%), IOTF (3.1%), and KiGGS (1.8%). In 2013, the respective rates were WHO (9.6%), AGA (6.2%), IOTF (4.5%), and KiGGS (2.6%). Overall, the prevalence of overweight and obesity increased from 2000 to 2006 (p < 0.001) but showed stabilization thereafter in girls and overweight in boys. Conclusion. Overweight and obesity prevalence in T1D subjects differs significantly if it is assessed by four separate reference populations. More detailed assessment of each child is required to determine obesity-related risks.http://dx.doi.org/10.1155/2015/370753 |
| spellingShingle | M. Flechtner-Mors K. O. Schwab E. E. Fröhlich-Reiterer T. M. Kapellen T. Meissner J. Rosenbauer R. Stachow R. W. Holl Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria Journal of Diabetes Research |
| title | Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria |
| title_full | Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria |
| title_fullStr | Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria |
| title_full_unstemmed | Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria |
| title_short | Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria |
| title_sort | overweight and obesity based on four reference systems in 18 382 paediatric patients with type 1 diabetes from germany and austria |
| url | http://dx.doi.org/10.1155/2015/370753 |
| work_keys_str_mv | AT mflechtnermors overweightandobesitybasedonfourreferencesystemsin18382paediatricpatientswithtype1diabetesfromgermanyandaustria AT koschwab overweightandobesitybasedonfourreferencesystemsin18382paediatricpatientswithtype1diabetesfromgermanyandaustria AT eefrohlichreiterer overweightandobesitybasedonfourreferencesystemsin18382paediatricpatientswithtype1diabetesfromgermanyandaustria AT tmkapellen overweightandobesitybasedonfourreferencesystemsin18382paediatricpatientswithtype1diabetesfromgermanyandaustria AT tmeissner overweightandobesitybasedonfourreferencesystemsin18382paediatricpatientswithtype1diabetesfromgermanyandaustria AT jrosenbauer overweightandobesitybasedonfourreferencesystemsin18382paediatricpatientswithtype1diabetesfromgermanyandaustria AT rstachow overweightandobesitybasedonfourreferencesystemsin18382paediatricpatientswithtype1diabetesfromgermanyandaustria AT rwholl overweightandobesitybasedonfourreferencesystemsin18382paediatricpatientswithtype1diabetesfromgermanyandaustria |