糖尿病(DM)是与肥胖和慢性营养不良相关的主要终生非传染性疾病。监测1型糖尿病(T1DM)患儿的营养状况尤为重要。因为它们仍在生长,可能会受到疾病或乳糜泻等相关疾病的影响。这项研究旨在评估巴格达市T1DM儿童和青少年的营养状况,并确定营养不足的可能危险因素。单中心,病例对照研究在中心儿童教学医院进行,巴格达,伊拉克,从2021年11月到2022年7月,超过9个月。该研究包括T1DM患者和健康对照。详细的历史,临床检查,并对研究中的所有参与者进行人体测量.在糖尿病患者和对照组中,样本的平均年龄为10.0±3.73岁和8.68±3.1岁,分别。1型糖尿病患者的人体测量值明显低于对照组(P<0.001)。营养不良组中的所有患者都来自大家庭,而正常营养组中的75.76%,有显著差异。正常营养组的平均发病年龄为6.61±2.78岁,明显早于营养不良组(8.83±2.89)。年龄体重和BMIz评分与HbA1c呈显著负相关(分别为r=-0.312,p=0.004和r=-0.295,p=0.006)。T1DM患者的人体测量值明显低于正常人群。年龄较大的孩子,女性性别,大家庭规模,病程和病程是T1DM患者营养不足的独立预测因子。BMI和年龄体重与HbA1c代表的糖尿病代谢控制呈显著负相关。
Diabetes mellitus (DM) is a major life-long non-communicable illness correlated with obesity and chronic undernutrition. It is particularly important to monitor the nutritional status of children with type 1 diabetes mellitus (T1DM), as they are still growing and may be affected by the disease or associated conditions like celiac disease. This study aimed to evaluate the nutritional status of children and adolescents with T1DM in Baghdad city and identify possible risk factors for undernutrition. A single-center,
case-control study was conducted in Central Child\'s Teaching Hospital, Baghdad, Iraq, over 9 months from November 2021 to July 2022. The study included patients with T1DM and healthy controls. Detailed history, clinical examination, and anthropometric measures were performed for all participants in the study. The mean age of the sample was 10.0 ±3.73 years and 8.68±3.1 years in diabetic patients and controls, respectively. Anthropometric measures in patients with type 1 diabetes were significantly lower than those of controls (P<0.001). All patients within the undernourished group were from large-size families compared with 75.76% of the normally nourished group, with a significant difference. The mean age of disease onset in the normal nourished group was 6.61 ± 2.78 years which was significantly earlier than that of the undernourished group (8.83 ± 2.89). Weight-for-age and BMI z-score had a significant negative correlation with HbA1c (r=-0.312, p=0.004, and r=-0.295, p=0.006, respectively). Patients with T1DM had significantly lower anthropometric measures than the normal population. Older children, female gender, large family size, and disease duration are independent predictors of undernutrition in T1DM. BMI and weight-for-age have a significant negative correlation with metabolic control of diabetes represented by HbA1c.