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Dyslipidemia and cardiovascular disease risk factors in patients with type 1 diabetes:A single-center experience

World Journal of Diabetes 2021年第1期12卷 56-68页

作者： Sari Krepel Volsky Shlomit Shalitin Elena Fridman michal yackobovitch-gavan Liora Lazar Rachel Bello Tal Oron Ariel Tenenbaum Liat de Vries Yael Lebenthal National Center for Childhood Diabetes The Jesse Z and Sara Lea Shafer Institute for Endocrinology and DiabetesSchneider Children's Medical Center of IsraelPetach-Tikva 4920235Israel Sackler School of Medicine Tel Aviv UniversityTel Aviv 6997801Israel

BACKGROUND Type 1 diabetes(T1D)contributes to altered lipid profiles and increases the risk of cardiovascular disease(CVD).Youth with T1D may have additional CVD risk factors within the first decade of *** To examine risk factors for dyslipidemia in young subjects with *** Longitudinal and cross-sectional retrospective study of 170 young subjects with T1D(86 males;baseline mean age 12.2±5.6 years and hemoglobin A1c 8.4%±1.4%)were followed in a single tertiary diabetes center for a median duration of 15 *** for outcomes of lipid profiles at last visit(total cholesterol[TC],triglycerides[TGs],low-density lipoprotein-cholesterol[LDL-c],and highdensity lipoprotein-cholesterol[HDL-c])were analyzed by stepwise linear regression *** At baseline,79.5%of the patients had at least one additional CVD risk factor(borderline dyslipidemia/dyslipidemia[37.5%],pre-hypertension/hypertension[27.6%],and overweight/obesity[16.5%])and 41.6%had multiple(≥2)CVD risk factors.A positive family history of at least one CVD risk factor in a first-degree relative was reported in 54.1%of the *** of elevated TC:family history of CVD(β[SE]=23.1[8.3],P=0.006);of elevated LDL-c:baseline diastolic blood pressure(DBP)(β[SE]=11.4[4.7],P=0.003)and family history of CVD(β[SE]=20.7[6.8],P=0.017);of elevated TGs:baseline DBP(β[SE]=23.8[9.1],P=0.010)and family history of CVD(β[SE]=31.0[13.1],P=0.020);and of low HDL-c levels:baseline DBP(β[SE]=4.8[2.1],P=0.022]).CONCLUSION Our findings suggest that elevated lipid profiles are associated with DBP and a positive family history of *** is of utmost importance to prevent and control modifiable risk factors such as these,as early as childhood,given that inadequate glycemic control and elevation in blood pressure intensify the risk of dyslipidemia.

关键词： Type 1 diabetes Children and adolescents Cardiovascular disease risk factors Dyslipidemia Hypertension Family history of cardiovascular disease risk factors

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Lean Healthy Children with Short Stature Have Distinct Eating Patterns

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Journal of Food Science and Engineering 2016年第6期6卷 299-307页

作者： Shir Hadani Yael Lebenthal Liora Lazar Raanan Shamir Moshe Phillip michal yackobovitch-gavan The Jesse Z and Sara Lea Shafer Institute for Endocrinology and Diabetes National Center for Childhood Diabetes Schneider Children's Medical Center of Israel Petah Tikva 49202 Israel Sackler Faculty of Medicine Tel Aviv University Tel Aviv 699 78 Israel Institute for Gastroenterology Nutrition and Liver Diseases Schneider Children's Medical Center of Israel Petah Tikva 49202 Israel

Nutrition plays an essential role in normal linear growth in children. Knowledge of the eating styles and dietary consumption of healthy short children from developed countries is scarce. The aim of this study was to investigate the dietary patterns in idiopathic short stature （ISS） and relatively low weight children compared to children with normal stature and weight. This research is a case-control study of 86 pre-pubertal healthy children, mean age 5.9 ± 1.5 years. The study group comprised 43 ISS children; 43 age-matched children with normal stature and weight served as controls. Outcome measures included： dietary patterns and physical activity. The absolute daily average energy, protein and carbohydrate intake was significantly lower in the ISS children （P 〈 0.05）; after correcting for body surface area, no significant differences were found between groups. Intake of micronutrients calcium, iron, zinc, vitamin A and vitamin C, expressed as percentage from Recommended Dietary Allowance, was significantly lower in the ISS children （P 〈 0.05）, who had lower food responsiveness, higher satiety responsiveness, lesser enjoyment of food and were slower eaters （P 〈 0.001）. Physical activity was sedentary in both the ISS cases and controls. Our findings in healthy, pre-pubertal, relatively lean ISS children point to a distinct eating pattern with no alteration in physical activity. Understanding the differences in dietary intake and eating behaviors may be beneficial in the development of targeted nutritional intervention for lean ISS children.

关键词： Dietary patterns eating behaviors lean children short stature.

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