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Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from

M Flechtner-Mors1, K O Schwab2, E E Fröhlich-Reiterer3

  • 1Institute of Epidemiology and Medical Biometry, ZIBMT, University of Ulm, 89081 Ulm, Germany ; German Center for Diabetes Research (DZD), 85764 Neuherberg, Germany.

Journal of Diabetes Research
|July 1, 2015
PubMed

Insights

Overweight and obesity prevalence in children with type 1 diabetes varies significantly based on the reference population used. This highlights the need for careful assessment to determine individual obesity-related risks.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Public Health

Background:

  • Type 1 diabetes (T1D) management requires monitoring weight status.
  • Prevalence of overweight and obesity in T1D pediatric populations can vary based on reference standards.

Purpose of the Study:

  • To evaluate the prevalence of overweight and obesity in pediatric type 1 diabetes (T1D) subjects.
  • To compare prevalence rates using four common reference populations: WHO, IOTF, AGA, and KiGGS.

Main Methods:

  • Analysis of T1D patients aged 2-18 years from the German/Austrian DPV database (2000 and 2013).
  • Prevalence of overweight (≥90th percentile) and obesity (≥97th percentile) determined using WHO, IOTF, AGA, and KiGGS reference populations.
  • Time trend analysis conducted between 2000 and 2013.

Main Results:

  • Overweight prevalence in 2000 ranged from 9.4% (KiGGS) to 22.3% (IOTF); in 2013, it ranged from 11.7% (KiGGS) to 24.8% (IOTF).
  • Obesity prevalence in 2000 ranged from 1.8% (KiGGS) to 7.9% (WHO); in 2013, it ranged from 2.6% (KiGGS) to 9.6% (WHO).
  • Overall prevalence of overweight and obesity increased from 2000 to 2006, with stabilization thereafter for girls and overweight in boys.

Conclusions:

  • Significant differences in overweight and obesity prevalence were observed in pediatric T1D subjects depending on the reference population used.
  • A more detailed individual assessment is necessary to accurately determine obesity-related risks in this population.
Abstract

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