并非如我们过去认为的那般消瘦：1型糖尿病确诊时儿童及青少年的体重指数
Not as skinny as we used to think: Body mass index in children and adolescents at diagnosis of type 1 diabetes mellitus.
作者信息
Manyanga Taru, Sellers Elizabeth A C, Wicklow Brandy A, Doupe Malcolm, Fransoo Randall
机构信息
University of Ottawa, School of Human Kinetics, Ottawa, ON, Canada.
University of Manitoba, Department of Pediatrics and Child Health, Winnipeg, MB, Canada; Children's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada.
出版信息
J Diabetes Complications. 2016 Mar;30(2):292-4. doi: 10.1016/j.jdiacomp.2015.11.022. Epub 2015 Dec 1.
This retrospective analysis of clinical data for children (2-18 years old) with incident T1D found surprisingly low (9%) prevalence of underweight, and high (15% overweight; 8% obesity) respectively at diagnosis. These results suggests a need to rethink the classic clinical teaching surrounding skinnier presentation at diagnosis, and importantly, the corresponding expectation of weight gain after insulin therapy initiation.
这项针对新诊断为1型糖尿病的2至18岁儿童临床数据的回顾性分析发现，诊断时体重过轻的患病率出奇低（9%），而超重（15%）和肥胖（8%）的患病率分别较高。这些结果表明，有必要重新思考围绕诊断时较瘦表现的经典临床教学内容，重要的是，重新思考胰岛素治疗开始后对体重增加的相应预期。
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