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SHR Neuro Cancer Cardio Lipid Metab Microb

Fröhlich-Reiterer, EE; Kaspers, S; Hofer, S; Schober, E; Kordonouri, O; Bechtold-Dalla Pozza, S; Holl, RW; on behalf of the Diabetes Patienten Verlaufsdokumentationssystem-Wiss Study Group.
Anthropometry, metabolic control, and follow-up in children and adolescents with type 1 diabetes mellitus and biopsy-proven celiac disease.
J Pediatr. 2011; 158(4): 589-593. Doi: 10.1016/j.jpeds.2010.09.050
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Leading authors Med Uni Graz: Fröhlich-Reiterer Elke
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Abstract:: Objective To evaluate the influence of biopsy-proven celiac disease (BPCD) on somatic development and metabolic parameters in children with type 1 diabetes mellitus (T1DM) in a multicenter survey. Study design Within the Diabetes Patienten Verlaufsdokumentationssystem-Wiss project, data of 41 951 patients with T1DM, aged < 20 years (52% males, mean age 13.9 years; mean duration of diabetes 5.5 years) were collected in 297 centers in Germany and Austria from 1995 to 2009. Results The number of BPCD (0.6% in 1995; 1.3% in 2008) has increased over time. Patients with BPCD were significantly younger at diabetes onset (5.9 vs 8.3 years), had a significantly lower weight standard deviation score (SDS); (0.20 vs 0.43) and height SDS (-0.28 vs -0.03) (P < .001, each) compared with patients without celiac disease. No differences were found in hemoglobin A1c or numbers of severe hypoglycemia. In a subgroup of 9805 patients (183 with BPCD) significantly lower height and weight SDS (P < .001) were still found after a 5-year follow-up. Conclusions Screening for celiac disease is important in children with T1DM to prevent persistent growth failure. (J Pediatr 2011; 158:589-93).
Find related publications in this database (using NLM MeSH Indexing): Adolescent -; Celiac Disease - epidemiology; Child -; Child, Preschool -; Comorbidity -; Diabetes Mellitus, Type 1 - epidemiology; Female -; Humans -; Infant -; Male -