Abstract
Overweight and Obesity in Youth with Type 1 Diabetes: What is Known?
Highlights
Overweight and obesity is an established risk factor for serious health outcomes including cardiovascular disease (CVD) [1] and increased mortality [2]
Given that individuals with type 1 diabetes (T1D) are at an increased risk of early CVD related morbidity and mortality, early weight management intervention could potentially improve CVD outcomes
Individuals with type 1 diabetes (T1D) face an unequivocal risk of CVD similar to that seen in people with type 2 diabetes [3]
Summary
Overweight and obesity is an established risk factor for serious health outcomes including cardiovascular disease (CVD) [1] and increased mortality [2]. The SEARCH for diabetes in youth study found significantly higher rates of overweight but not obesity in young people with T1D (3-19 years) compared to the general US population [10]. Thereafter, only girls had significantly higher rates of combined overweight or obesity in the adolescent (13-16 years) and young adult groups (18-24 and 25-30 years) compared to the general population. Behavioural interventions in the general population focus on physical activity and nutrition in children but are not tailored to the unique set of circumstances encountered by children and adolescents with T1D Factors such as glucose fluctuations caused by exercise and dietary considerations in the setting of T1D present a key challenge to work on in future interventions
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