nach oben

Erschienen in:

01.02.2007 | Article

Children and adolescents with type 1 diabetes eat a more atherosclerosis-prone diet than healthy control subjects

verfasst von: N. C. Øverby, V. Flaaten, M. B. Veierød, I. Bergstad, H. D. Margeirsdottir, K. Dahl-Jørgensen, L. F. Andersen

Erschienen in: Diabetologia | Ausgabe 2/2007

Einloggen, um Zugang zu erhalten

Abstract

Aims/hypothesis

We evaluated how well the diet of Norwegian children and adolescents with type 1 diabetes fulfils the Nordic and European dietary recommendations, focusing on parameters affecting prevention of atherosclerosis. We also compared the diet of this patient group with that of healthy same-age control subjects.

Materials and methods

A total of 177 children and adolescents with type 1 diabetes (9–10-year-olds, 12–13-year-olds) and 1,809 healthy same-age control subjects recorded their food intake for 4 days in precoded food diaries.

Results

In children and adolescents with type 1 diabetes the percentage of energy (E%) from fat (33–35 E%) and saturated fat (14–15 E%) was higher than recommended for that group. Furthermore their intake of fibre was lower (16–19 g/day) than current recommendations. There were no differences in energy intake between diabetic subjects and healthy control subjects. Percentage of energy from fat (mean difference: 3.4 E%, p < 0.001) and saturated fat (mean difference: 1.0 E%, p < 0.001) was significantly higher among diabetic subjects than control subjects. Intake of fruits and vegetables was low (210 g/day) compared with recommendations, both in the diabetic and control subjects.

Conclusions/interpretation

Diabetic children and adolescents had a high intake of energy from saturated fat and low intake of fibre, fruits and vegetables, which could increase the risk of development of atherosclerosis. This study supports the idea that nutritional guidance in the treatment of children and adolescents with type 1 diabetes should be more focused, especially with regard to intake of fibre, fruits and vegetables and to quality and quantity of fat intake.

Dahl-Jørgensen K, Larsen JR, Hanssen KF (2005) Atherosclerosis in childhood and adolescent type 1 diabetes: early disease, early treatment? Diabetologia 48:1445–1453PubMedCrossRef

Laing SP, Swerdlow AJ, Slater SD et al (2003) Mortality from heart disease in a cohort of 23,000 patients with insulin-treated diabetes. Diabetologia 46:760–765PubMedCrossRef

Toeller M, Buyken AE, Heitkamp G et al (1999) Associations of fat and cholesterol intake with serum lipid levels and cardiovascular disease: the EURODIAB IDDM Complications Study. Exp Clin Endocrinol Diabetes 107:512–521PubMedCrossRef

Toeller M, Buyken AE, Heitkamp G, de Pergola G, Giorgino F, Fuller JH (1999) Fiber intake, serum cholesterol levels, and cardiovascular disease in European individuals with type 1 diabetes. EURODIAB IDDM Complications Study Group. Diabetes Care 22(Suppl 2):B21–B28PubMed

Li S, Chen W, Srinivasan SR et al (2003) Childhood cardiovascular risk factors and carotid vascular changes in adulthood: the Bogalusa Heart Study. JAMA 290:2271–2276PubMedCrossRef

Strong JP, Malcom GT, McMahan CA et al (1999) Prevalence and extent of atherosclerosis in adolescents and young adults: implications for prevention from the pathobiological determinants of atherosclerosis in youth study. JAMA 281:727–735PubMedCrossRef

Viikari JS, Raitakari OT, Simell O (2002) Nutritional influences on lipids and future atherosclerosis beginning prenatally and during childhood. Curr Opin Lipidol 13:11–18PubMedCrossRef

Järvisalo MJ, Raitakari M, Toikka JO et al (2004) Endothelial dysfunction and increased arterial intima-media thickness in children with type 1 diabetes. Circulation 109:1750–1755PubMedCrossRef

Järvisalo MJ, Jartti L, Näntö-Salonen K et al (2001) Increased aortic intima-media thickness: a marker of preclinical atherosclerosis in high-risk children. Circulation 104:2943–2947PubMedCrossRef

10.

Mayer-Davis EJ, Nichols M, Liese AD et al (2006) Dietary intake among youth with diabetes: the search for diabetes in youth study. J Am Diet Assoc 106:689–697PubMedCrossRef

11.

Hackett AF, Court S, McCowen C, Parkin JM (1986) Dietary survey of diabetics. Arch Dis Child 61:67–71PubMed

12.

Randecker GA, Smiciklas-Wright H, McKenzie JM et al (1996) The dietary intake of children with IDDM. Diabetes Care 19:1370–1374PubMedCrossRef

13.

Samuelson G, Lenner RA, Carlgren G et al (1989) Food and nutrient intakes in Swedish diabetic children. Eur J Clin Nutr 43:801–803PubMed

14.

Schober E, Langergraber B, Rupprecht G, Rami B (1999) Dietary intake of Austrian diabetic children 10 to 14 years of age. J Pediatr Gastroenterol Nutr 29:144–147PubMedCrossRef

15.

Virtanen SM, Räsänen L, Mäenpää J, Åkerblom HK (1987) Dietary survey of Finnish adolescent diabetics and non-diabetic controls. Acta Pædiatr Scand 76:801–808PubMed

16.

Pietiläinen KH, Virtanen SM, Rissanen A, Rita H, Mäenpää J (1995) Diet, obesity and metabolic control in girls with insulin dependent diabetes mellitus. Arch Dis Child 73:398–402PubMedCrossRef

17.

Lorentsen N, Bergstad I (2005) Diet, self-management and metabolic control in Norwegian teenagers with type 1 diabetes. Scand J Nutr 49:27–37CrossRef

18.

Nordic Council of Ministers (2005) Nordic nutrition recommendations 2004. Integrating nutrition and physical activity. 4th edn. Norden, Copenhagen, Denmark

19.

Mann JI, De Leeuw I, Hermansen K et al (2004) Evidence-based nutritional approaches to the treatment and prevention of diabetes mellitus. Nutr Metab Cardiovasc Dis 14:373–394PubMedCrossRef

20.

Margeirsdottir HD, Larsen JR, Brunborg C, Dahl-Jørgensen K and the Norwegian Study Group for Childhood Diabetes (2006) Nation-wide improvement in HbA1c and complication screening in a benchmarking project in childhood diabetes. A prospective national quality study. Pediatric Diabetes 7(Suppl 5):OP-4 (Abstract)

21.

Øverby N, Lillegaard ITL, Johansson L, Andersen LF (2004) High intake of added sugars among Norwegian children and adolescents. Public Health Nutr 7:285–293PubMedCrossRef

22.

Andersen LF, Lillegaard ITL, Øverby N, Lytle L, Klepp K-I, Johansson L (2005) Overweight and obesity among Norwegian schoolchildren: changes from 1993 to 2000. Scand J Public Health 33:99–106PubMedCrossRef

23.

Lillegaard ITL, Andersen LF (2005) Validation of a pre-coded food diary with energy expenditure, comparison of under-reporters v. acceptable reporters. Br J Nutr 94:998–1003PubMedCrossRef

24.

Lillegaard ITL, Øverby NC, Andersen LF (2005) Can children and adolescents use photographs of food to estimate portion sizes? Eur J Clin Nutr 59:611–617PubMedCrossRef

25.

Rimestad AH, Løken EB, Nordbotten A (2000) The Norwegian food composition table and the database for nutrient calculations at the Institute for Nutrition Research. Nor J Epidemiol 10:7–10 (in Norwegian)

26.

National Nutrition Council (1995) Dietary guidelines for health institutions. Universitetsforlaget, Oslo, Norway (in Norwegian)

27.

Dorchy H, Bourguet K (1997) Nutritional intake of Belgian diabetic children. Diabetes Care 20:1046–1047 (Letter)PubMedCrossRef

28.

Faulkner MS, Chao WH, Kamath SK et al (2006) Total homocysteine, diet, and lipid profiles in type 1 and type 2 diabetic and nondiabetic adolescents. J Cardiovasc Nurs 21:47–55PubMedCrossRef

29.

Franz MJ, Bantle JP, Beebe CA et al (2002) Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Diabetes Care 25:148–198PubMedCrossRef

30.

Virtanen SM, Räsänen L, Virtanen M et al (1993) Associations of serum lipids with metabolic control and diet in young subjects with insulin-dependent diabetes mellitus in Finland. Eur J Clin Nutr 47:141–149PubMed

31.

Donaghue KC, Pena MM, Chan AKF et al (2000) Beneficial effects of increasing monounsaturated fat intake in adolescents with type 1 diabetes. Diabetes Res Clin Pract 48:193–199PubMedCrossRef

32.

Malik VS, Schulze MB, Hu FB (2006) Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 84:274–288PubMed

33.

Ingberg C-M, Särnblad S, Palmér M, Schvarcz E, Berne C, Åman J (2003) Body composition in adolescent girls with type 1 diabetes. Diabet Med 20:1005–1011PubMedCrossRef

34.

Danne T, Kordonouri O, Enders I, Weber B (1997) Factors influencing height and weight development in children with diabetes. Results of the Berlin Retinopathy Study. Diabetes Care 20:281–285PubMedCrossRef

35.

Holl RW, Grabert M, Sorgo W, Heinze E, Debatin KM (1998) Contribution of age, gender and insulin administration to weight gain in subjects with IDDM. Diabetologia 41:542–547PubMedCrossRef

36.

The Diabetes Control and Complications Trial Research Group (2001) Influence of intensive diabetes treatment on body weight and composition of adults with type 1 diabetes in the diabetes control and complication trial. Diabetes Care 24:1711–1721CrossRef

37.

Jacob AN, Salinas K, Adams-Huet B, Raskin P (2006) Potential causes of weight gain in type 1 diabetes mellitus. Diabetes Obes Metab 8:404–411PubMedCrossRef

38.

Virtanen SM, Varo P (1988) Dietary fibre and fibre fractions in the diet of Finnish diabetic and non-diabetic adolescents. Eur J Clin Nutr 42:169–175PubMed

39.

Kønig A, Bouzan C, Cohen JT et al (2005) A quantitative analysis of fish consumption and coronary heart mortality. Am J Prev Med 29:335–346PubMedCrossRef

40.

Law MR, Morris JK (1998) By how much does fruit and vegetable consumption reduce the risk of ischaemic heart disease? Eur J Clin Nutr 52:549–556PubMedCrossRef

41.

Hung HC, Joshipura KJ, Jiang R et al (2004) Fruit and vegetable intake and risk of major chronic disease. J Natl Cancer Inst 96:1577–1584PubMedCrossRef

42.

Andersen LF, Øverby NC, Lillegaard ITL (2004) Intake of fruit and vegetables among Norwegian children and adolescents. Tidsskr Nor Laegeforen 10:1396–1398 (in Norwegian)

43.

Gordon CM, Mansfield MJ (1996) Changing need of the patient with diabetes mellitus during the teenage years. Curr Opin Pediatr 8:319–327PubMedCrossRef

44.

Larsen J, Brekke M, Sandvik L, Arnesen H, Hanssen KF, Dahl-Jørgensen K (2002) Silent coronary atheromatosis in type 1 diabetic patients and its relation to long-term glycemic control Diabetes 51:2637–2641PubMedCrossRef

45.

Johansson L, Solvoll K, Opdahl S, Bjørneboe GE, Drevon CA (1997) Response rate with different distribution methods and reward, and reproducibility of a quantitative food frequency questionnaire. Eur J Clin Nutr 51:346–353PubMedCrossRef

46.

Black AE, Goldberg GR, Jebb SA, Livingstone MB, Cole TJ, Prentice AM (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology: 2. Evaluating the results of published surveys. Eur J Clin Nutr 45:583–599PubMed

47.

Goldberg GR, Black AE, Jebb SA et al (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 45:569–581PubMed

48.

Sichert-Hellert W, Kersting M, Schöch G (1998) Underreporting of energy intake in 1 to 18 year old German children and adolescents. Z Ernährungswiss 37:242–251PubMedCrossRef

Titel: Children and adolescents with type 1 diabetes eat a more atherosclerosis-prone diet than healthy control subjects
verfasst von: N. C. Øverby
V. Flaaten
M. B. Veierød
I. Bergstad
H. D. Margeirsdottir
K. Dahl-Jørgensen
L. F. Andersen
Publikationsdatum: 01.02.2007
Verlag: Springer-Verlag
Erschienen in: Diabetologia / Ausgabe 2/2007
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI: https://doi.org/10.1007/s00125-006-0540-9

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Neu im Fachgebiet Innere Medizin

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren.

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Aims/hypothesis

Materials and methods

Results

Conclusions/interpretation

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2007

Serum calcium is independently associated with insulin sensitivity measured with euglycaemic–hyperinsulinaemic clamp in a community-based cohort

Acute blockade by endothelin-1 of haemodynamic insulin action in rats

Exercise training reduces fatty acid availability and improves the insulin sensitivity of glucose metabolism

Progression from impaired fasting glucose and impaired glucose tolerance to diabetes in a high-risk screening programme in general practice: the ADDITION Study, Denmark

Glucose inhibits glucagon secretion by a direct effect on mouse pancreatic alpha cells