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Medicinski glasnik Specijalne bolnice za bolesti štitaste žlezde i bolesti metabolizma 'Zlatibor'
2012, vol. 17, br. 46, str. 70-91
jezik rada: srpski, engleski
vrsta rada: neklasifikovan
doi:10.5937/medgla1246070S


Prekomerna težina, gojaznost i metabolički sindrom kod dece i adolescenata sa dijabetes melitusom tip 1
aKlinika za dečje interne bolesti, Klinički centar, Niš
bUniverzitet u Nišu, Medicinski fakultet

Sažetak

Broj studija koje se bave problemom gojaznosti u populaciji dece i adolescenata sa dijabetesom tip 1 je ograničen. Cilj: Cilj ovog istraživanja je da se odredi zastupljenost preuhranjenih, gojaznih i osoba sa metaboličkim sindromom u grupi dece i adolescenata sa dijabetes melitusom tip 1 i da se utvrdi povezanost uhranjenosti sa drugim faktorima rizika za razvoj kardiovaskularnih bolesti. Metod: U istraživanje je uključeno 197 pacijenata (94 dečaka i 103 devojčice). Prosečna starost svih pacijenata je 12,71±4,89. Analizirani su njihovi podaci o telesnoj masi, telesnoj visini, indeksu telesne mase, nivou ukupnog holesterola, LDL i HDL holesterola, GHbA1c, o dnevnoj dozi insulina, hipertenziji, uzrastu u kojem je bolest započela, dužini bolesti. Rezultati: U ispitivanoj grupi bilo je 77,2% dece koja su bila normalno uhranjena, 14,2% preuhranjenih, 3,4% gojaznih i 5,2% dece i adolescenata koja su razvila metabolički sindrom. Utvrđena je statistički značajna povezanost između poremećaja uhranjenosti i ukupnog holesterola, triglicerida, arterijske hipertenzije, dužine bolesti i dnevne doze insulina. Zaključak: S obzirom na rastuću učestalost i gojaznosti i dijabetes melitusa tip 1, njihovo međusobno preplitanje, kao komorbiditeta i/ili međusobnih faktora rizika, od velike je važnosti pratiti stepen uhranjenosti i prevenirati pojavu gojaznosti dece i adolescenata sa dijabetesom tip 1 kroz kontinuiranu edukaciju i optimalizaciju insulinskog režima.

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