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J Pediatr. 2011 Apr;158(4):589-593.e2. doi: 10.1016/j.jpeds.2010.09.050. Epub 2010 Nov 4.

Anthropometry, metabolic control, and follow-up in children and adolescents with type 1 diabetes mellitus and biopsy-proven celiac disease.

Author information

1
Department of Pediatrics, Medical University of Graz, Graz, Austria. elke.froehlich-reiterer@medunigraz.at

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.

PMID:
21051047
DOI:
10.1016/j.jpeds.2010.09.050
[Indexed for MEDLINE]

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