Increased Adiposity at Diagnosis in Younger Children With Type 1 Diabetes Does Not Persist
Response to Clarke et al.
- Giuseppe d’Annunzio, MD1,
- Valentina Emmanuele, MD1,
- Angela Pistorio, MD2,
- Vera Morsellino, MD1 and
- Renata Lorini, MD1
- 1Department of Pediatrics, University of Genoa, Regional Center of Diabetology, IRCCS G. Gaslini Institute, Genoa, Italy
- 2Department of Epidemiology and Biostatistic Service, Scientific Direction, IRCCS G. Gaslini Institute, Genoa, Italy
- Address correspondence to Giuseppe d’Annunzio, MD, Department of Pediatrics, University of Genoa, Regional Center of Diabetology, IRCCS G. Gaslini Institute, Largo G. Gaslini 5, I-16147 Genoa, Italy. E-mail: giuseppedannunzio{at}ospedale-gaslini.ge.it
The report by Clarke et al. (1) showed that in pediatric type 1 diabetes, younger age at diagnosis was associated with higher BMI SD scores (SDSs); however, BMI SDSs did not change from 1976 to 2004. In patients longitudinally evaluated and grouped according to age at diagnosis, BMI SDSs were higher in the youngest age-group, while, 5 years later, anthropometric parameters were similar across the three groups.
We report our results regarding BMI SDSs of 174 patients, 106 (60.9%) male and 68 (39.1%) female, insulin treated since diagnosis and followed between 1990 and …
