Trajectories in glycated hemoglobin and body mass index in children and adolescents with diabetes using the common data model View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-07-16

AUTHORS

Yun Jeong Lee, Sooyoung Yoo, Soyoung Yi, Seok Kim, Chunggak Lee, Jihoon Cho, Soyeon Ahn, Sunkyu Choi, Hee Hwang, Young Ah Lee, Choong Ho Shin, Hyung-Jin Yoon, Kwangsoo Kim, Eunhye Song, Jin Ho Choi, Han Wook Yoo, Young-Hak Kim, Ji Seon Oh, Eun-Ae Kang, Ga Kyoung Baek, Jae Hyun Kim

ABSTRACT

We evaluated trajectories of glycated hemoglobin (HbA1c) levels and body mass index z-scores (BMIz) for 5 years after diagnosis among Korean children and adolescents with type 1 diabetes (T1D) or type 2 diabetes (T2D) using the common data model. From the de-identified database of three hospitals, 889 patients < 15 years of age diagnosed with T1D or T2D (393 boys, 664 T1D patients) were enrolled. Diagnosis was defined as first exposure to antidiabetic drug at each center. Compared with T2D patients, T1D patients had lower BMIz at diagnosis (- 0.4 ± 1.2 vs. 1.5 ± 1.4, p < 0.001) and 3 months (- 0.1 ± 1.0 vs. 1.5 ± 1.5, p < 0.001), and higher HbA1c levels at diagnosis (10.0 ± 2.6% vs. 9.5 ± 2.7%, p < 0.01). After 3 months, HbA1c levels reached a nadir of 7.6% and 6.5% in T1D and T2D patients, respectively, followed by progressive increases; only 10.4% of T1D and 29.7% of T2D patients achieved the recommended HbA1c target (< 7.0%) at 60 months. T1D patients showed consistent increases in BMIz; T2D patients showed no significant change in BMIz during follow-up. Peri-pubertal girls with T1D had higher HbA1c and BMIz values. Achieving optimal glycemic control and preventing obesity should be emphasized in pediatric diabetes care. More... »

PAGES

14614

Journal

TITLE

Scientific Reports

ISSUE

1

VOLUME

11

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-021-94194-5

DOI

http://dx.doi.org/10.1038/s41598-021-94194-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1139728161

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34272437


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349 Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
350 schema:name Department of Biomedical Engineering, Seoul National University College of Medicine, Seoul, Korea
351 Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, Korea
352 Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
353 rdf:type schema:Organization
354 grid-institutes:grid.412480.b schema:alternateName Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do Korea
355 Division of Statistics, Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do Korea
356 Office of eHealth Research and Businesses, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do Korea
357 schema:name Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do Korea
358 Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
359 Division of Statistics, Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do Korea
360 Office of eHealth Research and Businesses, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do Korea
361 rdf:type schema:Organization
362 grid-institutes:grid.412484.f schema:alternateName Department of Data Science Research, Innovative Medical Technology Research Institute, Seoul National University Hospital, Seoul, Korea
363 schema:name Department of Data Science Research, Innovative Medical Technology Research Institute, Seoul National University Hospital, Seoul, Korea
364 Transdisciplinary Department of Medicine and Advanced Technology, Seoul National University Hospital, Seoul, Korea
365 rdf:type schema:Organization
366 grid-institutes:grid.413967.e schema:alternateName Department of Information Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
367 Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
368 Health Innovation Big Data Center, Asan Institute of Life Sciences, Asan Medical Center, Seoul, Korea
369 schema:name Department of Information Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
370 Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
371 Division of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
372 Health Innovation Big Data Center, Asan Institute of Life Sciences, Asan Medical Center, Seoul, Korea
373 rdf:type schema:Organization
 




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