Relationship between lipid profiles with carotid intima--media thickness in children with type I diabetes mellitus

Background The major cause of morbidity and mortality in patients with type I diabetes mellitus is premature and extensive artherosclerosis. Carotid intima-media thickness (IMT) is associated with cardivascular risk factors and has been used as a marker of early artherosclerosis process. Objective T...

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Main Authors: Rubiana Sukardi, Bambang Madiyono, Sudigdo Sastroasmoro, Jose RL Batubara
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2016-09-01
Series:Paediatrica Indonesiana
Subjects:
Online Access:https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/522
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author Rubiana Sukardi
Bambang Madiyono
Sudigdo Sastroasmoro
Jose RL Batubara
author_facet Rubiana Sukardi
Bambang Madiyono
Sudigdo Sastroasmoro
Jose RL Batubara
author_sort Rubiana Sukardi
collection DOAJ
description Background The major cause of morbidity and mortality in patients with type I diabetes mellitus is premature and extensive artherosclerosis. Carotid intima-media thickness (IMT) is associated with cardivascular risk factors and has been used as a marker of early artherosclerosis process. Objective To determine IMT of carotid artery and its relationship with duration of diabetes, lipid profiles, and mean HbA 1 level. Methods A cross-sectional study was conducted on patients with type 1 DM at the Department of Child Health Cipto Mangunkusumo Hospital. Ultrasound B-mode imaging was performed to measure the IMT. Age-matched non-diabtetic subjects served as controls. Statistical significant was assumed at P<O.S. Results The mean IMT values of type I DM patients aged < 12 years, 12-18 years, 18+ years were 0.44 (SD 0.03) mm; 0.46 (SD 0.01) mm; 0.51 (SD 0.01) mm, respectively, which were significantly greater than those of age-matched non-diabetic subjects which were 0.39 (SD 0.01), 0.41 (SD 0.01) mm, 0.46 (SD 0.01) mm, respectively. Patients with type I DM had a higher apolipoprotein-Band HDL cholesterol levels than in non- diabetic subjects. Multiple regression analysis showed that there was no relationship between total cholesterol, cholesterol LDL, chronic hyperglycemia (HbA 1) and IMT. However, IMT in type I diabetes was linearly related with duration of diabetes . Conclusion Type I DM patients have greater IMT and higher mean apolipoprotein B. There is a strong correlation between IMT and duration of diabetes.
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spelling doaj.art-8e01d8d4ad3849828d6a019993740da62022-12-21T23:00:13ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2016-09-014831475110.14238/pi48.3.2008.147-51404Relationship between lipid profiles with carotid intima--media thickness in children with type I diabetes mellitusRubiana SukardiBambang MadiyonoSudigdo SastroasmoroJose RL BatubaraBackground The major cause of morbidity and mortality in patients with type I diabetes mellitus is premature and extensive artherosclerosis. Carotid intima-media thickness (IMT) is associated with cardivascular risk factors and has been used as a marker of early artherosclerosis process. Objective To determine IMT of carotid artery and its relationship with duration of diabetes, lipid profiles, and mean HbA 1 level. Methods A cross-sectional study was conducted on patients with type 1 DM at the Department of Child Health Cipto Mangunkusumo Hospital. Ultrasound B-mode imaging was performed to measure the IMT. Age-matched non-diabtetic subjects served as controls. Statistical significant was assumed at P<O.S. Results The mean IMT values of type I DM patients aged < 12 years, 12-18 years, 18+ years were 0.44 (SD 0.03) mm; 0.46 (SD 0.01) mm; 0.51 (SD 0.01) mm, respectively, which were significantly greater than those of age-matched non-diabetic subjects which were 0.39 (SD 0.01), 0.41 (SD 0.01) mm, 0.46 (SD 0.01) mm, respectively. Patients with type I DM had a higher apolipoprotein-Band HDL cholesterol levels than in non- diabetic subjects. Multiple regression analysis showed that there was no relationship between total cholesterol, cholesterol LDL, chronic hyperglycemia (HbA 1) and IMT. However, IMT in type I diabetes was linearly related with duration of diabetes . Conclusion Type I DM patients have greater IMT and higher mean apolipoprotein B. There is a strong correlation between IMT and duration of diabetes.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/522type I DMCarotid artery tunica intima- media thicknessduration of diabeteslipid profile
spellingShingle Rubiana Sukardi
Bambang Madiyono
Sudigdo Sastroasmoro
Jose RL Batubara
Relationship between lipid profiles with carotid intima--media thickness in children with type I diabetes mellitus
Paediatrica Indonesiana
type I DM
Carotid artery tunica intima- media thickness
duration of diabetes
lipid profile
title Relationship between lipid profiles with carotid intima--media thickness in children with type I diabetes mellitus
title_full Relationship between lipid profiles with carotid intima--media thickness in children with type I diabetes mellitus
title_fullStr Relationship between lipid profiles with carotid intima--media thickness in children with type I diabetes mellitus
title_full_unstemmed Relationship between lipid profiles with carotid intima--media thickness in children with type I diabetes mellitus
title_short Relationship between lipid profiles with carotid intima--media thickness in children with type I diabetes mellitus
title_sort relationship between lipid profiles with carotid intima media thickness in children with type i diabetes mellitus
topic type I DM
Carotid artery tunica intima- media thickness
duration of diabetes
lipid profile
url https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/522
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AT sudigdosastroasmoro relationshipbetweenlipidprofileswithcarotidintimamediathicknessinchildrenwithtypeidiabetesmellitus
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