Excess BMI in childhood: a modifiable risk factor for type 1 diabetes development?

OBJECTIVE We aimed to determine the effect of elevated BMI over time on the progression to type 1 diabetes in youth. RESEARCH DESIGN AND METHODS We studied 1,117 children in the TrialNet Pathway to Prevention cohort (autoantibody-positive relatives of patients with type 1 diabetes). Longitudinally...

Ausführliche Beschreibung

Bibliographische Detailangaben
Hauptverfasser: Ferrara, CT, Geyer, SM, Liu, Y-F, Evans-Molina, C, Libman, IM, Besser, R, Becker, DJ, Rodriguez, H, Moran, A, Gitelman, SE, Redondo, MJ, Type 1 Diabetes TrialNet Study Group
Format: Conference item
Sprache:English
Veröffentlicht: American Diabetes Association 2017
_version_ 1826304028944891904
author Ferrara, CT
Geyer, SM
Liu, Y-F
Evans-Molina, C
Libman, IM
Besser, R
Becker, DJ
Rodriguez, H
Moran, A
Gitelman, SE
Redondo, MJ
Type 1 Diabetes TrialNet Study Group
author_facet Ferrara, CT
Geyer, SM
Liu, Y-F
Evans-Molina, C
Libman, IM
Besser, R
Becker, DJ
Rodriguez, H
Moran, A
Gitelman, SE
Redondo, MJ
Type 1 Diabetes TrialNet Study Group
author_sort Ferrara, CT
collection OXFORD
description OBJECTIVE We aimed to determine the effect of elevated BMI over time on the progression to type 1 diabetes in youth. RESEARCH DESIGN AND METHODS We studied 1,117 children in the TrialNet Pathway to Prevention cohort (autoantibody-positive relatives of patients with type 1 diabetes). Longitudinally accumulated BMI above the 85th age- and sex-adjusted percentile generated a cumulative excess BMI (ceBMI) index. Recursive partitioning and multivariate analyses yielded sex- and age-specific ceBMI thresholds for greatest type 1 diabetes risk. RESULTS Higher ceBMI conferred significantly greater risk of progressing to type 1 diabetes. The increased diabetes risk occurred at lower ceBMI values in children <12 years of age compared with older subjects and in females versus males. CONCLUSIONS Elevated BMI is associated with increased risk of diabetes progression in pediatric autoantibody-positive relatives, but the effect varies by sex and age.
first_indexed 2024-03-07T06:11:38Z
format Conference item
id oxford-uuid:efb41e22-5c2c-42f2-b307-f51b531041e7
institution University of Oxford
language English
last_indexed 2024-03-07T06:11:38Z
publishDate 2017
publisher American Diabetes Association
record_format dspace
spelling oxford-uuid:efb41e22-5c2c-42f2-b307-f51b531041e72022-03-27T11:42:13ZExcess BMI in childhood: a modifiable risk factor for type 1 diabetes development?Conference itemhttp://purl.org/coar/resource_type/c_5794uuid:efb41e22-5c2c-42f2-b307-f51b531041e7EnglishSymplectic ElementsAmerican Diabetes Association2017Ferrara, CTGeyer, SMLiu, Y-FEvans-Molina, CLibman, IMBesser, RBecker, DJRodriguez, HMoran, AGitelman, SERedondo, MJType 1 Diabetes TrialNet Study GroupOBJECTIVE We aimed to determine the effect of elevated BMI over time on the progression to type 1 diabetes in youth. RESEARCH DESIGN AND METHODS We studied 1,117 children in the TrialNet Pathway to Prevention cohort (autoantibody-positive relatives of patients with type 1 diabetes). Longitudinally accumulated BMI above the 85th age- and sex-adjusted percentile generated a cumulative excess BMI (ceBMI) index. Recursive partitioning and multivariate analyses yielded sex- and age-specific ceBMI thresholds for greatest type 1 diabetes risk. RESULTS Higher ceBMI conferred significantly greater risk of progressing to type 1 diabetes. The increased diabetes risk occurred at lower ceBMI values in children <12 years of age compared with older subjects and in females versus males. CONCLUSIONS Elevated BMI is associated with increased risk of diabetes progression in pediatric autoantibody-positive relatives, but the effect varies by sex and age.
spellingShingle Ferrara, CT
Geyer, SM
Liu, Y-F
Evans-Molina, C
Libman, IM
Besser, R
Becker, DJ
Rodriguez, H
Moran, A
Gitelman, SE
Redondo, MJ
Type 1 Diabetes TrialNet Study Group
Excess BMI in childhood: a modifiable risk factor for type 1 diabetes development?
title Excess BMI in childhood: a modifiable risk factor for type 1 diabetes development?
title_full Excess BMI in childhood: a modifiable risk factor for type 1 diabetes development?
title_fullStr Excess BMI in childhood: a modifiable risk factor for type 1 diabetes development?
title_full_unstemmed Excess BMI in childhood: a modifiable risk factor for type 1 diabetes development?
title_short Excess BMI in childhood: a modifiable risk factor for type 1 diabetes development?
title_sort excess bmi in childhood a modifiable risk factor for type 1 diabetes development
work_keys_str_mv AT ferraract excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT geyersm excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT liuyf excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT evansmolinac excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT libmanim excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT besserr excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT beckerdj excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT rodriguezh excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT morana excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT gitelmanse excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT redondomj excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment
AT type1diabetestrialnetstudygroup excessbmiinchildhoodamodifiableriskfactorfortype1diabetesdevelopment