Correlates of overweight and obesity in 5529 adolescents with type 1 diabetes: The T1D Exchange Clinic Registry. (April 2017)

• Record Type: Journal Article
• Authors: Minges, Karl E.; Whittemore, Robin; Weinzimer, Stuart A.; Irwin, Melinda L.; Redeker, Nancy S.; Grey, Margaret
• Is Part Of: Diabetes research and clinical practice. Volume 126(2017)
• Page Start: 68
• Page End: 78
• Publication Date: 2017-04
• Subjects: Overweight -- Obesity -- Diabetes mellitus -- Type 1 -- Behavioral medicine; Diabetes -- Periodicals; Diabetes Mellitus -- Periodicals; 616.462
• DOI: 10.1016/j.diabres.2017.01.012
• Languages: English
• ISSNs: 0168-8227

Abstract

Highlights: Over 1 in 3 adolescents with T1D is overweight/obese in the United States. Almost half of girls, as well as adolescents of diverse race/ethnicity, are overweight/obese. There are a greater number of risk factors for obesity than overweight among adolescents with T1D. Poor-to-fair self-rated health status is the greatest correlate of overweight and obesity. Abstract: Aims: To describe the prevalence of overweight and obesity in adolescents with type 1 diabetes (T1D) and to examine the associations among socio-demographic, clinical, and self-management factors by weight status. Methods: We analyzed baseline data obtained from 5529 adolescents with T1D (mean age = 15.4 ± 1.4 years, 51.8% male, 77.9% white, mean HbA1c = 8.7 ± 1.8%; 72 mmol/mol) from the T1D Exchange Clinic Registry. We examined correlates of weight status using multinomial logistic regression analyses. Results: Overweight (22.9%) and obesity (13.1%) were prevalent in the overall sample and was highest among girls (40.8%) and adolescents of Hispanic/Latino race/ethnicity (46.1%). Female gender, older age, annual household income <$35, 000 (vs. ≥$200, 000), high school parental educational attainment (vs. ≥graduate degree), lower HbA1c, longer duration of T1D, higher amount of insulin, and a recent visit with an allied healthcare provider were independently and significantly associated with higher odds of overweight or obesity. Adolescents who self-rated their health as fair/poor (vs. excellent) had the highest odds of obesity (OR 3.92, 95% CI 2.53–6.06). Conclusions: Overweight/obesity is prevalent among adolescents with T1D, especially among girls and those of diverse race/ethnicity. Some of these factors may be amenable to remediation and point to subgroups that can benefit from obesity prevention and management efforts.