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Comparative Study
. 2015:2015:370753.
doi: 10.1155/2015/370753. Epub 2015 Jun 1.

Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria

M Flechtner-Mors  1 , K O Schwab  2 , E E Fröhlich-Reiterer  3 , T M Kapellen  4 , T Meissner  5 , J Rosenbauer  6 , R Stachow  7 , R W Holl  1
Affiliations
Comparative Study

Overweight and Obesity Based on Four Reference Systems in 18,382 Paediatric Patients with Type 1 Diabetes from Germany and Austria

M Flechtner-Mors et al. J Diabetes Res. 2015.

Abstract

Aim: To evaluate the prevalence of overweight and obesity in paediatric type 1 diabetes (T1D) subjects, based on four commonly used reference populations.

Methods: Using WHO, IOTF, AGA (German pediatric obesity), and KiGGS (German Health Interview and Examination Survey for Children and Adolescents) reference populations, prevalence of overweight (≥90th percentile) and obesity (≥97th percentile) and time trend between 2000 (n = 9,461) and 2013 (n = 18,382) were determined in 2-18-year-old T1D patients documented in the German/Austrian DPV database.

Results: In 2000, the overweight prevalence was the highest according to IOTF (22.3%), followed by WHO (20.8%), AGA (15.5%), and KiGGS (9.4%). The respective rates in 2013 were IOTF (24.8%), WHO (22.9%), AGA (18.2%), and KiGGS (11.7%). Obesity prevalence in 2000 was the highest according to WHO (7.9%), followed by AGA (4.5%), IOTF (3.1%), and KiGGS (1.8%). In 2013, the respective rates were WHO (9.6%), AGA (6.2%), IOTF (4.5%), and KiGGS (2.6%). Overall, the prevalence of overweight and obesity increased from 2000 to 2006 (p < 0.001) but showed stabilization thereafter in girls and overweight in boys.

Conclusion: Overweight and obesity prevalence in T1D subjects differs significantly if it is assessed by four separate reference populations. More detailed assessment of each child is required to determine obesity-related risks.

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Figures

Figure 1
Figure 1
Prevalence (%) of overweight (including obesity) and obesity in girls and boys with T1D aged 2–18 years based on WHO, IOTF, AGA, and KiGGS reference population in the years 2000–2013, adjusted for age and diabetes duration. P: percentile. WHO: World Health Organization. IOTF: International Obesity Task Force. AGA: German working group on obesity in childhood and adolescents. KiGGS: German Health Interview and Examination Survey for Children and Adolescents.
Figure 2
Figure 2
Prevalence (%) of overweight and obesity in girls (empty columns) and boys (grey columns) with T1D based on WHO, IOTF, AGA, and KiGGS reference population according to different age groups. P: percentile; ∗ p < 0.0001; # p < 0.001, + p < 0.05, boys versus girls.
See this image and copyright information in PMC

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