Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr:126:68-78.
doi: 10.1016/j.diabres.2017.01.012. Epub 2017 Feb 4.

Correlates of overweight and obesity in 5529 adolescents with type 1 diabetes: The T1D Exchange Clinic Registry

Karl E Minges  1 , Robin Whittemore  2 , Stuart A Weinzimer  3 , Melinda L Irwin  4 , Nancy S Redeker  2 , Margaret Grey  2
Affiliations

Correlates of overweight and obesity in 5529 adolescents with type 1 diabetes: The T1D Exchange Clinic Registry

Karl E Minges et al. Diabetes Res Clin Pract. 2017 Apr.

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±1.4years, 51.8% male, 77.9% white, mean HbA1c=8.7±1.8%; 72mmol/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.

Keywords: Behavioral medicine; Diabetes mellitus; Obesity; Overweight; Type 1.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest:

All authors have reported no conflicts of interest for this study.

Figures

Figure 1
Figure 1
Factors significantly associated with overweight (vs. normal weight) identified in multinomial analysis
Figure 2
Figure 2
Factors significantly associated with obesity (vs. normal weight) identified in multinomial analysis
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Jack A. Time to supersize control efforts for obesity. Lancet. 2007;370:1521. - PubMed
    1. Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the united states, 2011–2012. JAMA. 2014;311:806–14. - PMC - PubMed
    1. Ogden CL, Carroll MD, Lawman HG, et al. Trends in obesity prevalence among children and adolescents in the united states, 1988–1994 through 2013–2014. JAMA. 2016;315:2292–9. - PMC - PubMed
    1. Liu LL, Lawrence JM, Davis C, Liese AD, Pettitt DJ, Pihoker C, et al. Prevalence of overweight and obesity in youth with diabetes in USA: the SEARCH for Diabetes in Youth study. Pediatric Diabetes. 2010;11:4–11. - PubMed
    1. Sandhu N, Witmans MB, Lemay J-F, Crawford S, Jadavji N, Pacaud D. Prevalence of overweight and obesity in children and adolescents with type 1 diabetes mellitus. Journal of Pediatric Endocrinology. 2008;21:631–40. - PubMed