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Bone mass and dietary intake in children and adolescents with type 1 diabetes mellitus.

Research paper by Andreia Araújo Porchat AAP Leão, Camilla Kapp CK Fritz, Marcia Regina Messaggi Gomes MRMG Dias, Julienne Angela Ramires JAR Carvalho, Luis Paulo Gomes LPG Mascarenhas, Mônica Nunes Lima MNL Cat, Rosana R Radominski, Suzana S Nesi-França

Indexed on: 16 Mar '20Published on: 15 Mar '20Published in: Journal of Diabetes and its Complications



Abstract

To evaluate the bone mineral density (BMD) in children/adolescents with type 1 diabetes mellitus (T1DM) and its association with the nutritional intake, metabolic control, and physical activity level of this population. Study including 34 patients with T1DM and 17 controls. Assessments included the participants disease history, intake of macronutrient, calcium, phosphorus and magnesium, physical activity level, total body and lumbar spine BMD and serum levels of glycated hemoglobin, vitamin D, calcium, phosphorus, magnesium, osteocalcin and C-terminal telopeptide. Total body and lumbar spine BMD z-scores were normal in all but two participants in the T1DM group. The T1DM group had significantly lower total body BMD z-score values (p < 0.001) and levels of osteocalcin, C-terminal telopeptide, calcium, phosphorus, and magnesium. Intake of macronutrients and calcium was inadequate in both groups. Participants in the T1DM group were more sedentary (88%) and had inadequate metabolic control (91%) and low vitamin D levels (82%). Bone mass in the T1DM group was influenced by body mass index (BMI), pubertal stage, disease duration, calcium intake, and physical activity level. Bone mass in patients with T1DM was adequate but lower than controls and was influenced by BMI, pubertal stage, disease duration, calcium consumption, and physical activity level. Copyright © 2020 Elsevier Inc. All rights reserved.