Prace oryginalne/original PaPers Determinants of atherosclerosis in children and adolescents with diabetes type 1 Ocena stopnia zaawansowania miażdżycy u dzieci i młodzieży z cukrzycą typu 1

Endokrynologia Polska, Sandra Stanković, Sandra Stanković, Saša Živić, Ljiljana Šaranac, Vesna Cvetković, Milica Pešić, Karin Vasić, Miodrag Stanković, Aleksandra Topalović, Tatjana Cvetković
unpublished
To evaluate the degree of atherosclerosis in children and adolescents with type 1 diabetes and its correlation with risk factors , traditional and other, such as anti-oxidative capacity of circulating blood and level of lipid peroxidation. Material and methods: Forty children and adolescents with type 1 diabetes with mean age 13.7 years were compared with 20 age-and sex-matched healthy control subjects. Association of carotid artery intima-media thickness (cIMT) with different risk factors
more » ... red in children with type 1 diabetes was evaluated. Results: Mean carotid IMT was higher in subjects with diabetes (p < 0.01) and was strongly associated with total cholesterol with an odds ratio of 4.08 (p = 0.016), LDL-cholesterol with an odds ratio of 2.78 (p = 0.037), length of disease with an odds ratio of 1.87 (p = 0.007) and positive family history (first-and second-degree relatives) of diabetes and early CVD (heart attack and/or stroke before the age of 60 years) with an odds ratio of 6.8 (p = 0.007). Conclusions: We found significantly increased cIMT in the diabetic patients compared to the healthy control subjects. Risk factors for the development of atherosclerosis included higher total and LDL-cholesterol, higher systolic blood pressure, positive family history of diabetes and early CVD and longer diabetes duration. In spite of the documented increased oxidative stress, we failed to establish a correlation between the oxidative stress parameters and cIMT values. (Endokrynol Pol 2012; 63 (6): 414-419)
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