摘要
过去认为在儿童1型糖尿病(T1DM)中多以体型消瘦为主,超重、肥胖较少见,因此重视程度不高。但近年随着儿童T1DM患病率的增高,其超重和肥胖率也出现增长趋势,这不仅影响患儿生长发育,还可能增加其并发症的发生风险,影响病情预后,故现已成为T1DM长期管理中的一个新问题。现就T1DM儿童在随访中出现超重、肥胖的影响因素进行综述,以提高临床对T1DM患儿超重、肥胖的重视,做好对有风险因素群体的监测,尽早给予关注和干预,优化其治疗方案。
Type 1 diabetes mellitus(T1DM)in children used to be manifested as emaciation,and overweight and obese children with T1DM are less observed.Therefore,these special population has not been concerned.However,in recent years,with the increase in the prevalence of T1DM in children,the rates of overweight and obese children with T1DM have on the rise.Overweight and obesity not only affect the growth and development of children,but also increases the risk of complications of T1DM that negatively affect the prognosis.Therefore,overweight and obesity have become a new problem in the long-term management of T1DM.This review aims to summarize the influencing factors for overweight and obesity in children with T1DM during follow-up,thus highlighting the management of the special population.This review provides reference for the monitoring of risk population of children with T1DM,timely performing clinical management and optimizing the therapeutic strategy of T1DM.
作者
赵玲
刘晓静
Zhao Ling;Liu Xiaojing(Department of Pediatrics,the First Affiliated Hospital of Anhui Medical University,Hefei 230000,China)
出处
《中华实用儿科临床杂志》
CAS
CSCD
北大核心
2023年第6期469-472,共4页
Chinese Journal of Applied Clinical Pediatrics
基金
中国儿童生长发育学术交流专项儿科内分泌中青年医师成长科研基金(Z-2019-41-2101-01)。
关键词
1型糖尿病
儿童
超重
肥胖
Type 1 diabetes mellitus
Child
Overweight
Obesity
