Type 1 diabetes

Risk factors for pre-clinical atherosclerosis in adolescents with type 1 diabetes

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Oxidative stress, male gender, insulin dose, diabetes duration and longitudinal lipids and blood pressure, contributed to the variance of early vascular damage in young patients with T1D.

Study context

Population
Children/adolescents with T1D (130 girls, age 9.1–23.0 years)130 girls
Participants
267 participants
Outcome
Associations of traditional risk factors, oxidative stress, oxLDL and glycemic variability with early vascular damage (z-cIMT, z-PWV, Lp-PLA2)
Methodological detailsgeneral linear models
  • General linear models

Main finding

As reported in the abstract

Determinants of early vascular damage (general linear models)
z-cIMT: male gender
B = 0.491, η2 = 0.029, p = 0.005
z-cIMT: cSBP
B = 0.023, η2 = 0.026, p = 0.008
z-cIMT: oxLDL
B = 0.022, η2 = 0.022, p = 0.014
z-PWV: diabetes duration
B = 0.054, η2 = 0.024, p = 0.016
z-PWV: daily insulin dose
B = 0.52, η2 = 0.018, p = 0.045
z-PWV: longitudinal z-SBP
B = 0.18, η2 = 0.018, p = 0.045
z-PWV: dROMs
B = 0.003, η2 = 0.037, p = 0.004
Lp-PLA2: age
B = 0.221, η2 = 0.079, p = 3*10-6
Lp-PLA2: oxLDL
B = 0.081, η2 = 0.050, p = 2*10-4
Lp-PLA2: longitudinal LDL-C
B = 0.031, η2 = 0.043, p = 0.001
Lp-PLA2: male gender
B = −1.62, η2 = 0.10, p = 1.3*107

Observational data: associations, not effects.

Original publication

Risk factors for pre-clinical atherosclerosis in adolescents with type 1 diabetes. Diabetes Res Clin Pract. Published 9 March 2023. doi:10.1016/j.diabres.2023.110618

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