Type 1 diabetes

The role of sex on the prevalence of cardiovascular risk factors in children and adolescents with Type 1 diabetes: The SWEET international database

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

In children and adolescents with T1D, female sex, in addition to HbA1c above 7 %, and older age (>10 years) was associated with a higher risk of having at least a CVRF (LDL-C, BMI-SDS, BP) according to internationally defined cut-offs.

Study context

Population
Children and adolescents with T1D (6–18 years, T1D ≥ 2 years) in the SWEET prospective multicenter diabetes registry
Participants
29,649 children
Exposure
Females vs males
Outcome
Prevalence of CVRFs (LDL-C > 100 mg/dL; systolic BP-SDS > 90th percentile; BMI-SDS > 2SD)
Methodological detailsmulticenter registry
  • Multicenter registry

Main finding

As reported in the abstract

Prevalence of CVRFs
≥1 CVRF
41 %
≥2 cardiovascular risk factors (CVRFs)
10 %
LDL-C > 100 mg/dL
35%
BMI-SDS > 2SD
26 %
Systolic BP-SDS > 90th percentile
17 %

Observational data: associations, not effects.

Further findings

≥1 CVRF by sex · higher with females

P < 0.001

≥2 CVRFs by sex · higher with females

P < 0.001

Factors associated with ≥1 or ≥2 CVRFs (multivariable logistic regression)

Female sex, HbA1c >7.0 % and age >10 years associated with higher chance of ≥1 or ≥2 CVRFs
P < 0.001

Original publication

The role of sex on the prevalence of cardiovascular risk factors in children and adolescents with Type 1 diabetes: The SWEET international database. Diabetes Res Clin Pract. Published 13 March 2024. doi:10.1016/j.diabres.2024.111616

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