Time-trends in body mass index, and overweight and obesity as independent risk factors for diabetes angiopathy in young females with type 1 diabetes – A nationwide study in Sweden

Diabetes Res Clin PractPublished Population-based cohort study

An erratum to this article was published (Diabetes Res Clin Pract, Nov 2025 ↗)

Authors' conclusion

Females with T1D have increasing BMI overtime and are heavier than females without T1D. Overweight and obesity are by themselves risk factors for angiopathy.

Study context

Population
Females aged 16–35 years with and without T1D, Sweden, January 2005 to October 2015
Participants
3,473 vs 8,487
Exposure
Females with T1D vs background population; overweight/obesity vs normal weight in T1D
  • T1Dn = 3,473
  • Background populationn = 8,487reference
Outcome
Time-trends in BMI-distributions; diabetes angiopathy risk with overweight and obesity
Methodological detailsnationwide
  • Nationwide

Main finding

As reported in the abstract

BMI-distribution
  • 90th percentile and median BMI increased equally over time in both groups; T1D started from a higher baseline
  • T1D vs Background population: P < 0.001

Observational data: associations, not effects.

Further findings

Any angiopathy in T1D, obesity

Adj HR, obesity
1.37 (CI 1.14-1.64)
  • Adjusted Cox regression

Retinopathy in T1D

Adj HR, overweight
1.15 (1.02-1.29)
Adj HR, obesity
1.30 (1.08-1.56)
  • Adjusted Cox regression

Original publication

Time-trends in body mass index, and overweight and obesity as independent risk factors for diabetes angiopathy in young females with type 1 diabetes – A nationwide study in Sweden. Diabetes Res Clin Pract. Published 9 September 2023. doi:10.1016/j.diabres.2023.110899

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