Standard BMI Of prepubescent Diabetic children

What is it about?

Growth of diabetic children is conflicting. Aim: To create and validate an acceptable body mass index standardized percentiles and curves applied on Egyptian prepubescent diabetic children. Subjects and Methods: Cross-sectional study comprised 822 prepubescent children with type1diabetes mellitus (T1DM), whose age ranged from 3-10 years + 6 months. Anthropometric assessment for each child, body weight and height; body Mass Index (BMI) was calculated [Weight (kg)/Height (m2)] and Glycated hemoglobin were performed. Results: Means + SD and the smoothed percentiles of the BMI from age 3-10 years; by sex; for total, controlled and uncontrolled diabetic children were calculated. Comparisons of the 50th percentile for the controlled and uncontrolled diabetic children; by sex; versus those of Egyptian and WHO Growth Curves were done. For controlled diabetic males and females, BMI 50th percentile was higher than those of Egyptian and WHO growth curves; while, uncontrolled recorded differences. For uncontrolled diabetic males, their BMI was lower than the standard Egyptian and WHO growth curves up to age 5 years, then it became higher than the standard WHO and lower than the standard Egyptian growth curves from age 5 up to 10 years. Contrary to that, BMI of uncontrolled diabetic females was higher than the standard Egyptian and WHO growth curves up to 6.5 years, lied between them from age 6.5 up to 7.5 years, then became lower than both curves up to 10 years of age. Conclusion: Children with T1DM should use their own BMI percentiles and never be compared with normal healthy children.

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Why is it important?

Children with T1DM should use their own BMI percentiles and never be compared with normal healthy children.

Perspectives