Why the study?
Increased elasticity is a marker of cardiovascular events, but elasticity parameters, lipid profiles, and their relationship in children with type 1 diabetes mellitus compared with controls needed evaluation.
Does type 1 diabetes mellitus alter aortic elasticity and lipid profiles in children compared to healthy controls?
Does type 1 diabetes mellitus alter aortic elasticity and lipid profiles in children compared to healthy controls?
Children with type 1 diabetes exhibit increased aortic stiffness and altered elasticity compared to healthy controls, which does not appear to be directly correlated with lipid profile variations.
Increased aortic stiffness in pediatric type 1 diabetes may support early vascular assessment; leaves open lipid-independent mechanisms and need for prospective outcome data.
Background Increased atrial elasticity is a marker of cardiovascular events. This study aimed to compare the parameters of elasticity and lipids in children with type 1 diabetes mellitus (TIDM) compared with controls and the effect of lipids on elasticity in children with diabetes. Method This case-control study was performed in 186 children aged 6 to 18 years. The aortic diameter was obtained from 3 cm above the aortic valve using M mode and was calculated as the distance between the medial edge of the anterior and posterior walls of the aorta at systole and diastole. AoS and AoD were recorded when the aortic wall was fully open. The parameters of aortic elasticity, aortic stiffness beta index, aortic tension, and elastic modulus of pressure were measured. Cholesterol, triglycerides, low-density lipoprotein, and high-density lipoprotein were measured. For data analysis, SPSS 20 considers the applicable error to be 0.05. Results The participants were matched by sex and age. The right CHO, LDL, HDL, and MPI lipids, systolic, diastolic, and aortic systolic blood pressure were different among patients. The analysis also showed that ASβI (MWU = 1582.50, p < 0.001) and PSEM (MWU = 1381.00 and p < 0.001) were higher when AS (MWU = 1204 and p < 0.001) and AoD (MWU = 1672.00 and p < 0.001) and AoD (MWU = 1672.00 and p < 0.001) were lower in patients than in controls. No lipid profiles were significantly correlated with stiffness parameters before and after controlling for age. Conclusion It was concluded that lipid profiles were different, and ASβI and PSEM were lower when AoS and AoD were higher in children with diabetes. None of the lipid profiles were significantly correlated with stiffness parameters before and after controlling for age.
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Noori et al. (2023) studied this question.
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