Physical Growth and Body Composition of Controlled Versus Uncontrolled Type 1 Egyptian Diabetic Children


  • Nayera E. Hassan 1National Research Centre, Biological Anthropology, ElBuhose Street, Dokki, Giza, Cairo 12622
  • Ahmed El-Kahky Institute of Postgraduate Childhood Studies, Pediatrics, Cairo
  • Mona Atteya Hana Faculty of Medicine, Cairo University, Pediatric Department, Cairo
  • Mones M. Abu Shady National Research Centre, Child Health Department, Cairo
  • Essam M. Galal National Research Centre, Child Health Department, Cairo
  • Aya Khalil National Research Centre, Biological Anthropology, ElBuhose Street, Dokki, Giza, Cairo 12622



T1DM, growth, body composition, children, glycemic control.


BACKGROUND: Type 1 Diabetes Mellitus (T1DM) is one of the most common chronic endocrine disorders of childhood. Data on growth parameters of diabetic children is scarce.

AIM: To assess growth and body composition in a group of diabetic children.

SUBJECTS AND METHODS: 427 T1DM children (age 2-10 years) were recruited from Diabetic Paediatric Unit, outpatients' clinic of Abou El-Rish Hospital. Anthropometric and body composition parameters were taken and HbA1c was measured for all subjects.

RESULTS:  Highly significant difference was detected between controlled and uncontrolled groups as regard to weight/age z-score, height/age z-score, BMI z-score, triceps skin fold thickness, subscapular skin fold thickness, midupper arm circumference, fat mass, fat %, lean mass, and body water (p < 0.001). All values are higher in the controlled group than in the uncontrolled group. Uncontrolled subjects were significantly more at risk of being underweight and short, with odds ratio of 15.131 and 16.877 and 95% confidence interval 1.972-116.130 and 3.973-71.694 respectively. However, controlled subjects were significantly more at risk of being obese than the uncontrolled with an odds ratio 0.116 and 95% confidence interval 0.045-0.302.

CONCLUSION: Growth was compromised in uncontrolled T1DM children. This is of utmost importance since most of the clinical features are reversible with better glycemic control and appropriate insulin management.


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How to Cite

Hassan NE, El-Kahky A, Hana MA, Abu Shady MM, Galal EM, Khalil A. Physical Growth and Body Composition of Controlled Versus Uncontrolled Type 1 Egyptian Diabetic Children. Open Access Maced J Med Sci [Internet]. 2014 Dec. 15 [cited 2022 Aug. 14];2(4):567-72. Available from:



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