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Body Composition of Children and Adolescents with Insulin-dependetn Diabetes Mellitus

Journal of the Korean Pediatric Society 1994;37(12):1709-1716.
Published online December 15, 1994.
Body Composition of Children and Adolescents with Insulin-dependetn Diabetes Mellitus
Hye Young Kang1, Mi Jung Park1, Duk Hi Kim1, You Kyung Park2, Jong Ho Lee2, Ho Seong Kim3
1Department of Pediatrics, Yonsei University, College of Medicine, Seoul, Korea
2Department of Food & Nutrition, Yonsei University, College of Human Ecology, Seoul, Korea
3Department of Pediatrics, Ewha Woman`s University College of Medicine, Seoul, Korea
인슐린 의존형(제 1형) 당뇨병 환아의 신체 조성(Body Composition)에 대한 연구
강혜영1, 박미정1, 김덕희1, 박유경2, 이종호2, 김호성3
1연세대학교 의과대학 소아과학교실
2연세대학교 생활과학대학 식품영양학과
3이화여자대학교 의과대학 소아과학교실
Bodycomposition measurement is useful in the diagnosis of pathoogy, assessment of disease process and response to treatment in many endoclonologic and metabolic diseases. The Techniques used currently are mostly indirect, often expensive, difficult and time-consuming. A new method for estimation of body composition, infrared interactance, is rapid, safe, noninvasive, and may be useful in research ad clinical studies. Body composition was assessed in 51 children and adolescants with insulin-dependent disbetes mellitus by infrared interactance method using a Futrex 5000A body fat content analyzer. Perentage body fat of pubertal girls was 26.1?.6%, significantly greater than prepubertal girls (17.9%, 0<0.01) and pubertal boys (19.9%, p<0.05), Body fat content was increased through puberty in girls, but not increased in boys. Our data do not explain why body fat of pubertal boys was not increased. There was no significant association of insulin dose and HbA1Clevel with percentage body fat. Thus, we had to attempt measure calorie intake, activity level and diet composition. Our data revealed that dietary carbohydrates any prompt fat deposition, but energy balance does not explain the differences between pubertal girls and boys. In conclusion, Body fat increased through puberty in girls, but the etiology of differences in pubertal girls and boys is not clear, and in view of potential adverse effect of fat depostion of long-term health, further larger case-contolled study will be necessary.
Key Words: Body Composition, Insulin-Dependent Diabetes Mellitus, Puberty, Insulin Dose, Energy Balance, Diet Compositions

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