Endothelial dysfunction in children with type 1 diabetes mellitus

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Hoofdauteur: Nascimento, Antonella Márcia Mercadante de Albuquerque do
Publicatiedatum: 2017
Andere auteurs: Sequeira, Inês Jorge, Vasconcelos, Daniel França, Gandolfi, Lenora, Pratesi, Riccardo, Nóbrega, Yanna Karla de Medeiros
Formaat: Article
Taal: eng
Bron: Repositório Institucional da UnB
Download full: http://repositorio.unb.br/handle/10482/30979
http://dx.doi.org/10.1590/2359-3997000000271
Samenvatting: The purpose of this study was to verify the presence of endothelial dysfunction and initial structural atherosclerotic changes in children with Type 1 diabetes mellitus (T1DM). Subjects and methods The study population comprised 31 diabetic children aged 6 to 12 years, divided into two subgroups according to the duration of the T1DM diagnosis: subgroup 1, with less than 5 years elapsed since diagnosis, and subgroup 2, with more than 5 years elapsed since diagnosis. The control group comprised 58 age-matched healthy children. Ultrasonographic techniques were used to measure the flow-mediated dilatation (FMD) of the brachial artery and the intima-media thickness (IMT) of the carotid arteries. Results Children with T1DM with longer disease duration showed significantly decreased mean values of FMD compared with those in the control group. No significant differences between the groups were found in relation to IMT. The FMD percentage presented a moderate negative correlation with glycated hemoglobin (HbA1c) and fasting glucose levels. Conclusion Our findings suggest that endothelial dysfunction may be already present in children with 5 years or more elapsed since diagnosis, even in the absence of atherosclerotic structural changes. The decreased vasodilation response correlated with hyperglycemia.
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author Nascimento, Antonella Márcia Mercadante de Albuquerque do
author2 Sequeira, Inês Jorge
Vasconcelos, Daniel França
Gandolfi, Lenora
Pratesi, Riccardo
Nóbrega, Yanna Karla de Medeiros
author2_role author
author
author
author
author
author_browse Gandolfi, Lenora
Nascimento, Antonella Márcia Mercadante de Albuquerque do
Nóbrega, Yanna Karla de Medeiros
Pratesi, Riccardo
Sequeira, Inês Jorge
Vasconcelos, Daniel França
author_facet Nascimento, Antonella Márcia Mercadante de Albuquerque do
Sequeira, Inês Jorge
Vasconcelos, Daniel França
Gandolfi, Lenora
Pratesi, Riccardo
Nóbrega, Yanna Karla de Medeiros
author_role author
bitstream.checksum.fl_str_mv 129bc6a336d8b7f01fd94c365d2ae354
bitstream.checksumAlgorithm.fl_str_mv MD5
bitstream.url.fl_str_mv http://repositorio.unb.br/bitstream/10482/30979/1/ARTIGO_EndothelialDysfunctionChildren.pdf
collection Repositório Institucional da UnB
dc.contributor.author.fl_str_mv Nascimento, Antonella Márcia Mercadante de Albuquerque do
Sequeira, Inês Jorge
Vasconcelos, Daniel França
Gandolfi, Lenora
Pratesi, Riccardo
Nóbrega, Yanna Karla de Medeiros
dc.date.accessioned.fl_str_mv 2018-01-04T19:15:57Z
dc.date.available.fl_str_mv 2018-01-04T19:15:57Z
dc.date.issued.fl_str_mv 2017-09
dc.identifier.citation.fl_str_mv NASCIMENTO, Antonella Márcia Mercadante de Albuquerque do et al. Endothelial dysfunction in children with type 1 diabetes mellitus. Archives of Endocrinology and Metabolism, São Paulo, v. 61, n. 5, p. 476-483, set./out. 2017. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972017000500476&lng=en&nrm=iso>. Acesso em: 5 jan. 2018. Epub June 26, 2017. doi: http://dx.doi.org/10.1590/2359-3997000000271.
dc.identifier.doi.pt_BR.fl_str_mv http://dx.doi.org/10.1590/2359-3997000000271
dc.identifier.uri.fl_str_mv http://repositorio.unb.br/handle/10482/30979
dc.language.iso.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Brasileira de Endocrinologia e Metabologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da UnB
instname:Universidade de Brasília (UnB)
instacron:UNB
dc.subject.keyword.pt_BR.fl_str_mv Diabetes
Aterosclerose
Dilatação fluxomediada
dc.title.pt_BR.fl_str_mv Endothelial dysfunction in children with type 1 diabetes mellitus
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
description The purpose of this study was to verify the presence of endothelial dysfunction and initial structural atherosclerotic changes in children with Type 1 diabetes mellitus (T1DM). Subjects and methods The study population comprised 31 diabetic children aged 6 to 12 years, divided into two subgroups according to the duration of the T1DM diagnosis: subgroup 1, with less than 5 years elapsed since diagnosis, and subgroup 2, with more than 5 years elapsed since diagnosis. The control group comprised 58 age-matched healthy children. Ultrasonographic techniques were used to measure the flow-mediated dilatation (FMD) of the brachial artery and the intima-media thickness (IMT) of the carotid arteries. Results Children with T1DM with longer disease duration showed significantly decreased mean values of FMD compared with those in the control group. No significant differences between the groups were found in relation to IMT. The FMD percentage presented a moderate negative correlation with glycated hemoglobin (HbA1c) and fasting glucose levels. Conclusion Our findings suggest that endothelial dysfunction may be already present in children with 5 years or more elapsed since diagnosis, even in the absence of atherosclerotic structural changes. The decreased vasodilation response correlated with hyperglycemia.
eu_rights_str_mv openAccess
format article
id UNB_a67bfa51fea145726cffdca284a8e9da
identifier_str_mv NASCIMENTO, Antonella Márcia Mercadante de Albuquerque do et al. Endothelial dysfunction in children with type 1 diabetes mellitus. Archives of Endocrinology and Metabolism, São Paulo, v. 61, n. 5, p. 476-483, set./out. 2017. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972017000500476&lng=en&nrm=iso>. Acesso em: 5 jan. 2018. Epub June 26, 2017. doi: http://dx.doi.org/10.1590/2359-3997000000271.
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instname_str Universidade de Brasília (UnB)
language eng
network_acronym_str UNB
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publishDate 2017
publishDateSort 2017
publisher.none.fl_str_mv Sociedade Brasileira de Endocrinologia e Metabologia
reponame_str Repositório Institucional da UnB
repository.mail.fl_str_mv repositorio@unb.br
repository.name.fl_str_mv Repositório Institucional da UnB - Universidade de Brasília (UnB)
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spelling Nascimento, Antonella Márcia Mercadante de Albuquerque doSequeira, Inês JorgeVasconcelos, Daniel FrançaGandolfi, LenoraPratesi, RiccardoNóbrega, Yanna Karla de Medeiros2018-01-04T19:15:57Z2018-01-04T19:15:57Z2017-09NASCIMENTO, Antonella Márcia Mercadante de Albuquerque do et al. Endothelial dysfunction in children with type 1 diabetes mellitus. Archives of Endocrinology and Metabolism, São Paulo, v. 61, n. 5, p. 476-483, set./out. 2017. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972017000500476&lng=en&nrm=iso>. Acesso em: 5 jan. 2018. Epub June 26, 2017. doi: http://dx.doi.org/10.1590/2359-3997000000271.http://repositorio.unb.br/handle/10482/30979http://dx.doi.org/10.1590/2359-3997000000271Sociedade Brasileira de Endocrinologia e MetabologiaArchives of Endocrinology and Metabolism - This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0). Fonte: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972017000500476&lng=en&nrm=iso. Acesso em: 5 jan. 2018.info:eu-repo/semantics/openAccessEndothelial dysfunction in children with type 1 diabetes mellitusinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleDiabetesAteroscleroseDilatação fluxomediadaThe purpose of this study was to verify the presence of endothelial dysfunction and initial structural atherosclerotic changes in children with Type 1 diabetes mellitus (T1DM). Subjects and methods The study population comprised 31 diabetic children aged 6 to 12 years, divided into two subgroups according to the duration of the T1DM diagnosis: subgroup 1, with less than 5 years elapsed since diagnosis, and subgroup 2, with more than 5 years elapsed since diagnosis. The control group comprised 58 age-matched healthy children. Ultrasonographic techniques were used to measure the flow-mediated dilatation (FMD) of the brachial artery and the intima-media thickness (IMT) of the carotid arteries. Results Children with T1DM with longer disease duration showed significantly decreased mean values of FMD compared with those in the control group. No significant differences between the groups were found in relation to IMT. The FMD percentage presented a moderate negative correlation with glycated hemoglobin (HbA1c) and fasting glucose levels. Conclusion Our findings suggest that endothelial dysfunction may be already present in children with 5 years or more elapsed since diagnosis, even in the absence of atherosclerotic structural changes. The decreased vasodilation response correlated with hyperglycemia.engreponame:Repositório Institucional da UnBinstname:Universidade de Brasília (UnB)instacron:UNBORIGINALARTIGO_EndothelialDysfunctionChildren.pdfARTIGO_EndothelialDysfunctionChildren.pdfapplication/pdf326086http://repositorio.unb.br/bitstream/10482/30979/1/ARTIGO_EndothelialDysfunctionChildren.pdf129bc6a336d8b7f01fd94c365d2ae354MD51open access10482/309792025-01-16 10:10:55.214open accessoai:repositorio.unb.br:10482/30979Repositório InstitucionalPUBhttps://repositorio.unb.br/oai/requestrepositorio@unb.bropendoar:2025-01-16T13:10:55Repositório Institucional da UnB - Universidade de Brasília (UnB)
spellingShingle Endothelial dysfunction in children with type 1 diabetes mellitus
Nascimento, Antonella Márcia Mercadante de Albuquerque do
Diabetes
Aterosclerose
Dilatação fluxomediada
status_str publishedVersion
title Endothelial dysfunction in children with type 1 diabetes mellitus
title_full Endothelial dysfunction in children with type 1 diabetes mellitus
title_fullStr Endothelial dysfunction in children with type 1 diabetes mellitus
title_full_unstemmed Endothelial dysfunction in children with type 1 diabetes mellitus
title_short Endothelial dysfunction in children with type 1 diabetes mellitus
title_sort Endothelial dysfunction in children with type 1 diabetes mellitus
topic Diabetes
Aterosclerose
Dilatação fluxomediada
url http://repositorio.unb.br/handle/10482/30979
http://dx.doi.org/10.1590/2359-3997000000271