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Respiratory infection recurrence and passive smoking in early atherosclerosis in children and adolescents with type 1 diabetes.

Odermarsky, Michal LU ; Andersson, Sture; Pesonen, Erkki LU ; Sjöblad, Sture LU ; Ylä-Herttuala, Seppo and Liuba, Petru LU (2008) In European Journal of Clinical Investigation 38(6). p.381-388
Abstract
BACKGROUND: Optimal glucose control in juvenile type 1 diabetes mellitus is necessary but not sufficient to reduce the burden of cardiovascular events in later life. This emphasizes the importance of searching for other possible risk factors associated with diabetes. We investigated whether recurrent episodes of acute respiratory infections and exposure to tobacco smoke could influence vascular phenotypes for early atherosclerosis in children and adolescents with type 1 diabetes. MATERIALS AND METHODS: Common carotid artery elasticity and intima-media thickness along with circulating markers of lipid, inflammatory and glycaemic profiles were investigated in up to 98 children and adolescents with type 1 diabetes. The number of clinically... (More)
BACKGROUND: Optimal glucose control in juvenile type 1 diabetes mellitus is necessary but not sufficient to reduce the burden of cardiovascular events in later life. This emphasizes the importance of searching for other possible risk factors associated with diabetes. We investigated whether recurrent episodes of acute respiratory infections and exposure to tobacco smoke could influence vascular phenotypes for early atherosclerosis in children and adolescents with type 1 diabetes. MATERIALS AND METHODS: Common carotid artery elasticity and intima-media thickness along with circulating markers of lipid, inflammatory and glycaemic profiles were investigated in up to 98 children and adolescents with type 1 diabetes. The number of clinically manifest acute respiratory tract infections (RTI) during the past year, and the degree of exposure to environmental tobacco smoke (ETS), were assessed by separate questionnaires. RESULTS: Carotid artery compliance (CAC) was decreased in patients with high (>or= 4/year; n = 22) recurrence of RTI compared to the remaining patients (n = 40; P < 0.05). In a multivariate analysis, the number of RTI during the past year and HbA(1C) were independently associated with decreased CAC (P < 0.05 for both). The inverse relationship between RTI recurrence and CAC was strengthened by frequent exposure to ETS. CONCLUSIONS: High recurrence of respiratory infections in young type 1 diabetics is associated with increased stiffening of the carotid artery particularly in those often exposed to tobacco smoke. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
European Journal of Clinical Investigation
volume
38
issue
6
pages
381 - 388
publisher
Wiley-Blackwell
external identifiers
  • wos:000255938000003
  • pmid:18445042
  • scopus:44049105121
ISSN
0014-2972
DOI
10.1111/j.1365-2362.2008.01952.x
language
English
LU publication?
yes
id
20937913-b065-42a8-bfd8-3008a317e4d8 (old id 1154687)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18445042?dopt=Abstract
date added to LUP
2008-06-04 13:25:15
date last changed
2017-01-01 07:39:58
@article{20937913-b065-42a8-bfd8-3008a317e4d8,
  abstract     = {BACKGROUND: Optimal glucose control in juvenile type 1 diabetes mellitus is necessary but not sufficient to reduce the burden of cardiovascular events in later life. This emphasizes the importance of searching for other possible risk factors associated with diabetes. We investigated whether recurrent episodes of acute respiratory infections and exposure to tobacco smoke could influence vascular phenotypes for early atherosclerosis in children and adolescents with type 1 diabetes. MATERIALS AND METHODS: Common carotid artery elasticity and intima-media thickness along with circulating markers of lipid, inflammatory and glycaemic profiles were investigated in up to 98 children and adolescents with type 1 diabetes. The number of clinically manifest acute respiratory tract infections (RTI) during the past year, and the degree of exposure to environmental tobacco smoke (ETS), were assessed by separate questionnaires. RESULTS: Carotid artery compliance (CAC) was decreased in patients with high (&gt;or= 4/year; n = 22) recurrence of RTI compared to the remaining patients (n = 40; P &lt; 0.05). In a multivariate analysis, the number of RTI during the past year and HbA(1C) were independently associated with decreased CAC (P &lt; 0.05 for both). The inverse relationship between RTI recurrence and CAC was strengthened by frequent exposure to ETS. CONCLUSIONS: High recurrence of respiratory infections in young type 1 diabetics is associated with increased stiffening of the carotid artery particularly in those often exposed to tobacco smoke.},
  author       = {Odermarsky, Michal and Andersson, Sture and Pesonen, Erkki and Sjöblad, Sture and Ylä-Herttuala, Seppo and Liuba, Petru},
  issn         = {0014-2972},
  language     = {eng},
  number       = {6},
  pages        = {381--388},
  publisher    = {Wiley-Blackwell},
  series       = {European Journal of Clinical Investigation},
  title        = {Respiratory infection recurrence and passive smoking in early atherosclerosis in children and adolescents with type 1 diabetes.},
  url          = {http://dx.doi.org/10.1111/j.1365-2362.2008.01952.x},
  volume       = {38},
  year         = {2008},
}