Giuliana Valerio1, Enza Mozzillo2, Eugenio Zito3, Elena De Nitto4, Giulio Maltoni5, Marco Marigliano6, Stefano Zucchini5, Claudio Maffeis6, Adriana Franzese4. 1. Department of Movement Sciences and Wellbeing, University of Naples Parthenope, Naples, Italy. 2. Department of Translational Medical Science, Section of Pediatrics, Regional Center for Pediatric Diabetes, University of Naples Federico II, Via S. Pansini 5, 80131, Naples, Italy. mozzilloenza@gmail.com. 3. Department of Social Sciences, University of Naples Federico II, Naples, Italy. 4. Department of Translational Medical Science, Section of Pediatrics, Regional Center for Pediatric Diabetes, University of Naples Federico II, Via S. Pansini 5, 80131, Naples, Italy. 5. Endocrine Unit, Department of Pediatrics, S. Orsola-Malpighi Hospital, Bologna, Italy. 6. Pediatric Diabetes and Metabolic Disorders Unit, Regional Center for Pediatric Diabetes, University City Hospital of Verona, Verona, Italy.
Abstract
AIM: To assess the association between alcohol consumption and/or cigarette smoking with other unhealthy behaviors and clinical cardiovascular risk factors in youth with type 1 diabetes. METHODS: Two hundred and twenty-eight youth with type 1 diabetes (age 13-19 years) were consecutively enrolled in three Regional Pediatric Diabetes Centers in Italy. Demographic, anthropometric, lifestyle (adherence to the Mediterranean diet pattern and sports participation) and laboratory parameters were compared among youth reporting isolated or combined alcohol consumption and/or cigarette smoking. RESULTS: Ten percent of the youth reported alcohol consumption, 10% cigarette smoking and 6% both alcohol and cigarette use; 74% did not report alcohol or cigarette use. Compared to non-drinker non-smoker youth, smokers showed significantly higher percentages of each of the behavioral and clinical cardiovascular risk factors. Drinkers showed a significantly higher proportion of abdominal adiposity, dyslipidemia and poor adherence to the Mediterranean diet. Alcohol consumption was independently associated with both dyslipidemia and high glycosylated hemoglobin. CONCLUSIONS: Our findings emphasize the need to increase the awareness of youth with T1D about the negative impact of alcohol drinking on cardiovascular risk, since the effects of alcohol might be underestimated with respect to the well-known detrimental effects of smoking. Clustering of unhealthy lifestyle should be discouraged in type 1 diabetes youth in order to promote cardiovascular protection.
AIM: To assess the association between alcohol consumption and/or cigarette smoking with other unhealthy behaviors and clinical cardiovascular risk factors in youth with type 1 diabetes. METHODS: Two hundred and twenty-eight youth with type 1 diabetes (age 13-19 years) were consecutively enrolled in three Regional Pediatric Diabetes Centers in Italy. Demographic, anthropometric, lifestyle (adherence to the Mediterranean diet pattern and sports participation) and laboratory parameters were compared among youth reporting isolated or combined alcohol consumption and/or cigarette smoking. RESULTS: Ten percent of the youth reported alcohol consumption, 10% cigarette smoking and 6% both alcohol and cigarette use; 74% did not report alcohol or cigarette use. Compared to non-drinker non-smoker youth, smokers showed significantly higher percentages of each of the behavioral and clinical cardiovascular risk factors. Drinkers showed a significantly higher proportion of abdominal adiposity, dyslipidemia and poor adherence to the Mediterranean diet. Alcohol consumption was independently associated with both dyslipidemia and high glycosylated hemoglobin. CONCLUSIONS: Our findings emphasize the need to increase the awareness of youth with T1D about the negative impact of alcohol drinking on cardiovascular risk, since the effects of alcohol might be underestimated with respect to the well-known detrimental effects of smoking. Clustering of unhealthy lifestyle should be discouraged in type 1 diabetes youth in order to promote cardiovascular protection.
Authors: Alissa J Roberts; Jennifer R Law; Cynthia K Suerken; Beth A Reboussin; Jean M Lawrence; Craig E Taplin; Elizabeth J Mayer-Davis; Catherine Pihoker Journal: Diabetes Res Clin Pract Date: 2019-12-16 Impact factor: 5.602
Authors: Laura Gallardo-Alfaro; Maria Del Mar Bibiloni; Catalina M Mascaró; Sofía Montemayor; Miguel Ruiz-Canela; Jordi Salas-Salvadó; Dolores Corella; Montserrat Fitó; Dora Romaguera; Jesús Vioque; Ángel M Alonso-Gómez; Julia Wärnberg; J Alfredo Martínez; Lluís Serra-Majem; Ramon Estruch; José Carlos Fernández-García; José Lapetra; Xavier Pintó; Antonio García Ríos; Aurora Bueno-Cavanillas; José J Gaforio; Pilar Matía-Martín; Lidia Daimiel; Rafael M Micó-Pérez; Josep Vidal; Clotilde Vázquez; Emilio Ros; Cesar Ignacio Fernandez-Lázaro; Nerea Becerra-Tomás; Ignacio Manuel Gimenez-Alba; María Dolors Zomeño; Jadwiga Konieczna; Laura Compañ-Gabucio; Lucas Tojal-Sierra; Jéssica Pérez-López; M Ángeles Zulet; Tamara Casañas-Quintana; Sara Castro-Barquero; Ana María Gómez-Pérez; José Manuel Santos-Lozano; Ana Galera; F Javier Basterra-Gortari; Josep Basora; Carmen Saiz; Karla Alejandra Pérez-Vega; Aina M Galmés-Panadés; Cristina Tercero-Maciá; Carolina Sorto-Sánchez; Carmen Sayón-Orea; Jesús García-Gavilán; Júlia Muñoz-Martínez; Josep A Tur Journal: Nutrients Date: 2020-04-07 Impact factor: 5.717