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Elasticity and Lipids Changes in Children with Type I Diabetes Mellitus Compared with Controls and the Effect of Lipids on Elasticity in Diabetic Children

Noor Mohammad Noori
Noor Mohammad Noori
, 
Alireza Teimouri
Alireza Teimouri
 et 
Maryam Nakhaei Moghadam
Maryam Nakhaei Moghadam
   | 16 sept. 2023
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Article Category: Original Article
Publié en ligne: 16 sept. 2023
Pages: 99 - 106
DOI: https://doi.org/10.2478/rjc-2023-0019
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© 2023 Noor Mohammad Noori et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1

Measurements of systolic (S) and diastolic (D) diameters of the ascending aorta are shown on the M mode tracing obtained at a level 3 cm above the aortic valve (4).
Measurements of systolic (S) and diastolic (D) diameters of the ascending aorta are shown on the M mode tracing obtained at a level 3 cm above the aortic valve (4).

Figure 2

Boxplot presentation of heart-stiffening parameters, lipids, Doppler findings, and diameter of aorta in systole and diastole in patients and in controls.
Boxplot presentation of heart-stiffening parameters, lipids, Doppler findings, and diameter of aorta in systole and diastole in patients and in controls.

Comparing Doppler tissue imaging, aortic stiffness, and lipid profile levels in children with diabetes and in controls

Variab. Groups Mean SD Mean rank Test value P value Variab.s Mean SD Mean rank Test value P value
Age Case 10.84 3.43 95.2 4166 0.665 LDL 90.61 23.93 105.82 3179 0.002
Control 10.8 2.85 91.8 78.55 21.48 81.18
Height Case 136.8 18.9 69.55 2097 <0.001 HDL 54.29 11.86 63.39 1524.5 <0.001
Control 153.7 12.63 117.45 69.71 11.73 123.61
Weight Case 32.92 11.81 70.42 2178 0.001 SBP 97.8 10.39 82.14 3268 0.003
Control 44.38 12.31 116.58 101.49 9.8 104.86    
EF Case 75.55 5.93 84.02 3442.5 0.016 DBP 62.04 7.45 78.15 2897 <0.001
Control 77.57 4.93 102.98 66.46 7.67 108.85
FS Case 43.96 5.4 83.22 -2.58 0.011 AOS 2.27 0.32 114.88 2336.5 <0.001
Control 45.87 4.68 103.78 2.01 0.31 72.12
LVM Case 47.62 20.43 90.42 4038.500 0.436 AOD 1.87 0.29 96.6 4036.5 0.433
Control 40.24 21.38 96.58 1.85 0.32 90.4
Left MPI Case 0.79 0.1 134.06 552 <0.001 ASBI 10.76 15.66 122.99 1582.00 <0.001
Control 0.52 0.13 52.94 2.52 1.13 64.01
Right MPI Case 0.76 0.12 121.12 8.01 <0.001 AS 9.35 7.00 59.95 1204.00 <0.001
Control 0.63 0.11 65.88 22.40 11.70 127.05
TG Case 124.52 76.17 100.3 3692 0.085 AD 0.005 0.006 64.98 1672.50 <0.001
Control 94.39 30.07 86.7 0.014 0.008 122.02
CHO Case 155.54 37.52 112.67 5.46 <0.001 PSEM 8.80 13.24 125.15 1381.50 <0.001
Control 125.78 36.83 74.33 1.96 0.90 61.85

Correlation between aortic stiffness parameters and Doppler tissue imaging, as well lipid profiles before and after controlling for age in patients.

Before controlling for age
Variables Statistics SBP DBP AOS AOD AS AD ASβl PSEM
Duration r 0.073 -0.002 0.085 0.087 -.160- -.197- 0.223 0.255
p 0.489 0.984 0.419 0.407 0.126 0.058 0.032 0.014
HbA1c r 0.274 0.265 -.004- -.091- -.008- 0.031 -0.063 -0.058
p 0.008 0.01 0.97 0.384 0.939 0.766 0.548 0.578
EF r -0.254 -0.224 -.056- 0.036 0.012 0.051 -.066- -.110-
p 0.014 0.031 0.597 0.735 0.909 0.625 0.532 0.295
FS r -0.241 -0.203 0.01 0.089 0.026 0.062 -.059- -.098-
p 0.02 0.051 0.924 0.394 0.802 0.557 0.574 0.35
Left MPI r 0.148 0.186 -.014- -.050- 0.158 0.177 -.059- 0.003
p 0.156 0.074 0.897 0.635 0.131 0.09 0.576 0.978
Right MPI r 0.219 0.213 -.057- -.063- -.053- 0.015 0.067 0.115
p 0.035 0.04 0.589 0.547 0.616 0.886 0.525 0.273
LVM r .055 -.024 .047 .123 -.131 -.142 .108 .106
p .454 .748 .524 .093 .076 .053 .142 .151
TG r -.025- -.077- 0.052 0.026 0.097 -.007- 0 -.013-
p 0.809 0.464 0.62 0.801 0.357 0.951 0.998 0.902
CHO r -.050- -.075- -.080- -.038- -.159- -.151- 0.072 0.112
p 0.633 0.472 0.444 0.719 0.129 0.148 0.49 0.287
LDL r -.092- -.060- -.067- -.030- -.077- -.053- -.007- -.005-
p 0.378 0.569 0.523 0.776 0.466 0.612 0.946 0.963
HDL r -.067- -.010- 0.078 0.091 -.107- -.082- 0.115 0.109
p 0.523 0.921 0.455 0.384 0.306 0.437 0.272 0.299
After controlling for age
duration r 0.008 -0.048 -0.011 -0.01 -0.176 -0.221 0.219 0.25
p 0.942 0.649 0.915 0.922 0.094 0.034 0.036 0.016
HbA1c r 0.294 0.271 -0.018 -0.129 -0.009 0.029 -0.064 -0.059
p 0.004 0.009 0.864 0.22 0.929 0.781 0.545 0.574
EF r -0.285 -0.236 -0.076 0.038 0.011 0.051 -0.066 -0.11
p 0.006 0.024 0.469 0.719 0.915 0.632 0.531 0.295
FS r -0.284 -0.223 -0.016 0.084 0.023 0.057 -0.061 -0.1
p 0.006 0.033 0.88 0.426 0.826 0.587 0.566 0.341
Left MPI r 0.209 0.222 0.054 0.01 0.167 0.191 -0.055 0.008
p 0.046 0.033 0.607 0.925 0.111 0.068 0.602 0.938
Right MPI r 0.238 0.219 -0.078 -0.087 -0.054 0.014 0.066 0.115
p 0.022 0.036 0.461 0.411 0.612 0.894 0.53 0.277
LVM r .047 -.029 .035 .127 -.130 -.139 .111 .108
p .528 .691 .640 .084 .078 .059 .133 .145
TG r -0.051 -0.094 0.028 -0.005 0.093 -0.013 -0.002 -0.016
p 0.629 0.37 0.789 0.966 0.379 0.903 0.986 0.882
CHO r -0.012 -0.052 -0.031 0.024 -0.152 -0.141 0.077 0.117
p 0.909 0.624 0.771 0.82 0.148 0.179 0.467 0.265
LDL r -0.019 -0.01 0.052 0.102 -0.063 -0.031 0.001 0.005
p 0.861 0.924 0.621 0.331 0.553 0.767 0.996 0.96
HDL r -0.187 -0.081 -0.078 -0.065 -0.131 -0.115 0.108 0.099
p 0.074 0.445 0.457 0.537 0.214 0.276 0.304 0.349
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