Features of hear microelement composition in children with type 1 diabetes mellitus
Heading: Pediatrics Article type: Original article
Authors: Yunatskaya Т.А., Turchaninov D.V., Vlasenko N.Yu., Vilms E.A., Shcherba E.M.
Organization: Omsk State Medical Academy, Saint Petersburg State Pediatric Medical University
Objective: Assessment of the characteristics of the microelement composition of the hair of children with type 1 diabetes mellitus (T1DM) to develop recommendations for diet correction. Material and methods. The study involved children with T1 DM (n=28) and practically healthy children from the comparison group (n=56) aged 3-5 years living in the Omsk region. The elemental composition of hair was analyzed by atomic emission and mass spectrometry with inductively coupled argon plasma. The research materials were subjected to statistical processing using nonpara-metric criteria. Results. The elemental profile of hair of children with T1 DM has been determined. Significant differences were found in the amounts of microelements in hair: lower values of beryllium (p=0.0001), chromium (p=0.003), lithium (p=0.005), vanadium (p=0.005), selenium (p=0.043), and large amounts of cuprum (p=0.025), phosphorus (p=0.001) in the hair of children with diabetes in comparison with the group of practically healthy ones. In the group of children with T1DM, there was a smaller proportion of people with insufficient magnesium (p=0.003), phosphorus (p=0.001), and cuprum (p=0.001). The severity of mineral metabolism disorders (MMD) was less in the group of children with T1DM: 53.6% of children were classified as having no MMD or having minor MMD. Conclusions. The elemental composition of the hair of children with T1DM was characterized by higher amounts of phosphorus and cuprum, lower content of chromium, selenium, beryllium, lithium and vanadium. The proportion of children with insufficient supply of magnesium, phosphorus, cuprum was higher in the comparison group. The degree of MMD in the group of children with T1 DM was generally less.
Bibliography:
1. Chiang JL, Maahs DM, Garvey КС, et al. Type 1 diabetes in children and adolescents: A position statement by the American Diabetes Association. Diabetes Care. 2018; 41 (9): 2026-44. DOI: 10.2337/dci18-0023
2. Levran N, Levek N, Sher B, et al. The impact of a low-carbohydrate diet on micronutrient intake and status in adolescents with type 1 diabetes. Nutrients. 2023; 15 (6): 14-8. DOI: 10.3390/nu15061418
3. Ugurlu V, Binay C, Simsek E, Bal С Cellular trace element changes in type 1 diabetes patients. J Clin Res Pediatr Endocrinol. 2016; 8 (2): 180-6. DOI: 10.4274/jcrpe.2449
4. Arpaci A, Ecevit H, Onderci M, et al. Trace element and lipid profile in patients with type II diabetes mellitus. Ulutas Med J. 2020; 6 (2): 59-66. DOI: 10.5455/umj. 20200305101734
5. Sun W, Yang J, Wang W, et al. The beneficial effects of Zn on Akt-mediated insulin and cell survival signaling pathways in diabetes. J Trace Elements Med Boil. 2018; 46: 117-27. DOI: 10.1016/j.jtemb.2017.12.0058
6. Unsal V, Dalkiran T, Cicek M, Kolukcu E. The role of natural antioxidants against reactive oxygen species produced by cadmium toxicity: A review. Adv Pharm Bull. 2020; 10 (2): 184-202. DOI: 10.34172/apb.2020.023
7. Salmonowicz B, Krzystek-Korpacka M, NoczyiiskaA. Trace elements, magnesium, and the efficacy of antioxidant systems in children with type 1 diabetes mellitus and in their siblings. Adv Clin Exp Med. 2014; 23 (2): 259-68. DOI: 10.17219/acem/37074
8. Goulle JP, Saussereau E, Mahieu L, Guerbet M. Current role of ICP-MS in clinical toxicology and forensic toxicology: A metallic profile. Bioanalysis. 2014; 6 (17): 2245-59. DOI: 10.4155/bio.14.190
9. Yunatskaya ТА, Turchaninov DV, Vlasenko NYu, et al. Dietary patterns of preschool children with type I diabetes. Pacific Medical Journal. 2023; 2 (92): 41-7. DOI: 10.34215/1609-1175-2023-2-41-47
10. Alghobashy АА, Alkholy UM, Talat MA, et al. Trace elements and oxidative stress in children with type 1 diabetes mellitus. Diabetes Metab Syndr Obes. 2018; 11: 85-92. DOI: 10.2147/DMSO.S157348
11. Dubey P, Thakur V, Chattopadhyay M. Role of minerals and trace elements in diabetes and insulin resistance. Nutrients. 2020; 12 (6): 1864. DOI: 10.3390/nu12061864
12. Rychert-Stos M, Walczak M, Horodnicka-Jozwa A, et al. Do trace elements influence the course of newly diagnosed type 1 diabetes mellitus? Neuro Endocrinol Lett. 2022; 43 (5): 247-56. DOI: 10.3390/nu15092084
13. Ganesh R, Meenakshi B. Serum zinc and copper levels in children with type 1 diabetes mellitus. Indian J Pediatr. 2023; 90 (10): 1052. DOI: 10.1007/s12098-023-04725-3
14. Powers MA, Gal RL, Connor CG, et al. Eating patterns and food intake of persons with type 1 diabetes within the T1 D exchange. Diabetes Res Clin Pract. 2018; 141: 217-28. DOI: 10.1016/j.diabres.2018.05.011
15. Granado-Casas M, Alcubierre N, Martin M, et al. Improved adherence to Mediterranean Diet in adults with type 1 diabetes mellitus. Eur J Nutr. 2019; 58 (6): 2271-9. DOI: 10.1007/S00394-018-1777-z
16. Pozebon D, Scheffler GL, Dressier VL. Elemental hair analysis: A review of procedures and applications. Anal Chim Acta. 2017; 992: 1-23. DOI: 10.1016/j.aca.2017.09.017
| Attachment | Size |
|---|---|
| 2024_03_284-289.pdf | 656.74 KB |




