Overweight Youth: Low Prevalence of Glucose Intolerance and Diabetes

Crimmins, Nancy A.; Khoury, Jane C.; Daniels, Stephen R.; D'Alessio, David A.; Dolan, Lawrence M.; Kirk, Shelley
June 2007
Diabetes;Jun2007 Supplement 1, Vol. 56, pA470
Academic Journal
A clear and alarming trend exists for increasing rates of obesity in children and adolescents. Previous reports have suggested that overweight children and adolescents have rates of glucose intolerance and type 2 diabetes (T2DM) as high as 25% and 4% respectively, raising the specter of a pediatric diabetes epidemic. To further define the risk of abnormalities in carbohydrate metabolism in this group, we determined the prevalence of impaired fasting glucose (IFG), impaired glucose tolerance (IGT), and T2DM in 278 overweight children and adolescents consecutively enrolled in a tertiary weight management program (from 02/2003 through 07/2006). The descriptive characteristics of the subjects at enrollment are outlined in the table. All subjects were screened by 75 g oral glucose tolerance testing (OGTT) prior to any intervention through the program. By OGTT, 7.9% (22/278) had IFG, 6.1% (17/278) had IGT, and 1.8% (5/278) had both IFG and IGT. Two individuals had normal fasting glucose, but a 2 hour glucose ≥200 mg/dL (0.7%). One individual (0.4%) had both a fasting glucose ≥126 mg/dL and a 2 hour glucose ≥200 mg/dL and was diagnosed with T2DM. The overall prevalence of any abnormal glucose value in the study population was 13.3% (37/278). These findings demonstrate that the prevalence of abnormal glucose metabolism in a high-risk population of children and adolescents is lower than previously reported. Despite increasing rates of obesity, rates of diabetes and IGT are still substantially lower in youth than in adults.


Related Articles

  • The Profile of Diabetic Children in Benghazi, Libya 2013. Ben Sauod, Ekram Abdelrahman; Kamal Elfasi, Mohamed // Ibnosina Journal of Medicine & Biomedical Sciences;2015, Vol. 7 Issue 5, p164 

    Background and Objectives: Diabetes is a public health challenge and its prevalence appears to be increasing worldwide. We aimed to assess the epidemiological characteristics of diabetes mellitus in children, and to describe its effect of on health. Materials and Methods: Descriptive cross...

  • Leptin in Children and Adolescents With Type 1 Diabetes. Salvatoni, Alessandro; Bertoncello, Nadia; Bacchella, Luisa; De Stefano, Anna M.; Orsatti, Cristina; Piantanida, Elena; Nespoli, Luigi // Diabetes Care;Sep99, Vol. 22 Issue 9, p1590 

    Presents a study which examined leptin in children and adolescents with type 1 diabetes. How leptin was measured; Methodology; Results and discussion.

  • How Parent's View Their Child's Weight.  // Child Health Alert;May2006, Vol. 24, p5 

    The article discusses how parents should view the weight of their children. Obesity is an increasing health problem among children, and its treatment involves changes in behaviors for the whole family. These multi-level changes mean that parents need to be fully involved in the process, which...

  • Should metformin be prescribed to overweight adolescents in whom dietary/behavioural modifications have not helped? Webb, E.; Viner, R. // Archives of Disease in Childhood;Sep2006, Vol. 91 Issue 9, p793 

    The article examines the use of metformin in treating overweight adolescents who have not responded to dietary and behavioral modifications by researchers from London, England. Obesity in childhood and adolescence is a significant and growing health problems frequently encountered in general...

  • OBELIGS: DESIGN FOR A MULTICENTRE PREVENTION AND AETIOLOGICAL STUDY ON THE INTERACTION OF LIFESTYLE, DIET AND GENETIC FACTORS IN CHILDREN AND INFANTS. Pigeot, I.; Bamman, K.; Peplies, J.; Ahrens, W. // Journal of Epidemiology & Community Health;Aug2004 Supplement 1, Vol. 58, pA110 

    The article discusses problems associated with obesity in children. Overweight and obesity are threatening to become a global epidemic, particularly involving children and adolescents. A research conducted focused on the understanding of individual susceptibility, resulting from gene-gene and...

  • Bullying and Obesity. Bowman, Darcia Harris // Education Week;5/12/2004, Vol. 23 Issue 36, p9 

    Over weight and obese children are more likely to be victims or perpetrators of bullying than their normal-weight peers, according to a recently released study of 5,749 Canadian children ages 11 to 16. Among normal-weight children in the study, based on a national survey conducted in 2002,...

  • Metabolic status in diabetes mellitus affects markers for glomerular filtration rate. Holmquist, Peter; Torffvit, Ole; Sjöblad, Sture // Pediatric Nephrology;Jun2003, Vol. 18 Issue 6, p536 

    The present study was performed in newly diagnosed diabetic children to evaluate the effect of metabolic derangement on routine tests for glomerular filtration rate (GFR). Children with (n=16) and without (n=10) ketonuria at diagnosis of diabetes followed a routine clinical treatment program....

  • Outpatient Management vs In-Hospital Management of Children with New-Onset Diabetes. Chase, H. Peter; Crews, Kent R.; Garg, Satish; Crews, Michael J.; Cruickshanks, Karen J.; Klingensmith, Georgeanna; Gay, Elizabeth; Hamman, Richard F. // Clinical Pediatrics;Aug1992, Vol. 31 Issue 8, p450 

    The long-term results of outpatient management of subjects with newly diagnosed insulin-dependent diabetes mellitus (IDDM) are unknown. The longest follow-up described to date is for only one year, a time when most children with IDDM still make endogenous insulin. In this study, 41 young...

  • Nobody's Perfect. Dinsmoor, Robert // Countdown;Spring98, Vol. 19 Issue 2, p9 

    Advises children with diabetes on how to better control their blood sugar levels. Avoidance of guilt feelings whenever one eats occasional sweets; Role of the family in providing emotional and psychological support for diabetic members.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics