The public health epidemiology of type 2 diabetes in children and adolescents: a case study of American Indian adolescents in the Southwestern United States

Type 2 diabetes among children and adolescents is a newly recognized disease in the United States. Because obesity and physical inactivity are increasing in children and adolescents, the prevalence of pediatric type 2 diabetes may increase and eventually become an important cause of adult morbidity...

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Bibliographic Details
Published in:Clinica chimica acta 1999-08, Vol.286 (1-2), p.81-95
Main Authors: Fagot-Campagna, Anne, Rı́os Burrows, M.T., M.P.H, Nilka, Williamson, Ph.D, David F.
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Biological and medical sciences
Child
Children
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - prevention & control
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Epidemiology
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Exercise
Female
Humans
Indians, North American
Male
Medical sciences
Obesity
Obesity - complications
Prevalence
Public health
Public Health Practice
Risk Factors
Southwestern United States - epidemiology
Type 2 diabetes
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Summary:Type 2 diabetes among children and adolescents is a newly recognized disease in the United States. Because obesity and physical inactivity are increasing in children and adolescents, the prevalence of pediatric type 2 diabetes may increase and eventually become an important cause of adult morbidity and mortality. Data on type 2 diabetes in adolescents aged 15–19 years were compared between two sources: systematic population screening of the Gila River Indian Community by the National Institutes of Health (NIH), and reported cases by the Indian Health Service (IHS) from clinics in the Southwestern US. The current NIH estimate of prevalence of type 2 diabetes was much higher than the IHS estimate (5.1% vs. 0.46%). Both data sources, however, suggest a secular increase in prevalence between 1986 and 1996–97. These data are used to discuss the principles, applications, and challenges for accurate epidemiologic assessment of type 2 diabetes in children and adolescents.
ISSN:0009-8981
1873-3492
DOI:10.1016/S0009-8981(99)00095-9