Increased incidence of non-insulin-dependent diabetes mellitus among adolescents

To determine whether a rise in the diagnosis of non-insulin-dependent diabetes mellitus (NIDDM) has accompanied the rise in obesity in the pediatric population, as it has among adults. Medical records of 1027 consecutive patients from birth to age 19 years with a diagnosis of diabetes from 1982 to 1...

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Bibliographic Details
Published in:The Journal of pediatrics 1996-05, Vol.128 (5), p.608-615
Main Authors: Pinhas-Hamiel, Orit, Dolan, Lawrence M., Daniels, Stephen R., Standiford, Debra, Khoury, Philip R., Zeitler, Philip
Format: Article
Language:English
Subjects:
Adolescent
adolescents
Adult
Age of Onset
Biological and medical sciences
Body Mass Index
Child
Child, Preschool
diabetes mellitus
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - etiology
Diabetes. Impaired glucose tolerance
disease diagnosis
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Epidemiologic Methods
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
gender differences
height-weight ratio
Humans
Incidence
Infant
inheritance (genetics)
Male
Medical sciences
obesity
Obesity - complications
Ohio - epidemiology
Sex Factors
Socioeconomic Factors
trends
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Summary:To determine whether a rise in the diagnosis of non-insulin-dependent diabetes mellitus (NIDDM) has accompanied the rise in obesity in the pediatric population, as it has among adults. Medical records of 1027 consecutive patients from birth to age 19 years with a diagnosis of diabetes from 1982 to 1995 at a regional, university-affiliated pediatric diabetes referral center were reviewed and classified according to criteria of the National Diabetes Data Group. The number of patients with a diagnosis of NIDDM rose from approximately 4% of new diagnoses of diabetes in patients from birth to age 19 years before 1992, to 16% in 1994. Among patients 10 to 19 years of age, NIDDM accounted for 33% of diagnoses of diabetes in 1994. The incidence of adolescent NIDDM in Greater Cincinnati increased tenfold, from 0.7/100,000 per year in 1982 to 7.2/100.000 per year in 1994. The mean (±SD) age and body mass index at presentation were 13.8 ± 1.9 years and 37.7 ± 9.6 kg/m2, respectively. The overall female/male ratio was 1.7:1, and female patients were seen 1 year earlier than male patients (p
ISSN:0022-3476
1097-6833
DOI:10.1016/S0022-3476(96)80124-7