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

被引：43

作者：

Fagot-Campagna, A ^{[1
]}

Burrows, NR ^{[1
]}

Williamson, DF ^{[1
]}

机构：

[1] Ctr Dis Control & Prevent, Div Diabet Translat, Natl Ctr Chron Dis Prevent & Hlth Promot, 4770 Buford Highway,NE MS-K68, Atlanta, GA 30341 USA

来源：

CLINICA CHIMICA ACTA | 1999年 / 286卷 / 1-2期

关键词：

epidemiology; public health; type; 2; diabetes; children; adolescents; obesity;

D O I：

10.1016/S0009-8981(99)00095-9

中图分类号：

R446 [实验室诊断]; R-33 [实验医学、医学实验];

学科分类号：

1001 ;

摘要：

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 (NM), and reported cases by the Indian Health Service (MS) from clinics in the Southwestern US. The current NM estimate of prevalence of type 2 diabetes was much higher than the Ms 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. (C) 1999 Elsevier Science B.V. All rights reserved.

引用

页码：81 / 95

页数：15

共 51 条

[1] IMPAIRED INSULIN ACTION IN PUBERTY - A CONTRIBUTING FACTOR TO POOR GLYCEMIC CONTROL IN ADOLESCENTS WITH DIABETES [J].