Diabetes in Hispanic American Youth Prevalence, incidence, demographics, and clinical characteristics: the SEARCH for Diabetes in Youth Study

被引:101
作者
Lawrence, Jean M. [1 ]
Mayer-Davis, Elizabeth J. [2 ,3 ]
Reynolds, Kristi [1 ]
Beyer, Jennifer [4 ,5 ]
Pettitt, David J. [6 ]
D'Agostino, Ralph B., Jr. [5 ]
Marcovina, Santica M. [7 ]
Imperatore, Giuseppina [8 ]
Hamman, Richard F. [9 ]
机构
[1] Kaiser Permanente So Calif, Dept Res & Evaluat, Pasadena, CA USA
[2] Univ N Carolina, Dept Nutr, Gillings Sch Global Publ Hlth, Chapel Hill, NC USA
[3] Univ N Carolina, Sch Med, Chapel Hill, NC USA
[4] Univ S Carolina, Dept Epidemiol & Biostat, Columbia, SC 29208 USA
[5] Wake Forest Univ Hlth Sci, Dept Publ Hlth Sci, Winston Salem, NC USA
[6] Sansum Diabet Res Inst, Santa Barbara, CA USA
[7] Univ Washington, Dept Med, NW Lipid Res Labs, Seattle, WA 98195 USA
[8] Ctr Dis Control & Prevent, Div Diabet Translat, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA USA
[9] Univ Colorado Denver, Dept Prevent Med & Biometr, Denver, CO USA
关键词
CHILDHOOD TYPE-1; AFRICAN-AMERICAN; FAMILY-HISTORY; CHILDREN; MELLITUS; ADOLESCENTS; EPIDEMIOLOGY; LIPOPROTEIN; POPULATION; OVERWEIGHT;
D O I
10.2337/dc09-S204
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - To report the 2001 prevalence and 2002-2005 incidence of type I and type 2 diabetes in Hispanic American youth and to describe the demographic, clinical, and behavioral characteristics of these Youth. RESEARCH DESIGN AND METHODS - Data from the SEARCH for Diabetes in Youth Study,a population-based multicenter observational study of youth aged 0-19 years with physician-diagnosed diabetes, were used to estimate the prevalence and incidence of type I and type 2 diabetes. Information obtained by questionnaire, physical examination, and blood and urine collection was analyzed to describe the characteristics of youth who completed a Study visit. RESULTS - Among Hispanic American youth, type 1. diabetes was more prevalent than type 2 diabetes, including in youth aged 10-19 years. There were no significant sex differences in type I or type 2 diabetes prevalence. The incidence of type 2 diabetes for female subjects aged 10-14 years was twice that of male subjects (P < 0.005), while among youth aged 15-19 years the incidence of type 2 diabetes exceeded that of type I diabetes for female subjects (P < 0,05) but not for male subjects. Poor glycemic control, defined as A1C >= 9.5%, as well as high LDL cholesterol and triglycerides were common among youth aged >= 15 years with either type of diabetes. Forty-four percent of youth With type I diabetes were overweight or obese. CONCLUSIONS - Factors such as poor glycemic control, elevated lipids, and a high prevalence of overweight and obesity may put Hispanic youth with type I and type 2 diabetes at risk for future diabetes-related complications. Diabetes Care 32 (Suppl. 2):S123-S132, 2009
引用
收藏
页码:S123 / S132
页数:10
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