Document Detail


Prevalence of diabetes and impaired fasting glucose levels among US adolescents: National Health and Nutrition Examination Survey, 1999-2002.
MedLine Citation:
PMID:  16651496     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the current prevalence of self-reported diabetes and impaired fasting glucose levels among US adolescents.
DESIGN AND SETTING: Cross-sectional, National Health and Nutrition Examination Survey (1999-2002).
PARTICIPANTS: A sample of 4370 adolescents (aged 12-19 years) with self-reported diabetes and a subsample of 1496 adolescents without self-reported diabetes who had fasted for at least 8 hours. Subjects who reported having diabetes and using insulin were further categorized as having type 1 diabetes, those reporting having diabetes and not using insulin as having type 2 diabetes, and those with a fasting plasma glucose level greater than or equal to 5.6 mmol/L (100 mg/dL) as having impaired fasting glucose levels.
MAIN OUTCOME MEASURES: Prevalence of self-reported diabetes, type 1 and type 2 diabetes, and impaired fasting glucose levels among US adolescents.
RESULTS: In the full sample, 0.5% (95% confidence interval [CI], 0.24%-0.76%) of adolescents reported having diabetes. Of those reporting diabetes, roughly 71% (95% CI, 56%-86%) were categorized as having type 1 and 29% (95% CI, 14%-44%) as having type 2 diabetes. In the subsample, roughly 11% (95% CI, 8%-14%) had impaired fasting glucose levels. Using population-based sample weights, these proportions were equivalent to 39 005 US adolescents with type 2 diabetes and 2 769 736 with impaired fasting glucose levels.
CONCLUSIONS: The prevalence of type 2 diabetes and impaired fasting glucose levels is substantial among US adolescents. These estimates have important implications for public health because of the high rate of conversion from impaired fasting glucose level to type 2 diabetes in adults and the increased risk of cardiovascular disease in individuals with type 2 diabetes.
Authors:
Glen E Duncan
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  160     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-02     Completed Date:  2006-06-02     Revised Date:  2011-05-05    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  523-8     Citation Subset:  AIM; IM    
Affiliation:
Nutritional Sciences Program, Department of Epidemiology, University of Washington, Seattle 98195, USA. duncag@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Blood Glucose / analysis*
Child
Continental Population Groups
Cross-Sectional Studies
Diabetes Mellitus / epidemiology*
Fasting*
Female
Humans
Male
Nutrition Surveys
Prevalence
Sex Factors
United States / epidemiology
Grant Support
ID/Acronym/Agency:
K01 DK061999-03/DK/NIDDK NIH HHS; K01 DK61999/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
0/Blood Glucose
Comments/Corrections
Comment In:
Arch Pediatr Adolesc Med. 2006 May;160(5):550-2   [PMID:  16651502 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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