Early Presentation of Type 2 Diabetes in Mexican-American Youth

Neufeld, Naomi D.; Raffel, L. J.; Landon, Chris; Chen, Y. D. I.; Vadheim, Constance M.

doi:10.2337/diacare.21.1.80

Cited by 171 publications

(111 citation statements)

References 21 publications

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“…Of these children, 35 000 (40%) lived in Latin America and the Caribbean. Although type 1 diabetes appears to be uncommon in most Latin American and Caribbean (LAC) countries, the increased related mortality (58)(59)(60)(61). It is not clear whether this phenomenon is already occurring in LAC, but it is anticipated that a similar trend will emerge unless prevention strategies are introduced in the LAC nations.…”

Section: Discussionmentioning

confidence: 98%

Incidence and prevalence of diabetes mellitus in the Americas

Barceló¹,

Rajpathak²

2001

Rev Panam Salud Publica

124

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Objective. To present the incidence and prevalence of diabetes mellitus in the Americas ABSTRACTDiabetes mellitus is a chronic metabolic disease characterized by hyperglycemia and by disturbances of carbohydrate, fat, and protein metabolism. It is associated with an absolute or relative deficiency in the secretion and/or action of the hormone insulin. In the Americas, the number of people with diabetes mellitus was estimated at 35 million in 2000 and is expected to increase to 64 million by 2025. Whereas currently 52% of these people from the Americas live in Latin America and the Caribbean, by 2025 the percentage will have reached 62%, representing 40 million persons (1). This increase results from multiple factors involved in lifestyle changes related to modern life such as the decrease in physical activities and the predominance of hypercaloric diets and the resulting obesity. Also playing a major part is the aging process of the population in developing countries. Given these various factors, an increase in diabetes mellitus caseload will be more evident in developing countries.Diabetes increases the risk of premature death mainly due to an increased risk of cardiovascular events. In addition, people suffering from diabetes have a greater risk of developing visual problems and renal disease as well as undergoing lower-extremity amputations.

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Section: Discussionmentioning

confidence: 98%

Incidence and prevalence of diabetes mellitus in the Americas

Barceló¹,

Rajpathak²

2001

Rev Panam Salud Publica

124

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“…All fourth-grade children, regardless of race and ethnicity, were invited to participate. The following students were excluded from data analysis: (1) those in elementary schools with previous exposure to Bienestar (20 schools), (2) students in alternative schools (3 schools), (3) those older than 12 years (4 students), (4) students previously diagnosed as having type 1 or type 2 diabetes mellitus (1 student), and (5) students with extreme dietary values (29 students). Students with 3-day average calorie intakes of less than 800 and greater than 4800 were excluded from this analysis (baseline and follow-up).…”

Section: Study Participantsmentioning

confidence: 99%

Impact of the Bienestar School-Based Diabetes Mellitus Prevention Program on Fasting Capillary Glucose Levels

Treviño

Yin

Hernández

et al. 2004

Arch Pediatr Adolesc Med

107

155

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Objective-To evaluate the impact of a school-based diabetes mellitus prevention program on lowincome fourth-grade Mexican American children.Design-A randomized controlled trial with 13 intervention and 14 control schools. Setting-Elementary schools in inner-city neighborhoods in San Antonio, Tex.Participants-Eighty percent of participants were Mexican American and 94% were from economically disadvantaged households. Baseline and follow-up measures were collected from 1419 (713 intervention and 706 control) and 1221 (619 intervention and 602 control) fourth-grade children, respectively. Intervention-The Bienestar Health Program consists of a health class and physical education curriculum, a family program, a school cafeteria program, and an after-school health club. The objectives are to decrease dietary saturated fat intake, increase dietary fiber intake, and increase physical activity.Main Outcome Measures-The primary end point was fasting capillary glucose level, and the secondary end points were percentage of body fat, physical fitness level, dietary fiber intake, and dietary saturated fat intake. Fasting capillary glucose level, bioelectric impedance, modified Harvard step test, three 24-hour dietary recalls, weight, and height were collected at baseline and 8 months later.Results-Children in the intervention arm attended an average of 32 Bienestar sessions. Mean fasting capillary glucose levels decreased in intervention schools and increased in control schools after adjusting for covariates (−2.24 mg/dL [0.12 mmol/L]; 95% confidence interval, −6.53 to 2.05 [−0.36 to 0.11 mmol/L]; P = .03). Fitness scores (P = .04) and dietary fiber intake (P = .009) significantly increased in intervention children and decreased in control children. Percentage of body fat (P = .56) and dietary saturated fat intake (P = .52) did not differ significantly between intervention and control children.

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“…High rates of inactivity and widespread consumption of high-calorie diets are most likely responsible for the high prevalence of obesity in adults worldwide (9)(10)(11)(12)(13)(14)(15) and also of overweight in children worldwide (16)(17)(18)(19)(20)(21)(22). Finally, lifestyle factors seem to be especially important in contributing to the high rates of type 2 diabetes in minority communities in the United States (23)(24)(25)(26)(27)(28) and the appearance of type 2 diabetes in young children in the United States (28)(29)(30)(31). Among Hispanic adults and children living in the United States, physical inactivity, overweight, and obesity are especially prevalent (5,9,20,(32)(33)(34)(35)(36).…”

mentioning

confidence: 99%

Overweight and aerobic fitness in children in the United States/Mexico border region

Coleman¹,

Heath²,

Alcalá³

2004

Rev Panam Salud Publica

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Objective. To study overweight and aerobic fitness among children in the third and fourth grades of elementary schools in a city in the United States of America (El Paso, Texas) and a city in Mexico (Chihuahua, Chihuahua) Child, anthropometry, obesity, physical fitness, Mexico, Mexican Americans. ABSTRACTWhile the impact that a healthy lifestyle has on coronary artery disease, obesity, and type 2 diabetes is well documented, that knowledge has not led to substantial changes in diet and physical activity in the United

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Early Presentation of Type 2 Diabetes in Mexican-American Youth

Cited by 171 publications

References 21 publications

Incidence and prevalence of diabetes mellitus in the Americas

Incidence and prevalence of diabetes mellitus in the Americas

Impact of the Bienestar School-Based Diabetes Mellitus Prevention Program on Fasting Capillary Glucose Levels

Overweight and aerobic fitness in children in the United States/Mexico border region

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