NIDDM-Y in First Nation Children in Canada

Dean, Heather

doi:10.1177/000992289803700205

Cited by 100 publications

(55 citation statements)

References 16 publications

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“…Our estimated prevalence of type 2 diabetes (1.1 per 1,000 case subjects) was similar to the rates described in First Nations youth in Canada, which ranged from 0.23 to 2.5 per 1,000 case subjects (17)(18)(19)(20). Among Pima Indians, who are actively screened for diabetes, the prevalence of type 2 diabetes was much higher: 38 per 1,000 among boys aged 15-19 years and 53 per 1,000 among girls from 1987 to 1996 (5).…”

Section: Research Design Andsupporting

confidence: 80%

Establishing Surveillance for Diabetes in American Indian Youth

et al. 2001

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OBJECTIVE -To determine prevalence estimates in order to monitor diabetes, particularly type 2 diabetes, in American Indian youth.RESEARCH DESIGN AND METHODS -To explore the feasibility of developing a case definition using information from primary care records, all youth aged Ͻ20 years with an outpatient visit or hospitalization for diabetes were identified from the Billings Area Indian Health Service database in Montana and Wyoming from 1997 to 1999, and the medical records were reviewed. Classification for probable type 1 diabetes was based on age Յ5 years, weight per age Յ15th percentile at diagnosis, or positive results of islet cell antibody test. Classification for probable type 2 diabetes was based on weight per age Ն85th percentile or presence of acanthosis nigricans at diagnosis, elevated C-peptide or insulin, family history for type 2 diabetes, or use of oral hypoglycemic agents with or without insulin or absence of current treatment 1 year after diagnosis.RESULTS -A total of 52 case subjects with diabetes were identified, 3 of whom had diabetes secondary to other conditions. Of the remaining 49 case subjects, 25 (51%) were categorized as having probable type 2 diabetes, 14 (29%) as having probable type 1 diabetes, and 10 (20%) could not be categorized because of missing or negative information. Prevalence estimates for diabetes of all types, type 1 diabetes, and type 2 diabetes were 2.3, 0.6, and 1.1, respectively, per 1,000 youth aged Ͻ20 years.CONCLUSIONS -Our definitions may be useful for surveillance in primary care settings until further studies develop feasible case definitions for monitoring trends in diabetes among youth.

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Section: Research Design Andsupporting

confidence: 80%

Establishing Surveillance for Diabetes in American Indian Youth

et al. 2001

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“…Prevalence of type 2 diabetes has increased within the past two decades (2,3). Even more alarming is the observation and increasing trend of type 2 diabetes in Aboriginal children and adolescents (4)(5)(6). Both obesity and type 2 diabetes are associated with an unhealthy diet and lack of physical activity (7,8).…”

Section: Introductionmentioning

confidence: 99%

Barriers and supports for healthy eating and physical activity for first nation youths in northern Canada

Skinner¹,

Hanning²,

Tsuji³

2006

International Journal of Circumpolar Health

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Objectives. To investigate barriers and supports for healthy eating and physical activity in youths in a remote sub-arctic community, Fort Albany First Nation, Ontario, Canada. Study design. A qualitative multi-method participatory approach. Methods. The study included a purposive convenience sample of two adult (n = 22) and three youths (n = 30; students in grades 6 to 8) focus groups, unstructured one-on-one interviews with adult key informants (n = 7), and a scan of the community environment. Data were coded and analysed by hand and using NVivo software. Hurricane thinking and concept mapping were used to illustrate findings and relationships between concepts. Results. Dominant emerging themes included empowerment, trust, resources, barriers and opportunities, while major sub-themes included food security, cost, accessibility/availability, capacity building, community support, programs/training and the school snack/breakfast program. Conclusions. Numerous barriers to healthy nutrition and physical activity exist in this community and are possibly similar in other remote communities. Empowerment is a core issue that should be considered in the design of public health interventions for First Nations youths in remote sub-arctic communities.

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“…There are regional and tribal differences in prevalence in Aboriginal groups across Canada. Type 2 diabetes usually appears in obese adolescents with a strong family history of type 2 diabetes (3)(4)(5). Girls outnumber boys in most series.…”

Section: Diagnosis and Treatment Ofmentioning

confidence: 99%