Prevalence and risk factors of impaired fasting glucose and diabetes among Chinese children and adolescents: a national observational study

Wang, Zhenghe; Zou, Zhiyong; Wang, Haijun; Jin, Jing; Luo, Jiayou; Zhang, Xin; Chen, Luo; Zhao, Haiping; Pan, Dehong; Ma, Jun; Dong, Bin; Ma, Yong

doi:10.1017/s0007114518002040

Cited by 19 publications

(25 citation statements)

References 40 publications

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“…In addition, urban children in our study were more likely to be diagnosed with IFG than rural children, which is consistent with the finding of the study in China [29]. Urban children may be associated with more unhealthy behaviors than their rural counterparts, such as higher consumption of fried foods and carbonated soft drinks, and higher prevalence of physical inactivity, which might be associated with the difference in IFG prevalence [29]. We found that the age of children was negatively associated with IFG; however, in our study, we only included participants aged 11-14 years old, so the association might not be significant for an expanded age group.…”

supporting

confidence: 92%

“…We also observed a higher prevalence of obese children with a diagnosis of IFG. In addition, urban children in our study were more likely to be diagnosed with IFG than rural children, which is consistent with the finding of the study in China [29]. Urban children may be associated with more unhealthy behaviors than their rural counterparts, such as higher consumption of fried foods and carbonated soft drinks, and higher prevalence of physical inactivity, which might be associated with the difference in IFG prevalence [29].…”

supporting

confidence: 90%

“…The prevalence of impaired fasting glucose among children found in our study (6.1%) was lower than the prevalence reported in the study in Brazil (22%) [23] though similar to the [27]. However, the prevalence of prediabetes in our study was double the prevalence among children and adolescent in urban South India in 2013 (3.4%) [28] and triple the prevalence reported in a Chinese study among children aged 6-17 (1.89%) [29].…”

supporting

confidence: 49%

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Prevalence of Diabetes and Prediabetes among Children Aged 11-14 Years Old in Vietnam

Phan

Vuong

Khuong

et al. 2020

Journal of Diabetes Research

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Aim. Diabetes in children is becoming more prevalent in some countries. However, in most countries, little is known about the epidemiology of this disease. This study is aimed at estimating the prevalence of type 1 and type 2 diabetes and prediabetes among children in Vietnam and examining factors associated with the conditions. Methods. A total of 2880 students aged 11-14 years old were recruited for the survey, using a school-based and nationally representative sampling frame. Capillary blood samples of participants were collected to measure fasting glucose level, using glucose meter OneTouch Verio Pro+. Diabetes and impaired fasting plasma glucose were initially diagnosed based on the cut-off points of the American Diabetes Association criteria. Diabetes status and type of diabetes of participants were confirmed at a hospital. Additionally, anthropometric and blood pressure measurements were conducted following a standardized procedure. Multivariate logistic regression was used to examine the association between outcome and independent variables. Results. The overall prevalence of diabetes among the participants was 1.04‰ (three cases), with 2 cases (0.75‰) diagnosed with type 1 diabetes (one known and one newly diagnosed) and 1 case newly diagnosed with type 2 diabetes (0.35‰). The prevalence of impaired fasting glucose was 6.1%. Body mass index, place of residence, and age were found to be significantly associated with the impaired fasting glucose condition in participants. Conclusion. The prevalence of type 1 and type 2 diabetes in children in Vietnam is lower than that in some other countries reported recently. However, there is a high prevalence in impaired fasting glucose, requiring attention from policymakers to take action to prevent the occurrence of the epidemic of type 2 diabetes in children in the future.

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supporting

confidence: 92%

supporting

confidence: 90%

supporting

confidence: 49%

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Prevalence of Diabetes and Prediabetes among Children Aged 11-14 Years Old in Vietnam

Phan

Vuong

Khuong

et al. 2020

Journal of Diabetes Research

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“… 21 In China, the prevalence of diabetes and IFG was 0.13% and 2.26% of children aged 10–17 years based on secondary school exams during 2013–2014. 22 Fu et al 23 reported youth-onset type 2 diabetes increased from 4.1/100,000 (1995–2000) to 10.0/100,000 (2005–2010). The listed studies are difficult to compare because of the study population's different ethnic and age groups.…”

Section: Discussionmentioning

confidence: 99%

Trends of Diabetes and Prediabetes Prevalence among Korean Adolescents From 2007 to 2018

Kim

Lim²

2021

J Korean Med Sci

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Background To provide updated prevalence data and to estimate changes in the prevalence of diabetes among Korean adolescents by sex and age between 2007 and 2018. Methods We used the data of children and adolescents (8,718 subjects aged 10 to 18 years) from the Korea National Health and Nutrition Examination Survey IV–VII (KNHANES 2007–2018). The recent prevalence of diabetes and pre-diabetes was estimated by using the latest KNHANES VII. The linear trends were estimated by comparing 3-year KNHANES cycles according to sex and by using logistic regression. Results The prevalence of diabetes and pre-diabetes was 0.298% (95% confidence interval [CI], 0.289–0.308) and 7.914% (95% CI, 0.43–0.49). The prevalence of diabetes significantly increased from 0.189 to 0.430 during KNHANE IV and VII. A positive linear trend is significant for diabetes ( P trends = 0.006) in only male subjects. The prevalence of pre-diabetes significantly increased from 5.86 to 12.08 in both sexes. During KNHANES IV and VII, the prevalence of obesity increased significantly. Conclusion Between 2007 and 2018, the prevalence of diabetes among Korean adolescents increased. Further studies are required to determine the causes of these increases.

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“…Most previous studies were conducted among school-age children and adolescents. 9,[19][20][21] Although some of them contained children of young age as part of the study subjects, their data were not presented or described as a separate age group. 19,20 Pre-school is a unique stage of life cycle, and could have different characteristics in terms of DM, IFG, obesity and susceptible behaviours as compared to other age groups.…”

Section: Discussionmentioning

confidence: 99%

Abnormal glucose in pre‐school children and the association with obesity/physical activity: A large population‐based study

Wang

Qiao

et al. 2021

Diabetes Metabolism Res

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Aim:The rise of diabetes mellitus (DM) and impaired fasting glucose (IFG) in children has become a worldwide challenge, but population-based survey targeted on pre-school children is lacking. The aim of the study was to determine the prevalence of DM and IFG in pre-school children and their association with obesity and susceptible behaviours.Methods: A population-based survey was conducted and 21,571 Chinese children aged 5-6 years were recruited from 66 kindergartens in Tianjin, China during the year of 2016-2018. Fasting glucose was measured for all participants. Children with fasting glucose over 7.0 mmol/L was defined as DM, and 5.6-6.9 mmol/L was defined as IFG. Results:The prevalence of DM and IFG in the current study among Chinese children aged 5-6 years old was 0.05% and 1.18%, respectively, with significant gender and regional disparities (p < 0.001). The risk of abnormal fasting glucose increased with obesity (OR 1.44, 95% CI 1.00-2.06, p < 0.05), especially with moderate/severe obesity (OR 1.84, 95% CI 1.10-3.10, p < 0.05). Further analyses found that as compared to children who had at least 2 h/day physical activity, physical activity <1 h/day increased the risk of abnormal fasting glucose independently of BMI z-score (OR 1.79, 95% CI 1.10-2.91, p < 0.05). Conclusions:The study was the first population-based large-scale survey of DM and IFG which targeted on pre-school children, and demonstrated that moderate/severe obesity and inadequate physical activity raised the risk of DM and IFG early from pre-school. The findings highlighted the necessity of early detection for abnormal glucose and control of obesity and susceptible behaviours.

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Prevalence and risk factors of impaired fasting glucose and diabetes among Chinese children and adolescents: a national observational study

Cited by 19 publications

References 40 publications

Prevalence of Diabetes and Prediabetes among Children Aged 11-14 Years Old in Vietnam

Prevalence of Diabetes and Prediabetes among Children Aged 11-14 Years Old in Vietnam

Trends of Diabetes and Prediabetes Prevalence among Korean Adolescents From 2007 to 2018

Abnormal glucose in pre‐school children and the association with obesity/physical activity: A large population‐based study

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