Emerging diabetes and metabolic conditions among Aboriginal and Torres Strait Islander young people

Titmuss, Angela; Davis, Elizabeth A.; Brown, Alex; Maple-Brown, Louise

doi:10.5694/mja2.13002

Cited by 37 publications

(40 citation statements)

References 17 publications

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“…This is alarming as a younger age at diagnosis of type 2 diabetes and a higher HbA1c are associated with higher mortality and risk of diabetes complications 1,38 . Indigenous Australians and Maori/Pacifica are overrepresented among youth with type 2 diabetes in Australia and NZ captured by ADDN, and have higher risk of developing type 2 diabetes in youth combined with poorer health outcomes and a lower life expectancy 7,20,39 . These results support the recommendation for targeted screening for type 2 diabetes in overweight or obese youth from high‐risk populations (including Indigenous Australian and Maori) in the newly compiled guidelines for type 2 diabetes in youth from the Australasian Pediatric Endocrine Group 18 .…”

Section: Discussionmentioning

confidence: 56%

Type 2 diabetes in children and adolescents across Australia and New Zealand: A 6‐year audit from The Australasian Diabetes Data Network (ADDN)

et al. 2020

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Objectives To assess the clinical and demographic characteristics of children and adolescents across Australia and New Zealand (NZ) with type 2 diabetes. Methods We performed a descriptive audit of data prospectively reported to the Australasian Diabetes Data Network (ADDN) registry. Data were collected from six tertiary pediatric diabetes centers across Australia (New South Wales, Queensland, South Australia, Western Australia, and Victoria) and NZ (Auckland). Children and adolescents diagnosed with type 2 diabetes aged ≤ 18 years with data reported to ADDN between 2012 and 2017 were included. Age, sex, ethnicity, HbA1c, blood pressure, BMI, waist circumference and lipid profile at first visit were assessed. Results There were 269 cases of type 2 diabetes in youth reported to ADDN between 2012 and 2017. The most common ethnicities were Indigenous Australian in 56/243 (23%) and NZ Maori or Pacifica in 47 (19%). Median age at diagnosis was 13.7 years and 94% of participants were overweight or obese. Indigenous Australian and Maori/Pacifica children were younger at diagnosis compared with nonindigenous children: median 13.3 years (indigenous Australian); 13.1 years (Maori/Pacifica); 14.1 years (nonindigenous), p = 0.005. HbA1c was higher in indigenous Australian (9.4%) and Maori/Pacifica youth (7.8%) compared with nonindigenous (6.7%) p < 0.001. BMI‐SDS was higher in Maori/Pacifica youth (2.3) compared with indigenous Australian (2.1) and nonindigenous (2.2) p = 0.011. Conclusions Indigenous Australian and Maori/Pacifica youth in ADDN were younger and had worse glycaemic control at diagnosis of type 2 diabetes. Our findings underscore the need to consider targeted and earlier screening in these “high‐risk” populations.

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Section: Discussionmentioning

confidence: 56%

Type 2 diabetes in children and adolescents across Australia and New Zealand: A 6‐year audit from The Australasian Diabetes Data Network (ADDN)

et al. 2020

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“…and younger people (15-44 years) in particular, this requires an increase in access to preventive programmes to reduce the burden of disease (Titmuss, Davis, Brown, & Maple-Brown, 2019).…”

Section: Differential Age Growthmentioning

confidence: 99%

The future growth and spatial shift of Australia's Aboriginal and Torres Strait Islander population, 2016–2051

Taylor

Wilson

Temple

et al. 2020

Population Space and Place

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The Australian Aboriginal and Torres Strait Islander population more than doubled in size between 1996 and 2016. Growth was highest in urban areas and lower in rural and remote areas. An important contributor to growth was identification change, whereby individuals report their Aboriginal status differently over time. Official population projections in Australia currently do not incorporate this phenomenon, leading to underestimation of future populations which affects policies, targets and planning for demand-based services. We outline a new projection model to improve subnational estimates of future regional population growth by endogenizing identification change and Aboriginal/non-Aboriginal childbearing. Results suggest that growth will be higher than currently projected, especially in urban-dominated regions in New South Wales and Queensland where identification change is projected to account for more than 50% of growth. There will also be considerable population ageing, which has implications for services and policies relevant to Aboriginal and Torres Strait Islander people.

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“…14 The George Institute for Global Health, Sydney, Australia. 15 Mater Medical Research Institute, University of Queensland, Brisbane, Australia. 16 Wuchopperen Health Service, Cairns, Australia.…”

Section: Acknowledgementsmentioning

confidence: 99%

“…GDM is a strong predictor of future T2DM [12]; the risk of progressing to T2DM following GDM is fourfold greater for Aboriginal and Torres Strait Islander women than non-Indigenous women in Australia [13]. Children exposed to hyperglycaemia in utero are at risk of developing T2DM at an early age, which is an issue of increasing concern for the health of Aboriginal and Torres Strait Islander Australians [14,15]. The consequences of hyperglycaemia in pregnancy contribute substantially to the epidemic of diabetes, and thus to the 10-year gap in life expectancy between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians [16,17].…”

Section: Introductionmentioning

confidence: 99%

Improving systems of care during and after a pregnancy complicated by hyperglycaemia: A protocol for a complex health systems intervention

MacKay

Kirkham

Freeman

et al. 2020

BMC Health Serv Res

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Background: Many women with hyperglycaemia in pregnancy do not receive care during and after pregnancy according to standards recommended in international guidelines. The burden of hyperglycaemia in pregnancy falls disproportionately upon Indigenous peoples worldwide, including Aboriginal and Torres Strait Islander women in Australia. The remote and regional Australian context poses additional barriers to delivering healthcare, including high staff turnover and a socially disadvantaged population with a high prevalence of diabetes.

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Emerging diabetes and metabolic conditions among Aboriginal and Torres Strait Islander young people

Cited by 37 publications

References 17 publications

Type 2 diabetes in children and adolescents across Australia and New Zealand: A 6‐year audit from The Australasian Diabetes Data Network (ADDN)

Type 2 diabetes in children and adolescents across Australia and New Zealand: A 6‐year audit from The Australasian Diabetes Data Network (ADDN)

The future growth and spatial shift of Australia's Aboriginal and Torres Strait Islander population, 2016–2051

Improving systems of care during and after a pregnancy complicated by hyperglycaemia: A protocol for a complex health systems intervention

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