Evidence for Identifying Children at Risk for Being Overweight, Cardiovascular Disease, and Type 2 Diabetes in Primary Care

Bindler, Ruth C.; Bruya, Margaret Auld

doi:10.1016/j.pedhc.2005.09.005

Cited by 19 publications

(10 citation statements)

References 20 publications

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“…Twenty-one, including nine new studies published since 2005 [19][20][21][22][23][24][25][26][27] , were eligible for inclusion as shown in Figure 2. Three studies described different components of a large school-based screening intervention (the CARDIAC project) 20,22,24 ; the rest represented separate studies.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Thirteen studies addressed screening in children aged 12 years and younger 19,20,26,[28][29][30][31][32] , four studies addressed adolescents [33][34][35][36] , and four studies addressed both young children and adolescents. 21,[37][38][39] Seventeen studies were from the United States, two from the UK 19,35 , one from Slovenia 26 , and one from Denmark. 32 There were 1 controlled pre-post study, 34 14 cohort studies, 3 surveys 25,27,31 , 1 ecological before-after study, 23 one cost-effectiveness analysis 35 , and one qualitative study.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…21,36,39 Clinic-based screening generally had higher participation rates than school-based screening. The impact of family history on participation rates was mixed: one study found higher participation in children with family history of high cholesterol (p<0.001) 24 , one no difference 33 , and one study a lower participation rate (45% of non-participants had positive family history vs. 35% of participants, p<0.05).…”

Section: Impact On Clinical Management Participation In Universal Scrmentioning

confidence: 99%

“…21,31,33,[36][37][38][39] Two additional studies conducted follow-up testing, but did not report attendance. 29,32 Twenty to 80% children did not complete evaluation of lipid levels (Table 3); the most recent study (2006) reported 55% attendance at follow-up.…”

Section: Attendance For Confirmatory Testingmentioning

confidence: 99%

See 3 more Smart Citations

Universal Cholesterol Screening in Childhood: A Systematic Review

Smith

Turner

Kinra

2016

Academic Pediatrics

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Section: Description Of Studiesmentioning

confidence: 99%

Section: Description Of Studiesmentioning

confidence: 99%

Section: Impact On Clinical Management Participation In Universal Scrmentioning

confidence: 99%

Section: Attendance For Confirmatory Testingmentioning

confidence: 99%

See 2 more Smart Citations

Universal Cholesterol Screening in Childhood: A Systematic Review

Smith

Turner

Kinra

2016

Academic Pediatrics

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“…Previously misdiagnosed as "Addison's disease, "Acanthosis Nigricans (AN) is manifested by dark, raised skin in areas such as the axilla, neck, knuckles, elbows, and knees and is believed to result from hyperinsulinemia and can be easily recognized by the dark, velvety plaques of body folds seen around the neckline or in the axilla of children who have greater body weight and fat mass, higher serum insulin levels and lower insulin sensitivity" [21,22]. This condition is becoming more prevalent among obese patients and those with T2D [22].…”

Section: Introductionmentioning

confidence: 99%

Acanthosis Nigricans: relation to risk of Type 2 diabetes and cardiovascular diseases among Jamaican adolescents

Barrett¹,

Huffman²,

Johnson³

et al. 2016

Integr Food Nutr Metab

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adulthood [8,14]. Obesity has been cited as "a risk factor for CVD, ventricular dysfunction, congestive heart failure, stroke, and cardiac arrhythmias" [15]. According to Calderon et al. [16] "Persons with body mass index (BMI) >35 kg/m 2 are 2-3 times more likely than lean persons with lower BMI (18.5-24.9 kg/m 2 ) to die from CVD". Therefore, detection of the early signs of T2D and CVD is needed to help in the prevention of these and other related medical conditions. Similar to higher BMI, abdominal fat or central adiposity is closely associated with hyperinsulinemia and IR [17]. According to Ramachandran (2004) AbstractThe objectives of the study were to determine if Jamaican adolescents were at risk for type 2 diabetes (T2D) and cardiovascular diseases (CVD), and examine the relationship between the presence of Acanthosis Nigricans (AN) and the risk of developing T2D and CVD among Jamaican adolescents.A descriptive epidemiological cross-sectional study of 276 Jamaican adolescents ages 14-19 years (15.6 ± 1.2) participated. Subjects were selected from grades 9-12 from ten high schools on the island and included males (112) and females (164). Fasting blood glucose (FBG), total cholesterol (TC), glycated hemoglobin (A1c), blood pressure (BP), body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and presence of Acanthosis Nigricans were examined. Of the eight risk factors for T2D and CVD examined, the presence of AN classified more subjects at risk than all the other risk factors. Spearman correlations of AN with the other seven risk factors were highly significant for six of these other risk factors (P<0.05). High A1c was the only risk factor which did not correlate with the presence of AN (P=0.085). Females had significantly higher WC (P<0.041), and presence of AN (P<0.013), whereas, males had significantly higher FBG (P<0.039). Urban subjects had significantly higher BMI (P<0.018) and WC (P<0.021) than rural subjects. High total cholesterol was significant for subjects with lower income (P<0.039). The presence of AN classified more subjects at risk than did the other seven risk factors. Examining students for the presence of AN can be economically and easily performed within the schools. A1c classified more subjects at risk for T2D and CVD than FBG and TC, however, there was no correlation between high A1c and the presence of AN. Over one third of the study subjects reported three or more risk factors for T2D and CVD which indicates early intervention measures are needed for this population.

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Structurele rol praktijkondersteuner in aanpak obesitas bij kinderen

Umans¹

2008

TVPO

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Evidence for Identifying Children at Risk for Being Overweight, Cardiovascular Disease, and Type 2 Diabetes in Primary Care

Cited by 19 publications

References 20 publications

Universal Cholesterol Screening in Childhood: A Systematic Review

Universal Cholesterol Screening in Childhood: A Systematic Review

Acanthosis Nigricans: relation to risk of Type 2 diabetes and cardiovascular diseases among Jamaican adolescents

Structurele rol praktijkondersteuner in aanpak obesitas bij kinderen

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