Prevalence of impaired fasting glucose and analysis of related factors in Taiwanese adolescents

Chen, Chen-Mei; Lou, Meei‐Fang; Gau, Bih‐Shya

doi:10.1111/pedi.12081

Cited by 15 publications

(12 citation statements)

References 34 publications

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“…In contrast, among obese/overweight Emirati children and adolescents (aged 11‐17 years), prediabetes prevalence was estimated to be 21.9% according to the HbA1c ADA criteria . As for international studies, prediabetes prevalence among the general population of children and adolescents in the United States (HbA1c ADA : 17.8%) and Taiwan (IFG ADA : 22.0%) were less than our estimated prevalence. The discrepancies between studies can be, in part, explained by the different applied screening tools and diagnostic criteria.…”

Section: Discussioncontrasting

confidence: 81%

Associations of adiposity and parental diabetes with prediabetes among adolescents in Kuwait: A cross‐sectional study

Almari

Al-Saedi²,

Mohammad

et al. 2018

Pediatr Diabetes

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Background Prediabetes, a high‐risk state for developing diabetes, has become more prevalent among children and adolescents in recent decades. This study sought to estimate the prevalence of prediabetes and assess its association with adiposity among adolescents in Kuwait. Also, to determine whether maternal and paternal history of diabetes associate with offspring prediabetes in a sex‐specific manner. Methods A cross‐sectional study was conducted by enrolling students (n = 1959; aged 14‐19 years) attending high schools across Kuwait. Body mass index‐for‐age z‐scores were estimated using the World Health Organization growth reference. Glycated hemoglobin A1c (HbA1c) was measured in capillary blood using point‐of‐care testing. Prediabetes was defined according to the diagnostic criteria of the American Diabetes Association (ADA; 5.7 ≤ HbA1c% ≤ 6.4) and the International Expert Committee (IEC; 6.0 ≤ HbA1c% ≤ 6.4). Adjusted prevalence ratios (aPR) and 95% confidence intervals (CI) were estimated using Poisson regression with robust variance estimation. Results According to the ADA criteria, 33.3% (620/1845) of participants had prediabetes; whereas, 8.5% (157/1845) met the IEC definition for prediabetes. Subjects classified as obese had higher prevalence of prediabetes compared to children in the thinness/normal group (aPR = 1.68, 95% CI: 1.44‐1.95). Analysis stratified by offspring sex showed that maternal history of diabetes is associated with prediabetes among male offspring (aPR = 1.29, 95% CI: 1.02‐1.63). In contrast, paternal history of diabetes showed an association with prediabetes among female offspring (aPR = 1.22, 95% CI: 1.01‐1.48). Conclusions Prediabetes affects a substantial proportion of adolescents in Kuwait and adiposity and parental diabetes being the main associated factors with prediabetes.

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Section: Discussioncontrasting

confidence: 81%

Associations of adiposity and parental diabetes with prediabetes among adolescents in Kuwait: A cross‐sectional study

Almari

Al-Saedi²,

Mohammad

et al. 2018

Pediatr Diabetes

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“…These findings support the need for rigorous metabolic screening and implementation of lifestyle changes at an early stage, given impaired fasting glucose being an important biomarker associated with obesity and future metabolic syndrome. 4,5 More research is required to evaluate whether these earlier lifestyle modifications or preemptive administration of hypoglycemic agents could prevent the development of TH or even worse diabetic complications in patients at high risk.…”

Section: Comment On: Glucose Levels Before the Onset Of Asparaginase mentioning

confidence: 99%

Comment on: Glucose levels before the onset of asparaginase predicts transient hyperglycemia in children with acute lymphoblastic leukemia

Tsai

2017

Pediatric Blood & Cancer

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“…Several cross‐sectional studies among adolescents have shown a wide range in the prevalence of IFG, from 3.5% among Chinese adolescents to 40.5% among Americans, depending on the population studied. However, limited studies have investigated the temporal changes of prediabetes in this age group .…”

Section: Introductionmentioning

confidence: 99%

“…6,7 According to the third study of the school-based surveillance system entitled CASPIAN III (2009)(2010), in a representative sample of the Iranian adolescents, the prevalence of fasting plasma glucose (FPG) ≥ 100 mg/dL among boys and girls was 12.2% and 18.5%, respectively, a prevalence significantly higher in girls. 8 Several cross-sectional studies among adolescents have shown a wide range in the prevalence of IFG, [9][10][11] from 3.5% among Chinese adolescents 12 to 40.5% among Americans, 13 depending on the population studied. However, limited studies have investigated the temporal changes of prediabetes in this age group.…”

Section: Introductionmentioning

confidence: 99%

Impaired fasting glucose prevalence surge among Iranian adolescents in a decade: The Tehran Lipid and Glucose Study

et al. 2019

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Purpose Impaired fasting glucose (IFG) is associated with incident diabetes, cardiovascular risk, and markers of atherosclerosis in early adulthood. We aimed to explore the 10‐year change in IFG prevalence among adolescent participants of the Tehran Lipid and Glucose Study, a population‐based study from Iran. Methods For our study, we used data on fasting plasma glucose (FPG), anthropometric, and demographic information of 11 to 19‐year‐old adolescents in study periods I (1999‐2005; 1415 boys, 1583 girls) and II (2011‐2014; 477 boys, 469 girls). Sex‐adjusted and sex‐stratified multivariable logistic regression models were used to assess the relationship of the study period (reference: study period I) with IFG. Results The prevalence of IFG, general obesity, and central obesity increased from 7%, 13.3%, and 18.8% in study period I to 16.6%, 24%, and 37.4% in study period II; while a favorable trend was seen for blood pressure, triglycerides, and high‐density lipoprotein cholesterol. In the fully adjusted model, being older (age group 15‐19 vs 11‐14 years) and female sex were associated with lower risk. Being overweight and obese increased the risk by risk ratios (confidence interval) of 1.57 (1.17‐2.11) and 1.63 (1.15‐2.30), respectively. Central adiposity did not remain as an independent risk factor. Nevertheless, study period persisted as a significant factor despite all adjustments [2.20 (1.81‐2.68)]. Results in the sex‐stratified models were generally the same. Conclusion Our results demonstrated that the over 2‐fold rise in IFG prevalence among adolescents was not solely dependent on general and central obesity.

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Prevalence of impaired fasting glucose and analysis of related factors in Taiwanese adolescents

Cited by 15 publications

References 34 publications

Associations of adiposity and parental diabetes with prediabetes among adolescents in Kuwait: A cross‐sectional study

Associations of adiposity and parental diabetes with prediabetes among adolescents in Kuwait: A cross‐sectional study

Comment on: Glucose levels before the onset of asparaginase predicts transient hyperglycemia in children with acute lymphoblastic leukemia

Impaired fasting glucose prevalence surge among Iranian adolescents in a decade: The Tehran Lipid and Glucose Study

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