Prevention of Type 2 Diabetes in Childhood

Cook, Valerie; Hurley, Joanne

doi:10.1177/000992289803700210

Cited by 50 publications

(37 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[23][24][25] Health care providers of children are in a prime position for early recognition of diabetes mellitus and, therefore, have the potential for providing early diagnosis and treatment. 16,[26][27][28] The study findings provide evidence regarding existing barriers to referral and treatment (counseling and follow-up) practices. While the referral and treatment practices for dietary interventions and educational services are encouraging, further research is necessary to influence practice behaviors with respect to exercise.…”

Section: Commentmentioning

confidence: 99%

Pediatricians' Perceptions and Practices Regarding Prevention and Treatment of Type 2 Diabetes Mellitus in Children and Adolescents

Ditmyer

Price²,

Telljohann³

et al. 2003

Arch Pediatr Adolesc Med

View full text Add to dashboard Cite

Pediatricians who had a higher perceived confidence level and who perceived they were better prepared for the counseling and follow-up of patients with type 2 diabetes mellitus had a greater potential to positively affect their diabetic patients. Improving continuing medical education and residency-based programs is imperative to adequately address the emerging epidemic of type 2 diabetes mellitus in children and adolescents.

show abstract

Section: Commentmentioning

confidence: 99%

Pediatricians' Perceptions and Practices Regarding Prevention and Treatment of Type 2 Diabetes Mellitus in Children and Adolescents

Ditmyer

Price²,

Telljohann³

et al. 2003

Arch Pediatr Adolesc Med

View full text Add to dashboard Cite

show abstract

“…In the U.S., these populations included the Akimel O'odham (Pima) (19,26), Ho-Chunk (Winnebago) (23), and Zuni Pueblo (30) peoples; Native Hawaiians (25); Mexican Americans (31,32); and African Americans (18). Four studies were conducted in Canada (20 -22,24), two in New Zealand (28,29), and one each in Australia (27) and Sweden (33,34).…”

Section: Description Of Studiesmentioning

confidence: 99%

Community-Based Lifestyle Interventions to Prevent Type 2 Diabetes

et al. 2003

View full text Add to dashboard Cite

FRANK VINICOR, MD, MPH 1OBJECTIVE -To conduct a literature review of community-based interventions intended to prevent or delay type 2 diabetes.RESEARCH DESIGN AND METHODS -Recently published findings about the potential to prevent or delay type 2 diabetes with intensive lifestyle interventions prompted a literature search for community-based diabetes prevention interventions. The literature review design was a search of databases for publications in 1990 -2001 that identified reports on community-based interventions designed to prevent or modify risk factors for type 2 diabetes.RESULTS -The search revealed 16 published interventions, 8 of which were conducted in the U.S. and involved populations disproportionately burdened by diabetes (e.g., American Indians, Native Hawaiians, Mexican Americans, and African Americans). Of the studies reporting results among youth, there were posttest improvements in intervention groups in knowledge, preventive behaviors, and self-esteem. Among studies reporting results among adults, most reported improvements in intervention groups in knowledge or adoption of regular physical activity. Several investigators offered important reflections about the process of engaging communities and sharing decision making in participatory research approaches, as well as insights about the expectations and limitations of community-based diabetes prevention research. Many of the studies reported limitations in their design, including the lack of control or comparison groups, low response rates or lack of information on nonresponders, or brief intervention periods.CONCLUSIONS -There is a critical need to conduct and publish reports on well-designed community-based diabetes prevention research and share information on the process, results, and lessons learned. Armed with recent positive findings about diabetes prevention and literature documenting community-based efforts, advocates at local, state, and national levels can collaborate to stem the rising tide of diabetes in communities. Diabetes Care 26:2643-2652, 2003I n a decade's time (1990 -2001), the prevalence of self-reported (diagnosed) diabetes increased 61% in the U.S. (1), including a startling 76% increase from 1990 to 1998 among people in their 30s (2). Accounting for roughly 95% of all diabetes, type 2 diabetes is associated with obesity and weight gain (3), which also increased over the same time period. One projection is that the 11 million U.S. residents with diagnosed diabetes will increase to 29 million in 2050 (4). The escalating prevalence of type 2 diabetes portends serious consequences for the quality of life of those affected and their families and communities.To stem the rising tide of diabetes, public health policies need to move upstream toward prevention or at least a delay in the onset of type 2 diabetes. A number of recent studies offer scientific evidence and new hope for curtailing the epidemic of type 2 diabetes with support for intensive lifestyle modification and modest weight loss as effective interventions among a...

show abstract

“…Some Native American communities have developed such school programs as the Pathways and Quest programs Diabetes in Native Americans and Alaska Natives to increase physical activity, improve diet, and reduce obesity among children (27,28). These programs may serve as examples to other communities whose younger people are at risk of developing diabetes.…”

Section: Burrows and Associatesmentioning

confidence: 99%

Prevalence of diabetes among Native Americans and Alaska Natives, 1990-1997: an increasing burden.

et al. 2000

View full text Add to dashboard Cite

OBJECTIVE: To determine trends in diabetes prevalence among Native Americans and Alaska Natives. RESEARCH DESIGN AND METHODS: From 1990 to 1997, Native Americans and Alaska Natives with diabetes were identified from the Indian Health Service (IHS) national outpatient database, and prevalence was calculated using these cases and estimates of the Native American and Alaskan population served by IHS and tribal health facilities. Prevalence was age-adjusted by the direct method based on the 1980 U.S. population. RESULTS: Between 1990 and 1997, the number of Native Americans and Alaska Natives of all ages with diagnosed diabetes increased from 43,262 to 64,474 individuals. Prevalence of diagnosed diabetes increased by 29%. By 1997, prevalence among Native Americans and Alaska Natives was 5.4%, and the age-adjusted prevalence was 8.0%. During the entire 1990-1997 period, prevalence among women was higher than that among men, but the rate of increase was higher among men than women (37 vs. 25%). In 1997, age-adjusted prevalence of diabetes varied by region and ranged from 3% in the Alaska region to 17% in the Atlantic region. The increase in prevalence between 1990 and 1997 ranged from 16% in the Northern Plains region to 76% in the Alaska region. CONCLUSIONS: Diabetes is common among Native Americans and Alaska Natives, and it increased substantially during the 8-year period examined. Effective interventions for primary, secondary, and tertiary, prevention are needed to address the substantial and rapidly growing burden of diabetes among Native Americans and Alaska Natives.

show abstract

Prevention of Type 2 Diabetes in Childhood

Cited by 50 publications

References 18 publications

Pediatricians' Perceptions and Practices Regarding Prevention and Treatment of Type 2 Diabetes Mellitus in Children and Adolescents

Pediatricians' Perceptions and Practices Regarding Prevention and Treatment of Type 2 Diabetes Mellitus in Children and Adolescents

Community-Based Lifestyle Interventions to Prevent Type 2 Diabetes

Prevalence of diabetes among Native Americans and Alaska Natives, 1990-1997: an increasing burden.

Contact Info

Product

Resources

About