Abstract:The major finding of this study is the high prevalence of risk factors for NIDDM and cardiovascular disease in this population of aboriginal children and adolescents. Abnormalities of carbohydrate and lipid metabolism were well established by late in the second decade of life. Although many subjects had high insulin levels and there was evidence of insulin resistance in the population, hyperinsulinemia did not predict the development of abnormal glucose tolerance 5 years later.
“…A cohort of indigenous Australian children aged 7-18 years was surveyed in 1989 and again in 1994. Over the 5 years, the prevalence of type 2 diabetes almost doubled to 1.3%, while that for IGT increased almost sevenfold to 8.1% (20). At the follow-up, 18% of the population was overweight or obese, and one-third had elevated cholesterol levels.…”
Section: Population-based Studiesmentioning
confidence: 91%
“…Although type 1 diabetes remains the main form of the disease in children worldwide, it is likely that type 2 diabetes will be the predominant form within 10 years in many ethnic groups. Type 2 diabetes has already been reported in children in a number of countries, including Japan, the U.S., India, Australia, and the U.K. (1)(2)(3)(4)(5). This new phenomenon brings a serious new aspect to the global diabetes epidemic and heralds an emerging public health problem of major proportions.…”
“…A cohort of indigenous Australian children aged 7-18 years was surveyed in 1989 and again in 1994. Over the 5 years, the prevalence of type 2 diabetes almost doubled to 1.3%, while that for IGT increased almost sevenfold to 8.1% (20). At the follow-up, 18% of the population was overweight or obese, and one-third had elevated cholesterol levels.…”
Section: Population-based Studiesmentioning
confidence: 91%
“…Although type 1 diabetes remains the main form of the disease in children worldwide, it is likely that type 2 diabetes will be the predominant form within 10 years in many ethnic groups. Type 2 diabetes has already been reported in children in a number of countries, including Japan, the U.S., India, Australia, and the U.K. (1)(2)(3)(4)(5). This new phenomenon brings a serious new aspect to the global diabetes epidemic and heralds an emerging public health problem of major proportions.…”
“…8 The occurrences of Type II Diabetes have been reported in children, adolescents and young adult age group individuals. [9][10][11][12][13][14][15] The occurrence of hypertension, dyslipidemia, type 2 diabetes and metabolic syndrome has been reported in children, adolescents and young adults. 16,17 Obesity has now become a critical problem in the U.S., with the prevalence among adults increasing by nearly 50% during the 1980s and 1990s; 18 now, nearly 70% of adults are classified as overweight or obese compared with fewer than 25% 40 years ago.…”
Section: Health Consequences Of Overweight and Obesity In Adultsmentioning
“…In the North America, type 2 DM now accounts for about 15% to 45% of all newly diagnosed cases of diabetes in children and teenagers [10,11]. Type 2 DM has also been reported in children in Asian-Pacific countries such as Japan [12], India [13] and Australia [14], as well as in the United Kingdom [15]. Although type 1 DM remains the major form of the disease in children worldwide, it is likely that type 2 DM will be the predominant form within a decade in many ethnic groups [16].…”
Section: Diabetes Mellitus: a Snap-shot Of The Global Picturementioning
The 'double burden of malnutrition' refers to the simultaneous existence of both undernutrition and overnutrition in the same population across the life course. Diabetes mellitus (DM) -a major non-communicable disease -has been linked to both chronic undernutrition and obesity; the latter is now assuming prominence in developing countries. The present review aims to highlight the global burden of this non-communicable disease in children and its relationship with the 'double burden of malnutrition'. Type 2 DM has rapidly evolved from a disease of the Western world to a global disease; from a disease of affluence to a disease that now afflicts the poor; and from an adult-onset disease to a disease that is gaining prominence in the pediatric population. Estimates from the International Diabetes Federation show that diabetes affects at least 285 million people worldwide out of which two-thirds occur in developing (low-to middle-income) countries. The global epicenter of diabetes epidemic is located in China and India as Asia has undergone rapid economic development, urbanization and transitions in nutritional status. Overweight and obesity are propelling the worldwide diabetes epidemic. Central obesity is correlated with both insulin resistance and type 2 DM. Moreover, the scourge of chronic undernutrition among children in tropical developing countries may predispose them to malnutrition-modulated diabetes mellitus (MMDM) later in life. Children in these regions are thus faced with a health-related dilemma. There is an urgent need to develop a comprehensive prevention program targeted at reducing diabetes risk and promoting proper nutrition among children in these countries.
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