Risk Factors for Type 2 Diabetes Mellitus in Children

Abstract

This study investigates risk factors for type 2 diabetes mellitus in a population of children in public schools, Fortaleza, CE, Brazil. A total of 727 children aged 6 to 11 years old from 12 schools were evaluated between March and June 2008. A form addressing sociodemographic data, body mass index, blood pressure, capillary blood glucose and waist circumference was applied. A total of 54.1% of the children were female, 21.7% were overweight, 6.6% were obese, 27% had central obesity, 6.2% showed altered capillary glucose, and 17% high blood pressure. In relation to risk factors, 53.4% presented no risk factors; 24.3% had at least one factor and 18.8% two risk factors. Nurses can intervene in schools through educational health programs encouraging the adoption of healthy habits and identifying children at risk of type 2 diabetes mellitus. Factores de riesgo para diabetes mellitus tipo 2 en niñosEl estudio tuvo como objetivo identificar factores de riesgo para diabetes mellitus tipo 2 en una población de niños de escuelas públicas de Fortaleza, Brasil. Fueron evaluadas 727 niños de 6 a 11 años, de 12 escuelas, en los meses de marzo a junio de 2008. Fue aplicado un formulario abordando aspectos sociodemográficos, índice de masa corporal, presión arterial, glucemia capilar y, circunferencia de la cintura. Fue identificado que 54,1% de los sujetos eran del sexo femenino, 21,7% tenían exceso de peso, 27% obesidad central, 6,2% alteraciones en la glucemia y 17,9% presión arterial elevada. En relación a los factores de riesgo, 53,4% no lo presentaban, 24,3% tenían por lo menos un factor y 18,8% dos factores. La enfermería puede actuar en las escuelas por medio de acciones de educación en salud, incentivando la adopción de hábitos de vida saludables y identificando niños con riesgo para diabetes mellitus tipo 2.

Nursing care in childcare services: Acantose nigricans as a marker for metabolic risk

“…In this context, the treatment is long and the prevention of metabolic disorders a public health priority; the change can start in the nursing consultations in the health centers (19) , as well as through health education actions in the schools (20) . It is stressed, however, that in spite of the nurse being fundamental in this process, it is necessary for the actions to be multi-and inter-disciplinary, through teamwork, in which other professionals, such as nutritionists and the psychologists, may also be mediators.…”

Risco para diabetes mellitus tipo 2 e fatores associados

“…The nurses observed that among children 21.7% were overweight, 27% had abdominal obesity, 17.9% had high blood pressure and 6.2% glucose alterations. (8) In the adolescent population there was high prevalence of a sedentary lifestyle (65.1%) and family history of type 2 diabetes mellitus (51.1%). (9) In adults prevalence was even higher: 47.1% were overweight, 30.7% had abdominal obesity and 70,9% had a sedentary lifestyle.…”

Risk Factors for TYPE II Diabetes Mellitus: an Integrative Review

“…The first [12] brought as a factor of risk a family history of type 2 diabetes, high BMI and high blood pressure. On the other hand [13], in line with the first, investigated overweight and high blood pressure; however, it did not investigate family history with DM as a risk factor. Those results corroborate the ones standardized by the American Diabetes Association (ADA) [12].…”