Type 2 diabetes among North American children and adolescents: An epidemiologic review and a public health perspective
Type 2 diabetes among North American children and adolescents: An epidemiologic review and a public health perspective
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DOI：
10.1067/mpd.2000.105141
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发表时间：
2000-05-01
影响因子：
5.1
通讯作者：
Narayan, KMV
中科院分区：
文献类型：
--
作者：
Fagot-Campagna, A;Pettitt, DJ;Narayan, KMV
目的：回顾2型糖尿病在北美youth.Results的规模，特点和公共卫生的重要性：在15- 19岁的北美印第安人，每1000人的2型糖尿病的患病率为50.9皮马印第安人，4.5为所有美国印第安人，和2.3为加拿大克里族和Ojibway印第安人在马尼托巴。从1967-1976年到1987-1996年，皮马印第安青少年的患病率增加了6倍。在俄亥俄州10至19岁的非裔美国人和白人中，2型糖尿病占所有糖尿病病例的33%。患有2型糖尿病的青年一般为10至19岁，肥胖，有2型糖尿病家族史，患有黑棘皮病，属于少数民族，女孩比男孩更有可能。在后续行动中，血糖控制往往是穷人，糖尿病并发症可能发生early.Conclusions：2型糖尿病是一个重要的问题，美国印第安人和第一民族青年。对其他人群的研究尚不充分，但目前所有人群，特别是少数民族都有病例发生。青年中的2型糖尿病是一个新出现的公共卫生问题，在改善初级和二级预防方面有很大的潜力。
Objectives: To review the magnitude, characteristics, and public health importance of type 2 diabetes in North American youth.Results: Among 15- to 19-year-old North American Indians, prevalence of type 2 diabetes per 1000 was 50.9 for Pima Indians, 4.5 for all US American Indians, and 2.3 for Canadian Cree and Ojibway Indians in Manitoba. From 1967-1976 to 1987-1996, prevalence increased 6-fold for Pima Indian adolescents. Among African Americans and whites aged 10 to 19 years in Ohio, type 2 diabetes accounted for 33% of all cases of diabetes. Youth with type 2 diabetes were generally 10 to 19 years old, were obese and had a family history of type 2 diabetes, had acanthosis nigricans, belonged to minority populations, and were more likely to be girls than boys. At follow-up, glucose control was often poor, and diabetic complications could occur early.Conclusions: Type 2 diabetes is an important problem among American Indian and First Nation youth. Other populations have not been well studied, but cases are now occurring in all population groups, especially in ethnic minorities. Type 2 diabetes among youth is an emerging public health problem, for which there is a great potential to improve primary and secondary prevention.