Risk factors for developing type 2 diabetes in adolescents

Authors

  • Velia Margarita Cárdenas-Villarreal <p>Universidad Aut&oacute;noma de Nuevo Le&oacute;n, Facultad de Enfermer&iacute;a, Monterrey, Nuevo Le&oacute;n</p>
  • Patricia Enedina Miranda-Félix <p>Universidad Aut&oacute;noma de Sinaloa, Escuela Superior de Enfermer&iacute;a, Culiac&aacute;n, Sinaloa</p>
  • Yolanda Flores-Peña <p>Universidad Aut&oacute;noma de Nuevo Le&oacute;n, Facultad de Enfermer&iacute;a, Monterrey, Nuevo Le&oacute;n</p>
  • Ricardo Cerda-Flores <p>Universidad Aut&oacute;noma de Nuevo Le&oacute;n, Facultad de Enfermer&iacute;a, Monterrey, Nuevo Le&oacute;n</p>

Keywords:

Type 2 diabetes mellitus, Adolescents

Abstract

Introduction: Type 2 diabetes mellitus is an increasing disease among adolescents and of great concern, since in most cases it remains undiagnosed for a long time. When identified its therapeutic management is difficult and impacts the quality of life of patients.

Objective: To describe the risk factors for developing type 2 diabetes mellitus in adolescents attending public educational institutions.

Methods: Cross-sectional analitical study in which 264 adolescents aged 12-18 years of both sexes were engaged. Six noninvasive risk factors were studied: body mass index by age and sex, family history of type 2 diabetes mellitus, acanthosis nigricans, hypertension, maternal history of gestational diabetes, low birth weight. 

Results: 76 % of the participants have a family history of type 2 diabetes mellitus, 26 % are overweight and obese, 27 % acanthosis nigricans, 11 % hypertension, 2 % maternal history of gestational diabetes, 10 % low birth weight; 14 % do not show any risk factors, 17 % had three or more factors. Of those with overweight and obese 58 % had two or more risk factors for developing type 2 diabetes.

Conclusions: Risk factors for type 2 diabetes mellitus were identified in adolescents from 12 to 18 years. Nurses are the patient’s first contact with the health system therefore they play an important role for health education activities and identification of risk factors for developing type 2 diabetes in childhood and adolescence.

References

Amed S, Daneman D, Mahmud FH, Hamilton J. Type 2 diabetes in children and adolescents. Expert Rev Cardiovasc Ther. 2010;8(3):393-406.

 

Nadeau K, Dabelea D. Epidemiology of type 2 diabetes in children and adolescents. Endocr Res. 2008;33(1-2):35-58.

 

Writing Group for the Search for Diabetes in Youth Study Group; Dabelea D, Bell RA, D’Agostino RB Jr, Imperatore G, Johansen JM, et al. Incidence of diabetes in youth in the United States. JAMA. 2007; 297(24):2716-24.

 

Shaw J. Epidemiology of childhood type 2 diabetes and obesity. Pediatr Diabetes.2007;8 Suppl 9:7-15.

 

American Diabetes Association. Standards of medical care in diabetes-2013. Diabetes Care. 2013;36 Suppl 1:S11-66. 

 

American Diabetes Association. Type 2 diabetes in children and adolescents. Diabetes Care. 2000;23(3):381-9.

 

Adams MH, Lammon CA. The presence of family history and the development of type 2 diabetes mellitus risk factors in rural children. J Sch Nurs. 2007;23(5):259-66.

 

Healthy Study Group; Kaufman FR, Hirst K, Linder B, Baranowski T, Cooper DM, et al. Risk factors for type 2 diabetes in a sixth- grade multiracial cohort: the HEALTHY study. Diabetes Care. 2009;32(5): 953-5. 

 

Urrutia-Rojas X, Menchaca J. Prevalence of risk for type 2 diabetes in school children. J Sch Health. 2006;76(5):189-94.

 

Peterson S, Sheffer S, Roth SL, Bennett PA, Lloyd L. Noninvasive screening for risk factors of type 2 diabetes in young, rural, caucasian children. J Sch Nurs. 2010;26(4):301-9.

 

Macedo SF, Araujo MFM, Marinho NPB, Lima ACS, Freitas RWF, Damasceno MC. Fatores de risco para diabetes mellitus tipo 2 em crianças. Rev Latinoam Enferm. 2010;18(5):936-2. [En línea] http://www.scielo.br/pdf/rlae/v18n5/es_14.pdf [Consultado 13/09/2013].

 

Cárdenas-Villarreal VM, López-Alvarenga JC, Bastarrachea RA, Rizo-Baeza MM, Cortés-Castell E. Prevalencia del síndrome metabólico y sus componentes en adolescentes de la Ciudad de Monterrey, Nuevo León. Arch Cardiol Mex. 2010;80(1):19-26.

 

Centers for Disease Control and Prevention (CDC). Healthy weight-it’s not a diet, it’s a lifestyle! [En línea]. http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html [Consultado 13/09/2013].

 

International Diabetes Federation. IDF definition of metabolic syndrome in children and adolescents. [En línea] http://www.idf.org/metabolic-syndrome/children [Consultado 20/01/2010].

 

Burke JP, Hale DE, Hazuda HP, Stern MP. A quantitative scale of acanthosis nigricans. Diabetes Care. 1999;22(10):1655-9.

 

Schwartz RA. Acanthosis nigricans. J Am Acad Dermatol. 1994;31 (1):1-19.

 

Secretaría de Salud. Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. México: SSA; 1984. [En línea] http://www.conbioetica-mexico.salud.gob.mx/descargas/pdf/normatividad/normatinacional/10._NAL._Reglamento_de_Investigacion.pdf [Consultado 20/01/2011].

 

Kelly LA, Lane CJ, Weigensberg MJ, Koebnick C, Roberts CK, Davis JN, et al. Parental history and risk of type 2 diabetes in overweight Latino adolescents: a longitudinal analysis. Diabetes Care. 2007;30 (10):2700-5.

 

Annis AM, Caulder MS, Cook ML, Duquette D. Family history, diabetes, and other demographic and risk factors among participants of the National Health and Nutrition Examination Survey 1999-2002. Prev Chronic Dis. 2005;2(2):A19.

 

Morrison JA, Glueck CJ, Horn PS, Wang P. Childhood predictors of adult type 2 diabetes at 9- and 26-year follow-ups. Arch Pediatr Adolesc Med. 2010;164(1):53-60.

 

Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, et al. Encuesta Nacional de Salud y Nutrición 2012. México: Instituto Nacional de Salud Pública; 2012.

 

Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev. 2012;33(1):48-70.

 

Kong AS, Williams RL, Rhyne R, Urias-Sandoval V, Cardinali G, Weller NF, et al. Acanthosis Nigricans: high prevalence and association with diabetes in a practice-based research network consortium—a Primary Care Multi-Ethnic Network (PRIME Net) Study. J Am Board Fam Med. 2010;23(4):476-85.

 

Abraham C, Rozmus CL. Is acanthosis nigricans a reliable indicator for risk of type 2 diabetes in obese children and adolescents? A systematic review. J Sch Nurs. 2012;28(3):195-205.

Börnhorst C, Hense S, Ahrens W, Hebestreit A, Reisch L, Barba G, et al. From sleep duration to childhood obesity—what are the pathways? Eur J Pediatr. 2012;171(7):1029-38.

Downloads

Published

2014-04-30

Issue

Section

Investigación