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Five-region study finds no evidence of undiagnosed type 2 diabetes in Swedish 11- to 13-year-olds
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
Lund Univ, Dept Clin Sci, Lund, Sweden.
Linköping Univ, Dept Clin & Expt Med, Div Pediat, Linköping, Sweden.
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2014 (Engelska)Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 103, nr 10, s. 1078-1082Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

AIM: Childhood obesity is now an established public health problem in most developed countries, and there is concern about a parallel increase of type 2 diabetes. The aim of this study was to estimate the prevalence of undiagnosed type 2 diabetes in overweight Swedish school children from 11 to 13 years of age.

METHODS: Body mass index (BMI) was measured in 5528 schoolchildren in the 6th grade, from 11 to 13 years of age, in five different regions in Sweden. Overweight was defined by international age- and sex-specific BMI cut-offs, corresponding to adult BMI cut-offs of 25 kg/m(2) at 18 years of age (ISO-BMI ≥25, n = 1275). Haemoglobin A1c (HbA1c) was measured in 1126 children with ISO-BMI ≥25. Children with a Diabetes Control and Complications Trial aligned HbA1c ≥6.1% on two occasions underwent an oral glucose tolerance test (OGTT) to establish the diabetes diagnosis.

RESULTS: Of 1126 children with ISO-BMI ≥25, 24 (2.1%) had at least one HbA1c value ≥6.1%. Three of them had HbA1c ≥6.1% on two occasions, and all of them had a normal OGTT.

CONCLUSION: In this cross-sectional, population-based screening study of a high-risk group of 11- to 13-year-old Swedish school children, we found no indication of undiagnosed diabetes or impaired glucose tolerance.

Ort, förlag, år, upplaga, sidor
2014. Vol. 103, nr 10, s. 1078-1082
Nyckelord [en]
childhood obesity, diabetes mellitus type 2, epidemiology
Nationell ämneskategori
Pediatrik
Identifikatorer
URN: urn:nbn:se:umu:diva-94194DOI: 10.1111/apa.12729ISI: 000342753400022PubMedID: 24976437OAI: oai:DiVA.org:umu-94194DiVA, id: diva2:752697
Tillgänglig från: 2014-10-06 Skapad: 2014-10-06 Senast uppdaterad: 2018-06-07Bibliografiskt granskad

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Berhan, YonasMöllsten, AnnaIvarsson, AnneliDahlquist, Gisela

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