Balamurugan, K (2013) Prevalance of Prediabetes in Urban School Going Adolescents Aged 11-17 Years with High Risk Factors. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION: Obesity had become a major global epidemic in children. Last few decades have seen significant rise in the prevalence of overweight and obesity among children and adolescents of all countries. There is a strong association between all Non communicable diseases (NCDs) and Overweight and obesity. Today overweight and obesity and its consequences has become a major public health problem especially in urban areas in many developing countries, including India. Type 2 diabetes mellitus (T2DM) is increasing at an alarming rate in adolescents and is becoming a public health problem throughout the world. The quality of life is affected because of it. Five to ten percent of all proven cases of diabetes are due to Type 1 diabetes mellitus (T1DM) and is the major cause of diabetes in children and adolescents. T2DM occurs mainly in adults who are overweight and older than 40 years. But now T2DM is occurring more often in young people because more children and adolescents all over the world had become overweight, obese and sedentary. Below 10 years of age T2DM is rare irrespective of race or ethnicity. The epidemic of T2DM in children and adolescents parallels the appearance of the obesity epidemic. This epidemic is also reported in India [1] and children of Indian origin in other countries. AIM OF THE STUDY: To study the prevalence of Pre-diabetes in urban school going adolescents aged 11-17 years with high risk factors. DISCUSSION: According to International Diabetes Federation (IDF) around 40.9 million diabetes patients are in India and this may further rise to 69.9 million by the year 2025 [11]. Comparing to Western population T2DM develops at a decade or two earlier in Indians (1). Schools were chosen for conducting the study because if children were educated about the need to practice a healthy diet and exercise routine in their schools, they most probably tend to make healthier choices and can prevent the progression of pre-diabetes to diabetes. Schools have been recognized as the perfect spaces to administer intervention strategies because of their impact on the family and society. ANTHROPOMETRY:148 overweight/obese children were included in this study. The body weight and body mass index were found to be higher in female gender than male in this in all age group. This finding was in concordance to that reported from other studies done by Subramanian,et al (19) and Shabana, et al (18), which reported higher prevalence of obesity/overweight in female gender. Females have a greater preponderance to been overweight compared to males owing to their inherent hormonal differences. In our study 12.2% of adolescents with high risk factors had pre-diabetes. Studies done in adolescents aged 11-17 years with high risk factors were minimal to compare the data from this study. The National Urban Diabetes Survey done in adults above 20 years, showed the prevalence of impaired glucose tolerance to be 8.6% in New Delhi, 16.8% in Chennai, 10.8% in Mumbai, 14.8% in Bengaluru, 10% in Kolkatta, 29.8% in Hydrabad [11]. Impaired fasting glucose or impaired glucose tolerance was present in 11.2% of the subjects in the Amrita Diabetes and Endocrine Population Survey done in Kerala.CONCLUSIONS: 1. Targeted screening of high risk children for pre-diabetes is justified. 2. Recognition type 2 diabetes in the asymptomatic pre-diabetes state must be emphasized. 3. The morbidity and mortality due to youth onset type 2 diabetes can be reduced only by early detection and treatment.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Prevalance ; Prediabetes ; Urban School ; Adolescents Aged 11-17 Years ; High Risk Factors |
| Subjects: | MEDICAL > Paediatrics |
| Depositing User: | Ravindran C |
| Date Deposited: | 06 Apr 2018 06:31 |
| Last Modified: | 08 Apr 2018 10:59 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/6888 |
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