PMID- 17516894
OWN - NLM
STAT- MEDLINE
DCOM- 20070712
LR  - 20211203
IS  - 0025-729X (Print)
IS  - 0025-729X (Linking)
VI  - 186
IP  - 10
DP  - 2007 May 21
TI  - Type 2 diabetes in Indigenous and non-Indigenous children and adolescents in New 
      South Wales.
PG  - 497-9
AB  - OBJECTIVE: To determine the incidence of type 2 diabetes mellitus (T2DM) in 
      2001-2006 in young people < 19 years and the characteristics of T2DM in the 
      Indigenous group. DESIGN AND SETTING: Prospective population-based incidence 
      study, New South Wales. PARTICIPANTS: Primary ascertainment was from the 
      Australasian Paediatric Endocrine Group NSW Diabetes Register, with secondary 
      ascertainment from the National Diabetes Register (Australian Institute of Health 
      and Welfare). MAIN OUTCOME MEASURES: Incidence of T2DM in young people in NSW; 
      incidence of T1DM and T2DM in Indigenous young people; characteristics at 
      diagnosis. RESULTS: There were 128 incident cases of T2DM (62 boys, 66 girls) in 
      the study period. The median age at diagnosis was 14.5 years (interquartile 
      range, 13.0-16.4), and 90% were overweight or obese (body mass index > 85th 
      percentile for age). Mean annual incidence was 2.5/100,000 person-years (95% CI, 
      2.1-3.0) in 10-18-year-olds. Of the ethnic groups represented, white Australian 
      comprised 29%, Indigenous 22%, Asian 22%, North African/Middle Eastern 12% and 
      Maori/Polynesian/Melanesian 10%. The incidence of T2DM was significantly higher 
      in the Indigenous than the non-Indigenous group (incidence rate ratio, 6.1; 95% 
      CI, 3.9-9.7; P<0.001), but incidence rates of T1DM were similar (15.5 v 
      21.4/100,000, respectively). CONCLUSIONS: T2DM accounts for 11% of incident cases 
      of diabetes in 10-18-year-olds, and the majority are overweight or obese. The 
      high rate among Indigenous Australian children supports screening for T2DM in 
      this population.
FAU - Craig, Maria E
AU  - Craig ME
AD  - Institute of Endocrinology and Diabetes, The Children's Hospital at Westmead, 
      Sydney, NSW, Australia. m.craig@unsw.edu.au
FAU - Femia, Giuseppe
AU  - Femia G
FAU - Broyda, Vitali
AU  - Broyda V
FAU - Lloyd, Margaret
AU  - Lloyd M
FAU - Howard, Neville J
AU  - Howard NJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - Australia
TA  - Med J Aust
JT  - The Medical journal of Australia
JID - 0400714
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Diabetes Mellitus, Type 2/*diagnosis/*epidemiology/prevention & control
MH  - Female
MH  - Health Education
MH  - Health Knowledge, Attitudes, Practice
MH  - Health Services, Indigenous/*organization & administration
MH  - Humans
MH  - Incidence
MH  - Male
MH  - National Health Programs/organization & administration
MH  - *Native Hawaiian or Other Pacific Islander
MH  - New South Wales/epidemiology
MH  - Obesity/diagnosis/epidemiology
MH  - Primary Health Care/organization & administration
MH  - Prospective Studies
MH  - Risk Assessment
EDAT- 2007/05/23 09:00
MHDA- 2007/07/13 09:00
CRDT- 2007/05/23 09:00
PHST- 2007/03/01 00:00 [received]
PHST- 2007/04/12 00:00 [accepted]
PHST- 2007/05/23 09:00 [pubmed]
PHST- 2007/07/13 09:00 [medline]
PHST- 2007/05/23 09:00 [entrez]
AID - cra10248_fm [pii]
AID - 10.5694/j.1326-5377.2007.tb01021.x [doi]
PST - ppublish
SO  - Med J Aust. 2007 May 21;186(10):497-9. doi: 10.5694/j.1326-5377.2007.tb01021.x.