PMID- 25055134
OWN - NLM
STAT- MEDLINE
DCOM- 20150511
LR  - 20211021
IS  - 2153-2176 (Electronic)
IS  - 2153-2168 (Print)
IS  - 2153-2168 (Linking)
VI  - 10
IP  - 4
DP  - 2014 Aug
TI  - Addressing prediabetes in childhood obesity treatment programs: support from 
      research and current practice.
PG  - 292-303
LID - 10.1089/chi.2013.0158 [doi]
AB  - BACKGROUND: Type 2 diabetes mellitus (T2DM) and prediabetes have increased in 
      prevalence among overweight and obese children, with significant implications for 
      long-term health. There is little published evidence on the best approaches to 
      care of prediabetes among overweight youth or the current practices used across 
      pediatric weight management programs. METHODS: This article reviews the 
      literature and summarizes current practices for screening, diagnosis, and 
      treatment of prediabetes at childhood obesity treatment centers. Findings 
      regarding current practice were based on responses to an online survey from 28 
      pediatric weight management programs at 25 children's hospitals in 2012. Based on 
      the literature reviewed, and empiric data, consensus support statements on 
      prediabetes care and T2DM prevention were developed among representatives of 
      these 25 children's hospitals' obesity clinics. RESULTS: The evidence reviewed 
      demonstrates that current T2DM and prediabetes diagnostic parameters are derived 
      from adult-based studies with little understanding of clinical outcomes among 
      youth. Very limited evidence exists on preventing progression of prediabetes. 
      Some evidence suggests that a significant proportion of obese youth with 
      prediabetes will revert to normoglycemia without pharmacological management. 
      Evidence supports lifestyle modification for children with prediabetes, but 
      further study of specific lifestyle changes and pharmacological treatments is 
      needed. CONCLUSION: Evidence to guide management of prediabetes in children is 
      limited. Current practice patterns of pediatric weight management programs show 
      areas of variability in practice, reflecting the limited evidence base. More 
      research is needed to guide clinical care for overweight youth with prediabetes.
FAU - Haemer, Matthew A
AU  - Haemer MA
AD  - 1 Department of Pediatrics, Section of Nutrition, University of Colorado School 
      of Medicine , Aurora, CO.
FAU - Grow, H Mollie
AU  - Grow HM
FAU - Fernandez, Cristina
AU  - Fernandez C
FAU - Lukasiewicz, Gloria J
AU  - Lukasiewicz GJ
FAU - Rhodes, Erinn T
AU  - Rhodes ET
FAU - Shaffer, Laura A
AU  - Shaffer LA
FAU - Sweeney, Brooke
AU  - Sweeney B
FAU - Woolford, Susan J
AU  - Woolford SJ
FAU - Estrada, Elizabeth
AU  - Estrada E
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PT  - Review
DEP - 20140723
PL  - United States
TA  - Child Obes
JT  - Childhood obesity (Print)
JID - 101542497
SB  - IM
MH  - Adolescent
MH  - Behavior Therapy
MH  - Child
MH  - Child, Preschool
MH  - Diabetes Mellitus, Type 2/diagnosis/etiology/*prevention & control
MH  - Evidence-Based Medicine
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - Mass Screening
MH  - Pediatric Obesity/complications/diagnosis/*prevention & control
MH  - Practice Guidelines as Topic
MH  - Prediabetic State/diagnosis/etiology/*prevention & control
MH  - Program Evaluation
MH  - *Weight Reduction Programs
PMC - PMC4120814
EDAT- 2014/07/24 06:00
MHDA- 2015/05/12 06:00
PMCR- 2014/08/01
CRDT- 2014/07/24 06:00
PHST- 2014/07/24 06:00 [entrez]
PHST- 2014/07/24 06:00 [pubmed]
PHST- 2015/05/12 06:00 [medline]
PHST- 2014/08/01 00:00 [pmc-release]
AID - 10.1089/chi.2013.0158 [pii]
AID - 10.1089/chi.2013.0158 [doi]
PST - ppublish
SO  - Child Obes. 2014 Aug;10(4):292-303. doi: 10.1089/chi.2013.0158. Epub 2014 Jul 23.