PMID- 33767489
OWN - NLM
STAT- MEDLINE
DCOM- 20210405
LR  - 20221207
IS  - 1175-8716 (Electronic)
IS  - 0028-8446 (Linking)
VI  - 134
IP  - 1531
DP  - 2021 Mar 12
TI  - Pre-diabetes prevalence and associated factors in New Zealand school children: a 
      cross-sectional study.
PG  - 76-90
AB  - AIMS: The incidence of pre-diabetes and type 2 diabetes mellitus (T2DM) is 
      increasing in children. Early identification of pre-diabetes is an important 
      first step in preventing the progression to T2DM. The aim was to investigate the 
      association of selected factors with pre-diabetes in children. METHODS: This data 
      were from a subset of the 685 children recruited for the Children's Bone Study, a 
      cross-sectional study of children aged 8-11 years in Auckland, New Zealand. 
      Glycated haemoglobin (HbA1c) was measured from a finger-prick blood test. 
      Children were classified as normoglycaemic (HbA1c</=39mmol/mol) and pre-diabetic 
      (HbA1c>39mmol/mol). Anthropometry included weight, height, waist circumference 
      (WC) and percentage body fat (%BF) measured using bioelectrical impedance 
      analysis. Information about age, gender, ethnicity and physical activity was 
      collected by questionnaires. RESULTS: HbA1c was measured in 451 children 
      (10.4+/-0.6years, 45% male). Pre-diabetes was present in 71 (16%) children and was 
      greatest in South Asian (n=13, 30%), Pacific Island (n=29, 27%) and Maori (n=10, 
      18%) children, compared with European children (n=10, 6.0%) (P< 0.001). South 
      Asian and Pacific Island ethnicity, high WC, high %BF and low physical activity 
      were associated with pre-diabetes. CONCLUSIONS: Factors associated with 
      pre-diabetes in children were ethnicity, anthropometric measures and 
      physical-activity levels. The prevalence of pre-diabetes in children of South 
      Asian and Pacific Island ethnicities suggests the need for appropriate and timely 
      identification and intervention to halt the progression to T2DM.
FAU - Mazahery, Hajar
AU  - Mazahery H
AD  - School of Sport, Exercise, and Nutrition, College of Health, Massey University, 
      Auckland 0745, New Zealand.
FAU - Gammon, Cheryl S
AU  - Gammon CS
AD  - School of Sport, Exercise, and Nutrition, College of Health, Massey University, 
      Auckland 0745, New Zealand.
FAU - Lawgun, Donna
AU  - Lawgun D
AD  - School of Sport, Exercise, and Nutrition, College of Health, Massey University, 
      Auckland 0745, New Zealand.
FAU - Conlon, Cathryn A
AU  - Conlon CA
AD  - School of Sport, Exercise, and Nutrition, College of Health, Massey University, 
      Auckland 0745, New Zealand.
FAU - Beck, Kathryn L
AU  - Beck KL
AD  - School of Sport, Exercise, and Nutrition, College of Health, Massey University, 
      Auckland 0745, New Zealand.
FAU - von Hurst, Pamela R
AU  - von Hurst PR
AD  - School of Sport, Exercise, and Nutrition, College of Health, Massey University, 
      Auckland 0745, New Zealand.
LA  - eng
PT  - Journal Article
DEP - 20210312
PL  - New Zealand
TA  - N Z Med J
JT  - The New Zealand medical journal
JID - 0401067
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Body Constitution
MH  - Child
MH  - Cross-Sectional Studies
MH  - Ethnicity
MH  - Exercise
MH  - Female
MH  - Glycated Hemoglobin/*analysis
MH  - Health Behavior
MH  - Humans
MH  - Male
MH  - New Zealand/epidemiology
MH  - Prediabetic State/*epidemiology
MH  - Prevalence
MH  - Racial Groups
COIS- Nil.
EDAT- 2021/03/27 06:00
MHDA- 2021/04/07 06:00
CRDT- 2021/03/26 06:52
PHST- 2021/03/26 06:52 [entrez]
PHST- 2021/03/27 06:00 [pubmed]
PHST- 2021/04/07 06:00 [medline]
PST - epublish
SO  - N Z Med J. 2021 Mar 12;134(1531):76-90.