Screening for non-invasive risk factors of type 2 diabetes in overweight and obese schoolchildren

Huda Al Hourani; Manar Atoum; Foad Alzoughool; Islam Al-Shami

doi:10.1016/j.endinu.2020.10.017

Screening for non-invasive risk factors of type 2 diabetes in overweight and obese schoolchildren

Endocrinol Diabetes Nutr (Engl Ed). 2021 Apr 10:S2530-0164(21)00074-4. doi: 10.1016/j.endinu.2020.10.017. Online ahead of print.

[Article in English, Spanish]

Authors

Huda Al Hourani¹, Manar Atoum², Foad Alzoughool², Islam Al-Shami³

Affiliations

¹ Department of Clinical Nutrition and Dietetics, Faculty of Applied Medical Sciences. The Hashemite University, Zarqa, 13133, Jordan. Electronic address: hhourani@hu.edu.jo.
² Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, The Hashemite University, Zarqa, 13133, Jordan.
³ Department of Clinical Nutrition and Dietetics, Faculty of Applied Medical Sciences. The Hashemite University, Zarqa, 13133, Jordan.

PMID: 33849819
DOI: 10.1016/j.endinu.2020.10.017

Abstract

Introduction: The prevalence of type 2 diabetes mellitus (T2DM) is increasing among young people worldwide. The American Diabetes Association has defined the risk factors that are associated with this increased risk for developing T2DM in youths.

Objective: To explore school children at high-risk for T2DM in Jordan.

Materials and methods: A descriptive cross-sectional study was conducted. The children were 10-14.9 years old. Weight, height, and waist circumference were measured, and the body mass index Z score (BMI) was determined. The waist to height ratio (WHtR) was calculated. Blood pressure was measured and three child́s risk factors were identified.

Results: Eight hundred and seventy-one schoolchildren were screened; 26.0% were overweight and 19.3% were obese. The most common risk factor among overweight and obese children, accounting for 80.4%, was a positive family history of type 2 diabetes mellitus in first- or second-degree relatives. Children born to mothers with diabetes or gestational diabetes mellitus during the child's gestation represented 17.3%, and around 26.8% were found to have hypertension (stage 1 or 2). In relation to the risk factors, 12.6% presented no risk factors; 54.0% had at least one factor; 29.1% two risk factors and 4.3% had three risk factors.

Conclusion: Risk factors for T2DM are very common. Around 54% had one risk factor. Strategies aimed at reducing risk factors for T2DM, especially obesity, among Jordanian school children are urgently needed.

Keywords: Diabetes mellitus tipo 2; Escolares; Factores de riesgo; Obesidad; Obesity; Risk factors; School children; Type 2 diabetes mellitus.