Cargando…
Ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children
BACKGROUND/OBJECTIVES: Obesity and other predictors of type 2 diabetes disproportionally affect Hispanic and Black children in the US compared to non-Hispanic White (NHW) children. Yet, the prevalence of prediabetes in children remains unestablished, and guidelines for screening young children are l...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492811/ https://www.ncbi.nlm.nih.gov/pubmed/37689792 http://dx.doi.org/10.1038/s41387-023-00244-4 |
_version_ | 1785104337317396480 |
---|---|
author | Ghaddar, Reem Hudson, Erin A. Jeans, Matthew R. Vandyousefi, Sarvenaz Landry, Matthew J. Davis, Jaimie N. |
author_facet | Ghaddar, Reem Hudson, Erin A. Jeans, Matthew R. Vandyousefi, Sarvenaz Landry, Matthew J. Davis, Jaimie N. |
author_sort | Ghaddar, Reem |
collection | PubMed |
description | BACKGROUND/OBJECTIVES: Obesity and other predictors of type 2 diabetes disproportionally affect Hispanic and Black children in the US compared to non-Hispanic White (NHW) children. Yet, the prevalence of prediabetes in children remains unestablished, and guidelines for screening young children are lacking. This study examined the relationships between demographic factors and prediabetes in vulnerable youth in central Texas. SUBJECTS/METHODS: This is a cross-sectional analysis of baseline data from 976 3rd–5th graders (7–12 years) who participated in TX Sprouts, a school-based gardening, nutrition, and cooking trial in 16 elementary schools serving mainly children from minority backgrounds and lower-income households. Measures collected included age, sex, ethnicity, free/reduced-priced school lunch (FRL) status, parent educational attainment (questionnaires), BMI from height (stadiometer) and weight (TANITA scale), and prediabetes status from fasting plasma glucose (FPG) and HbA1c. Regressions examined cross-sectional associations between demographics and FPG, HbA1c, and prediabetes. RESULTS: Children were 47% male, 67% Hispanic, and 10% Black, with a mean age of 9.3 years; 71% received FRL, 50% had overweight/obesity, and 26% had prediabetes. Prediabetes rates were 2.8 and 4.8 times higher in Hispanic and Black children compared to NHW children, respectively (p ≤ 0.001), and 1.5 times higher in children with obesity versus normal BMI (p = 0.02). Children of parents with only an 8th-grade education, some high school education, or a high school degree had 3.1, 2.7, and 2.2 times higher odds of having prediabetes compared to children of college graduates, respectively (p ≤ 0.004). Analyses with FPG and HbA1c yielded similar results. CONCLUSION: These findings suggest a potential need for earlier screening, more comprehensive testing guidelines, and prevention programs tailored toward minority children, children with obesity, and children of parents with low educational attainment. Future research should explore this finding in a larger, nationally representative sample. |
format | Online Article Text |
id | pubmed-10492811 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-104928112023-09-11 Ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children Ghaddar, Reem Hudson, Erin A. Jeans, Matthew R. Vandyousefi, Sarvenaz Landry, Matthew J. Davis, Jaimie N. Nutr Diabetes Article BACKGROUND/OBJECTIVES: Obesity and other predictors of type 2 diabetes disproportionally affect Hispanic and Black children in the US compared to non-Hispanic White (NHW) children. Yet, the prevalence of prediabetes in children remains unestablished, and guidelines for screening young children are lacking. This study examined the relationships between demographic factors and prediabetes in vulnerable youth in central Texas. SUBJECTS/METHODS: This is a cross-sectional analysis of baseline data from 976 3rd–5th graders (7–12 years) who participated in TX Sprouts, a school-based gardening, nutrition, and cooking trial in 16 elementary schools serving mainly children from minority backgrounds and lower-income households. Measures collected included age, sex, ethnicity, free/reduced-priced school lunch (FRL) status, parent educational attainment (questionnaires), BMI from height (stadiometer) and weight (TANITA scale), and prediabetes status from fasting plasma glucose (FPG) and HbA1c. Regressions examined cross-sectional associations between demographics and FPG, HbA1c, and prediabetes. RESULTS: Children were 47% male, 67% Hispanic, and 10% Black, with a mean age of 9.3 years; 71% received FRL, 50% had overweight/obesity, and 26% had prediabetes. Prediabetes rates were 2.8 and 4.8 times higher in Hispanic and Black children compared to NHW children, respectively (p ≤ 0.001), and 1.5 times higher in children with obesity versus normal BMI (p = 0.02). Children of parents with only an 8th-grade education, some high school education, or a high school degree had 3.1, 2.7, and 2.2 times higher odds of having prediabetes compared to children of college graduates, respectively (p ≤ 0.004). Analyses with FPG and HbA1c yielded similar results. CONCLUSION: These findings suggest a potential need for earlier screening, more comprehensive testing guidelines, and prevention programs tailored toward minority children, children with obesity, and children of parents with low educational attainment. Future research should explore this finding in a larger, nationally representative sample. Nature Publishing Group UK 2023-09-09 /pmc/articles/PMC10492811/ /pubmed/37689792 http://dx.doi.org/10.1038/s41387-023-00244-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Ghaddar, Reem Hudson, Erin A. Jeans, Matthew R. Vandyousefi, Sarvenaz Landry, Matthew J. Davis, Jaimie N. Ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children |
title | Ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children |
title_full | Ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children |
title_fullStr | Ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children |
title_full_unstemmed | Ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children |
title_short | Ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children |
title_sort | ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10492811/ https://www.ncbi.nlm.nih.gov/pubmed/37689792 http://dx.doi.org/10.1038/s41387-023-00244-4 |
work_keys_str_mv | AT ghaddarreem ethnicityraceparenteducationalattainmentandobesityassociatedwithprediabetesinchildren AT hudsonerina ethnicityraceparenteducationalattainmentandobesityassociatedwithprediabetesinchildren AT jeansmatthewr ethnicityraceparenteducationalattainmentandobesityassociatedwithprediabetesinchildren AT vandyousefisarvenaz ethnicityraceparenteducationalattainmentandobesityassociatedwithprediabetesinchildren AT landrymatthewj ethnicityraceparenteducationalattainmentandobesityassociatedwithprediabetesinchildren AT davisjaimien ethnicityraceparenteducationalattainmentandobesityassociatedwithprediabetesinchildren |