Diabetes in Navajo Youth

Details

• Alternative Title:
  Diabetes Care
• Personal Author:
  Dabelea, Dana ; DeGroat, Joquetta ; Sorrelman, Carmelita ; Glass, Martia ; Percy, Christopher A. ; Avery, Charlene ; Hu, Diana ; D'Agostino, Ralph B. ; Beyer, Jennifer ; Imperatore, Giuseppina ; Testaverde, Lisa ; Klingensmith, Georgeanna ; Hamman, Richard F.
• Corporate Authors:
  for the SEARCH for Diabetes in Youth Study Group
• Description:
  To estimate the prevalence and incidence of diabetes, clinical characteristics, and risk factors for chronic complications among Navajo youth, using data collected by the SEARCH for Diabetes in Youth Study (SEARCH study).|The SEARCH study identified all prevalent cases of diabetes in 2001 and all incident cases in 2002-2005 among Navajo youth. We estimated denominators with the user population for eligible health care facilities. Youth with diabetes also attended a research visit that included questionnaires, physical examination, blood and urine collection, and extended medical record abstraction.|Diabetes is infrequent among Navajo youth aged <10 years. However, both prevalence and incidence of diabetes are high in older youth. Among adolescents aged 15-19 years, 1 in 359 Navajo youth had diabetes in 2001 and 1 in 2,542 developed diabetes annually. The vast majority of diabetes among Navajo youth with diabetes is type 2, although type 1 diabetes is also present, especially among younger children. Navajo youth with either diabetes type were likely to have poor glycemic control, high prevalence of unhealthy behaviors, and evidence of severely depressed mood. Youth with type 2 diabetes had more metabolic factors associated with obesity and insulin resistance (abdominal fat deposition, dyslipidemia, and higher albumin-to-creatinine ratio) than youth with type 1 diabetes.|Our data provide evidence that diabetes is an important health problem for Navajo youth. Targeted efforts aimed at primary prevention of diabetes in Navajo youth and efforts to prevent or delay the development of chronic complications among those with diabetes are warranted.
• Subjects:
  Adolescent Articles Child Child, Preschool Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Female Humans Indians, North American Infant Infant, Newborn Male Prevalence Young Adult

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• Source:
  Diabetes Care. 2009; 32(Suppl 2):S141-S147.
• Document Type:
  Journal Article
• Funding:
  U01 DP000247/DP/NCCDPHP CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  32
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f8ccaaa2938bf65f4a0a908e0de41d4d372cf99b726aa238a713ad7cf4379822
• Download URL:
  https://stacks.cdc.gov/view/cdc/22939/cdc_22939_DS1.pdf
• File Type:
  [PDF - 136.76 KB ]