Paper Information

Title: 

PREDIABETES AND TYPE 2 DIABETES : GROWING HEALTH PROBLEMS IN CHILDREN & ADOLESCENTS

Type: PAPER
Author(s): MOADAB MOHAMMAD HASAN*
 
 *DIVISION OF PEDIATRIC ENDOCRINOLOGY, DEPARTMENT OF PEDIATRICS, ALZAHRA HOSPITAL, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES
 
Name of Seminar: INTERNATIONAL CONGRESS OF METABOLIC SYNDROME, OBESITY & DIABETES
Type of Seminar:  CONGRESS
Sponsor: 
Date:  2010Volume 2
 
 
Abstract: 

RAPID CHANGES IN LIFESTYLE HABITS, NOTABLY IN DIET AND PHYSICAL ACTIVITY, EXPOSED THE POPULATION OF CHILDREN AND ADOLESCENTS TO OBESITY AND ITS CONSEQUENCES. IT IS WELL DOCUMENTED THAT THIS PROBLEM IS INCREASING IN BOTH DEVELOPED AND DEVELOPING COUNTRIES. OBESITY IS A MAJOR RISK FACTOR FOR DEVELOPING TYPE 2 DIABETES MELLITUS (T2DM). COMPARED TO ADULT POPULATION, THE DATA ABOUT THE PREVALENCE OF T2DM ARE LIMITED IN THE PEDIATRIC AGE GROUP; HOWEVER, IT IS SHOWN THAT T2DM HAS AN INCREASING TREND IN THIS AGE GROUP.
TAKEN INTO ACCOUNT THAT MICRO- AND MACRO VASCULAR COMPLICATIONS OF T2DM COULD BE DEVELOPED IN YOUNG AGE SIMILAR TO ADULTS, PREVENTION AND EARLY DETECTION OF THIS DISORDER IS OF HIGH IMPORTANCE. IN IRAN, AS A DEVELOPING COUNTRY STILL GRAPPLING WITH UNDER NUTRITION AND MICRONUTRIENT DEFICIENCIES, THE PREVALENCE OF OVERWEIGHT AND OBESITY IN CHILDREN AND ADOLESCENTS IS ESTIMATED TO BE 13.4%.
ACCORDING TO THE RECOMMENDATION OF AMERICAN DIABETES ASSOCIATION (ADA), THE BEST SCREENING TEST FOR DM IN CHILDREN IS FASTING PLASMA GLUCOSE (FPG). ORAL GLUCOSE TOLERANCE TEST (OGTT) IS A SUITABLE TEST TOO, BUT FPG IS MORE FEASIBLE AND FAST; FURTHERMORE IT IS MORE CONVENIENT AND ACCEPTABLE FOR PATIENTS AND LESS EXPENSIVE.

 
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