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Updated: Jul 3, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Why young adults hold the key to assessing the obesity epidemic in children
1Division of Pediatric Endocrinology, Child Health Evaluation and Research Unit, University of Michigan, Campus Box 5456, Ann Arbor, MI 48109-5456, USA. joyclee@umich.edu
Insights
Childhood obesity is rising, but type 2 diabetes rates in children are not mirroring adult trends. This review explores reasons and policy implications for type 2 diabetes in youth and young adults.
Area of Science:
- Pediatrics
- Endocrinology
- Public Health
Background:
- Childhood obesity prevalence has significantly increased in the U.S. over the last two decades.
- Type 2 diabetes mellitus rates in children have not shown a similar increase compared to adults.
- Discrepancies in type 2 diabetes trajectories between children and adults warrant investigation.
Purpose of the Study:
- To explore hypotheses for the contrasting trends in type 2 diabetes between children and adults.
- To examine potential links between rising childhood obesity and increasing type 2 diabetes in young adults.
- To discuss policy implications and propose future research on childhood obesity and type 2 diabetes risk across the life course.
Main Methods:
- Literature review and synthesis of existing data.
- Analysis of epidemiological trends in childhood obesity and type 2 diabetes.
- Exploration of etiological hypotheses and risk factors.
Main Results:
- While childhood obesity is increasing, population-level type 2 diabetes rates in children have remained relatively stable.
- Potential links exist between childhood obesity trends and the rise of type 2 diabetes in young adults.
- Significant policy implications arise from current type 2 diabetes patterns in youth.
Conclusions:
- The divergence in type 2 diabetes trends between children and adults suggests complex underlying factors.
- Addressing childhood obesity is crucial for mitigating future type 2 diabetes risk in young adults.
- A comprehensive research agenda is needed to understand and manage type 2 diabetes risk throughout the life course.
Abstract:
Despite significant increases in prevalence rates of childhood obesity in the United States during the past 2 decades, rates of type 2 diabetes mellitus among children at the population level have not followed a similar trajectory as those in adults. In this review, hypotheses for the contrasting findings in children compared with adults are explored, as are possible links between the trends in childhood obesity rates and increases in type 2 diabetes among young adults in the United States. This review concludes with observations about the profound policy implications from current patterns of type 2 diabetes among youth and particularly young adults and a proposed research agenda regarding childhood obesity and type 2 diabetes risk over the life course.
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