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Published on: July 5, 2022
Integrating risks for type 2 diabetes across childhood: a life course perspective
Rika Tanda1, Pamela J Salsberry
1The Ohio State University, College of Nursing, Columbus, OH, USA. tanda.3@buckeyemail.osu.edu
Insights
Type 2 diabetes in children is linked to weight gain. Early and continuous interventions throughout childhood are crucial for prevention and management of this growing epidemic.
Area of Science:
- Pediatric Endocrinology
- Public Health
Background:
- Childhood obesity is a significant risk factor for Type 2 diabetes (T2DM).
- The physiological link between increased weight and T2DM is well-established in pediatric populations.
- T2DM is emerging at unprecedented rates among children globally.
Purpose of the Study:
- To review cumulative risk factors and mechanisms of T2DM in children.
- To emphasize the importance of interventions across all childhood stages.
- To introduce a framework for assessing individual T2DM risk in children.
Main Methods:
- Literature review of T2DM risk factors and mechanisms in childhood.
- Application of Halfon and Hochstein's framework for risk assessment.
- Analysis of intervention points throughout pediatric development.
Main Results:
- Identified cumulative risk factors contributing to pediatric T2DM.
- Highlighted the necessity of a lifelong perspective for T2DM prevention.
- Demonstrated the utility of a specific framework for nursing practitioners and researchers.
Conclusions:
- Interventions for pediatric T2DM must be implemented early and sustained throughout childhood.
- Understanding individual risk using frameworks like Halfon and Hochstein's is key for effective management.
- Addressing the 'twin epidemic' of obesity and T2DM requires a comprehensive, long-term strategy.
Abstract:
Type 2 diabetes (T2DM) emerged among children, due in large measure to a strong physiological link between increased weight states and T2DM. In this article, cumulative risk factors for T2DM across childhood and its underlying mechanisms are reviewed. The points of intervention for T2DM should occur throughout childhood. The use of Halfon and Hochstein's framework enables practitioners and researchers in the nursing field to better understand a child's individual risk for T2DM. Only with this long view will prevention and interventions be successful in stemming the tide of the "twin epidemic" threatening children worldwide.
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