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Ethnicity/race, parent educational attainment, and obesity associated with prediabetes in children

Reem Ghaddar1, Erin A Hudson1, Matthew R Jeans1

  • 1Department of Nutritional Sciences, College of Natural Sciences, University of Texas at Austin, Austin, TX, USA.

Nutrition & Diabetes
|September 9, 2023
PubMed

Insights

Prediabetes is significantly higher in Hispanic and Black children, those with obesity, and children of parents with lower education. This highlights a need for earlier screening and targeted prevention programs for vulnerable youth.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Public Health

Background:

  • Type 2 diabetes risk factors disproportionately affect minority children in the US.
  • The prevalence of prediabetes in young children is largely unestablished.
  • Current screening guidelines for prediabetes in children are lacking.

Purpose of the Study:

  • To examine demographic factors associated with prediabetes in vulnerable youth.
  • To investigate the prevalence of prediabetes in elementary school children in central Texas.

Main Methods:

  • Cross-sectional analysis of 976 3rd-5th graders (7-12 years) from the TX Sprouts trial.
  • Data collected included demographics, BMI, fasting plasma glucose (FPG), and HbA1c.
  • Regression analyses assessed associations between demographics and prediabetes indicators.

Main Results:

  • 26% of children had prediabetes, with rates 2.8x higher in Hispanic and 4.8x higher in Black children vs. NHW.
  • Children with obesity had 1.5x higher prediabetes odds.
  • Higher prediabetes odds were observed in children of parents with lower educational attainment.

Conclusions:

  • Findings suggest a need for earlier prediabetes screening and tailored prevention programs for minority children, those with obesity, and children from low-education households.
  • Further research in a larger, nationally representative sample is warranted.
Abstract

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