台湾の子どもにおける2型糖尿病の全国的な監視
Jung-Nan Wei1, Fung-Chang Sung, Chau-Ching Lin
1Institutes of Environmental Health, National Taiwan University College of Public Health, Taipei.
JAMA
|September 11, 2003
まとめ
2型糖尿病 (DM) は,台湾における小児糖尿病の主な原因であり,肥満が重要なリスク因子として特定されています. この全国的なスクリーニングは,小児2型DMの懸念が高まっていることを強調しています.
科学分野:
- 小児内分泌学について
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
背景:
- 世界的に子供の2型糖尿病 (DM) の罹患率が増加しています.
- 台湾の小児2型DMに関する疫学的なデータは限られている.
- 小児の集団における疾患負担とリスク要因を理解する緊急の必要性.
研究 の 目的:
- 台湾における小児2型DMの発生率を決定する.
- 子どもの2型DMに関連した主要な危険因子を特定する.
- 予防と管理のための公衆衛生戦略を伝えるために.
主な方法:
- 1999年,台湾の学童 (6歳から18歳) のDM全国的なスクリーニングプログラム.
- 尿と血液検査が実施され,電話調査によって確認された.
- 2002年に実施された内蔵症例対照研究で,第2型DMの137人の子どもと1000人の対照群を比較した.
主要な成果:
- 2型糖尿病は,子供 (54.2%) で新たに診断された糖尿病の主要な形態でした.
- 重要な危険因子には,肥満 (OR 18.8),家族歴の陽性 (OR 3.95),高血圧 (OR 1.70) が含まれていた.
- 高齢層 (13歳から15歳,16歳から18歳) は,小児 (6歳から9歳) と比較して,2型DMの発症率が高かった.
結論:
- 集団スクリーニングにより,台湾における2型糖尿病が,子供の糖尿病の主要な形態であると効果的に特定されました.
- 幼児の肥満は,2型DMの重要かつ修正可能な危険因子である.
- 発見は,小児糖尿病の早期発見と介入プログラムの重要性を強調しています.
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