Adams Marsha Howell, Lammon Carol Ann Barnett
The University of Alabama Capstone College of Nursing, AL, USA.
J Sch Nurs. 2007 Oct;23(5):259-66. doi: 10.1177/10598405070230050401.
Type 2 diabetes mellitus is reaching epidemic proportions among children and adolescents. School health fairs offer an opportunity to identify children with risk factors for the development of type 2 diabetes mellitus. This study identified selected risk factors (i.e., high-risk racial/ethnic group, obesity, elevated blood pressure, elevated casual blood glucose, elevated total cholesterol, and the presence of acanthosis nigricans) for development of type 2 diabetes mellitus in rural children with or without a family history of diabetes during annual school health fairs. Of the children screened, 40% (673) presented with two or more of the identified risk factors for type 2 diabetes mellitus. The presence of multiple risk factors in participants reporting a positive family history of diabetes mellitus versus those with no family history was not statistically significant. Based on the study results, factors other than family history may be more predictive for the development of type 2 diabetes mellitus in rural school children.
2型糖尿病在儿童和青少年中呈流行趋势。学校健康博览会为识别有2型糖尿病发病风险因素的儿童提供了一个契机。本研究在年度学校健康博览会上，确定了有或无糖尿病家族史的农村儿童发生2型糖尿病的特定风险因素（即高危种族/族裔群体、肥胖、血压升高、随机血糖升高、总胆固醇升高以及黑棘皮症的存在）。在接受筛查的儿童中，40%（673名）存在两种或更多已确定的2型糖尿病风险因素。报告有糖尿病家族史的参与者与无家族史的参与者相比，多种风险因素的存在没有统计学意义。根据研究结果，除家族史外的其他因素可能对农村学龄儿童2型糖尿病的发生更具预测性。
