Diabetes in Non-Hispanic White Youth

作者：Ronny A. Bell, Elizabeth J. Mayer‐Davis, Jennifer W. Beyer, Ralph B. D’Agostino, Jean M. Lawrence, Barbara L. Linder, Lenna L. Liu, Santica M. Marcovina, Beatriz L. Rodríguez, Desmond E. Williams, Dana Dabelea, for the SEARCH for Diabetes in Youth Study Group · 发表于：Diabetes Care · 年份：2009 · DOI：10.2337/dc09-s202 · 被引用次数：207 · 研究领域：Diabetes Management and Research、Diabetes and associated disorders、Diabetes, Cardiovascular Risks, and Lipoproteins

OBJECTIVE: To investigate the incidence, prevalence, and clinical characteristics of diabetes among U.S. non-Hispanic white (NHW) youth. RESEARCH DESIGN AND METHODS: Data from the SEARCH for Diabetes in Youth Study (SEARCH study), a multicenter study of diabetes among youth aged 0-19 years, were examined. Incidence rates were calculated per 100,000 person-years across 4 incident years (2002-2005), and prevalence in 2001 was calculated per 1,000 youths. Information obtained by questionnaire, physical examination, and blood and urine collection was analyzed to describe the characteristics of youth who completed an in-person visit. RESULTS: The prevalence of type 1 diabetes (at ages 0-19 years) was 2.00/1,000, which was similar for male (2.02/1,000) and female (1.97/1,000) subjects. The incidence of type 1 diabetes was 23.6/100,000, slightly higher for male compared with female subjects (24.5 vs. 22.7 per 100,000, respectively, P = 0.04). Incidence rates of type 1 diabetes among youth aged 0-14 years in the SEARCH study are higher than all previously reported U.S. studies and many European studies. Few cases of type 2 diabetes in youth aged <10 years were found. The prevalence of type 2 diabetes (at ages 10-19 years) was 0.18/1,000, which is significantly higher for female compared with male subjects (0.22 vs. 0.15 per 1,000, P = 0.01). Incidence of type 2 diabetes was 3.7/100,000, with similar rates for female and male subjects (3.9 vs. 3.4 per 1,000, respectively, P = 0.3). Hi...