dc.contributor.author |
Sjardin, Natalia |
en |
dc.contributor.author |
Reed, Peter |
en |
dc.contributor.author |
Albert, Benjamin |
en |
dc.contributor.author |
Mouat, Fran |
en |
dc.contributor.author |
Carter, Phillipa J |
en |
dc.contributor.author |
Hofman, Paul |
en |
dc.contributor.author |
Cutfield, Wayne |
en |
dc.contributor.author |
Gunn, Alistair |
en |
dc.contributor.author |
Jefferies, Craig |
en |
dc.date.accessioned |
2018-12-05T00:46:10Z |
en |
dc.date.issued |
2018-09 |
en |
dc.identifier.issn |
1440-1754 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/44854 |
en |
dc.description.abstract |
AIM:It is important to understand whether type 2 diabetes mellitus (T2DM) is increasing in childhood for health-care planning and clinical management. The aim of this study is to examine the incidence of T2DM in New Zealand children, aged <15 years from a paediatric diabetes centre, Auckland, New Zealand. METHODS:Retrospective analysis of prospectively collected data from a population-based referral cohort from 1995 to 2015. RESULTS:Hundred and four children presented with T2DM over the 21-year period. The female:male ratio was 1.8:1, at mean (standard deviation) age 12.9 (1.9) years, body mass index standard deviation score +2.3 (0.5), blood sugar 15.3 (8.5) mmol/L, HbA1c 76 (28) mmol/mol. At diagnosis, 90% had acanthosis nigricans and 48% were symptomatic. In all, 33% were Maori, 46% Pacific Island, 15% Asian/Middle Eastern and 6% European. There was a progressive secular increase of 5% year on year in incidence. The overall annual incidence of T2DM <15 years of age was 1.5/100 000 (1.2-1.9) (95% confidence interval), with higher rates in Pacific Island (5.9/100 000) and Maori (4.1/100 000). CONCLUSIONS:The incidence of T2DM in children <15 years of age in New Zealand has increased progressively at 5%/year over the last 21 years. The risk was disproportionately associated with girls and children from high-risk ethnic groups. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Journal of paediatrics and child health |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Humans |
en |
dc.subject |
Diabetes Mellitus, Type 2 |
en |
dc.subject |
Obesity |
en |
dc.subject |
Incidence |
en |
dc.subject |
Retrospective Studies |
en |
dc.subject |
Social Class |
en |
dc.subject |
Databases, Factual |
en |
dc.subject |
Adolescent |
en |
dc.subject |
Child |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.title |
Increasing incidence of type 2 diabetes in New Zealand children <15 years of age in a regional-based diabetes service, Auckland, New Zealand. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1111/jpc.13924 |
en |
pubs.issue |
9 |
en |
pubs.begin-page |
1005 |
en |
pubs.volume |
54 |
en |
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
29689124 |
en |
pubs.end-page |
1010 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
738209 |
en |
pubs.org-id |
Liggins Institute |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Medical Sciences |
en |
pubs.org-id |
Physiology Division |
en |
dc.identifier.eissn |
1440-1754 |
en |
pubs.record-created-at-source-date |
2018-04-25 |
en |
pubs.dimensions-id |
29689124 |
en |