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. 2009 Mar;32 Suppl 2(Suppl 2):S141-7.
doi: 10.2337/dc09-S206.

Diabetes in Navajo youth: prevalence, incidence, and clinical characteristics: the SEARCH for Diabetes in Youth Study

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Diabetes in Navajo youth: prevalence, incidence, and clinical characteristics: the SEARCH for Diabetes in Youth Study

Dana Dabelea et al. Diabetes Care. 2009 Mar.

Abstract

Objective: To estimate the prevalence and incidence of diabetes, clinical characteristics, and risk factors for chronic complications among Navajo youth, using data collected by the SEARCH for Diabetes in Youth Study (SEARCH study).

Research design and methods: The SEARCH study identified all prevalent cases of diabetes in 2001 and all incident cases in 2002-2005 among Navajo youth. We estimated denominators with the user population for eligible health care facilities. Youth with diabetes also attended a research visit that included questionnaires, physical examination, blood and urine collection, and extended medical record abstraction.

Results: Diabetes is infrequent among Navajo youth aged <10 years. However, both prevalence and incidence of diabetes are high in older youth. Among adolescents aged 15-19 years, 1 in 359 Navajo youth had diabetes in 2001 and 1 in 2,542 developed diabetes annually. The vast majority of diabetes among Navajo youth with diabetes is type 2, although type 1 diabetes is also present, especially among younger children. Navajo youth with either diabetes type were likely to have poor glycemic control, high prevalence of unhealthy behaviors, and evidence of severely depressed mood. Youth with type 2 diabetes had more metabolic factors associated with obesity and insulin resistance (abdominal fat deposition, dyslipidemia, and higher albumin-to-creatinine ratio) than youth with type 1 diabetes.

Conclusions: Our data provide evidence that diabetes is an important health problem for Navajo youth. _targeted efforts aimed at primary prevention of diabetes in Navajo youth and efforts to prevent or delay the development of chronic complications among those with diabetes are warranted.

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Figures

Figure 1
Figure 1
Prevalence (per 1,000, upper panels) and incidence (per 100,000 per year, lower panels) of diabetes among Navajo Nation youth, by diabetes type, age-group, and sex.

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References

    1. Dabelea D, Hanson RL, Bennett PH, Roumain J, Knowler WC, Pettitt DJ: Increasing prevalence of Type II diabetes in American Indian children. Diabetologia 41 :904 –910,1998 - PubMed
    1. Fagot-Campagna A, Burrows NR, Williamson DF: The public health epidemiology of type 2 diabetes in children and adolescents: a case study of American Indian adolescents in the Southwestern United States. Clin Chim Acta 286 :81 –95,1999 - PubMed
    1. Gohdes D, Kaufman S, Valway S: Diabetes in American Indians. Diabetes Care 16 :239 –243,1993 - PubMed
    1. Sugarman JR, Gilbert TJ, Weiss NS: Prevalence of diabetes and impaired glucose tolerance among Navajo Indians. Diabetes Care 15 :114 –120,1992 - PubMed
    1. Will JC, Strauss KF, Mendlein JM, Ballew C, White LL, Peter DG: Diabetes mellitus among Navajo Indians: findings from the Navajo Health and Nutrition Survey. J Nutr 127 (Suppl. 10):2106S –2113S,1997 - PubMed

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