Type 2 diabetes mellitus non-lab pre-screening in schoolchildren aged 3-6 years in Eastern Amazon, Brazil

Authors

  • Alice Maria Silva FACSETE- FACULDADE SETE LAGOAS
  • Taiana Trindade Sena Instituto de Estudos em Saúde e Biológicas, Universidade Federal do Sul e Sudeste do Pará, Marabá, PA, Brazil.
  • Letícia Dias Lima Jedlicka Instituto de Estudos em Saúde e Biológicas, Universidade Federal do Sul e Sudeste do Pará, Marabá, PA, Brazil.
  • Aline Correa Carvalho Instituto de Estudos em Saúde e Biológicas, Universidade Federal do Sul e Sudeste do Pará, Marabá, PA, Brazil.
  • Ana Cristina Viana Campos Laboratório e Observatório em Vigilância e Epidemiologia Social (LOVES), Universidade Federal do Sul e Sudeste do Pará, Marabá, PA, Brazil Instituto de Estudos em Saúde e Biológicas, Universidade Federal do Sul e Sudeste do Pará, Marabá, PA, Brazil.

DOI:

https://doi.org/10.14295/bjs.v1i7.127

Keywords:

Diabetes mellitus, type 2, Epidemiology, risk factors, child

Abstract

Type 2 Diabetes mellitus is a chronic disease that affects more than 415 million people worldwide. Some risk factors to consider among children are poor diet, obesity, physical inactivity, family history, if the mother has been diagnosed with gestational diabetes mellitus and early weaning. Our objective was to propose a non-lab pre-screening test for Type 2 Diabetes mellitus among preschoolers aged 3 to 6 years old in the Amazon region, Maraba, Brazil. Our sample comprised (N=425) children enrolled in a public preschool and their respective caregivers/parents. A discriminant analysis was used to test the score's ability to maximize the differences between groups according to the relation to the risk factors for Type 2 Diabetes mellitus. Our results suggested that our proposed pre-screening test for Type 2 Diabetes mellitus-using assessment of risk factors is as simple as statistically significant based on heredity, overweight/obesity, physical inactivity, and habit of intake high-calorie foods. The proposed pre-screening test for Type 2 Diabetes mellitus using assessment of risk factors is a simple as statistically significant method for potentially identifying children at risk for Type 2 Diabetes mellitus in schools.

References

Aye, T., & Levitsky, L. L. (2003). Type 2 diabetes: An epidemic disease in childhood. Current Opinion in Pediatrics, 15(4), 411–415. https://doi.org/10.1097/00008480-200308000-00010 DOI: https://doi.org/10.1097/00008480-200308000-00010

Boney, C. M., Anila, V., Richard, T., & Betty, R. V. (2005). Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics, 115(3), 784+. https://doi.org/10.1542/peds.2004-1808 DOI: https://doi.org/10.1542/peds.2004-1808

Brasil. (2007). Decreto no 6.286, de 5 de dezembro de 2007. Institui o Programa Saúde na Escola - PSE, e dá outras providências. Brasília, D.O.U.

Czarnobay, S. A., Kroll, C., Schultz, L. F., Malinovski, J., Mastroeni, S. S. de B. S., & Mastroeni, M. F. (2019). Predictors of excess birth weight in Brazil: a systematic review. Jornal de Pediatria, 95(2), 128–154. https://doi.org/10.1016/j.jped.2018.04.006 DOI: https://doi.org/10.1016/j.jped.2018.04.006

Divers, J., Mayer-Davis, E. J., Lawrence, J. M., Isom, S., Dabelea, D., Dolan, ; Lawrence, Imperatore, G., Santica Marcovina, ;, David, ;, Pettitt, J., Pihoker, C., Richard, ;, Hamman, F., Saydah, S., & Wagenknecht, L. E. (2002). Morbidity and Mortality Weekly Report Trends in Incidence of Type 1 and Type 2 Diabetes Among Youths-Selected Counties and Indian Reservations, United States, 2002-2015. 69(6), 161–165. DOI: https://doi.org/10.15585/mmwr.mm6906a3

Eriksson, J. G., Kajantie, E., Lampl, M., & Osmond, C. (2015). Trajectories of body mass index amongst children who develop type 2 diabetes as adults. Journal of Internal Medicine, 278(2), 219–226. https://doi.org/10.1111/joim.12354 DOI: https://doi.org/10.1111/joim.12354

Fagot-Campagna, A. (2000). Emergence of Type 2 Diabetes Mellitus in Children: Epidemiological Evidence. Journal of Pediatric Endocrinology and Metabolism, 13(Supplement 6), 1395–1402. https://doi.org/10.1515/jpem-2000-s613 DOI: https://doi.org/10.1515/jpem-2000-s613

International Federation, D. (2019). IDF Diabetes Atlas 9th. In IDF Diabetes Atlas, 9th edition. https://diabetesatlas.org/idfawp/resource-files/2019/07/IDF_diabetes_atlas_ninth_edition_en.pdf

Oliveira, A. C. M., Pereira, L. A., Ferreira, R. C., & Clemente, A. P. G. (2018). Maternal nutritional status and its association with birth weight in high-risk pregnancies. Ciencia e Saude Coletiva, 23(7), 2373–2382. https://doi.org/10.1590/1413-81232018237.12042016 DOI: https://doi.org/10.1590/1413-81232018237.12042016

Onis, M., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85(9), 660–667. https://doi.org/10.2471/BLT.07.043497 DOI: https://doi.org/10.2471/BLT.07.043497

Pulgaron, E. R., & Delamater, A. M. (2014). Obesity and type 2 diabetes in children: Epidemiology and treatment. Current Diabetes Reports, 14(8), 1–21. https://doi.org/10.1007/s11892-014-0508-y DOI: https://doi.org/10.1007/s11892-014-0508-y

Saha, S., Al-Rifai, R. H., & Saha, S. (2021). Diabetes prevalence and mortality in COVID-19 patients: a systematic review, meta‐analysis, and meta‐regression. Journal of Diabetes and Metabolic Disorders, 20(1), 939–950. https://doi.org/10.1007/s40200-021-00779-2 DOI: https://doi.org/10.1007/s40200-021-00779-2

Serbis, A., Giapros, V., Kotanidou, E. P., Galli-Tsinopoulou, A., & Siomou, E. (2021). Diagnosis, treatment and prevention of type 2 diabetes mellitus in children and adolescents. World Journal of Diabetes, 12(4), 344–365. https://doi.org/10.4239/wjd.v12.i4.344 DOI: https://doi.org/10.4239/wjd.v12.i4.344

Soliman, A., De Sanctis, V., & Elalaily, R. (2014). Nutrition and pubertal development. Indian Journal of Endocrinology and Metabolism, 18, S39–S47. https://doi.org/10.4103/2230-8210.145073 DOI: https://doi.org/10.4103/2230-8210.145073

Stefan, N. (2020). Causes, consequences, and treatment of metabolically unhealthy fat distribution. The Lancet. Diabetes & Endocrinology, 8(7), 616–627. https://doi.org/10.1016/S2213-8587(20)30110-8 DOI: https://doi.org/10.1016/S2213-8587(20)30110-8

Temneanu, O. R., Trandafir, L. M., & Purcarea, M. R. (2016). Type 2 diabetes mellitus in children and adolescents: a relatively new clinical problem within pediatric practice. Journal of Medicine and Life, 9(3), 235–239.

Tillotson, C. V, Bowden, S. A., & Boktor, S. W. (2021). Pediatric Type 2 Diabetes Mellitus. In StatPearls [Internet].

Treasure Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK431046/

Van Name, M. A., Cheng, P., Gal, R. L., Kollman, C., Lynch, J., Nelson, B., & Tamborlane, W. V. (2020). Children and adolescents with type 1 and type 2 diabetes mellitus in the Pediatric Diabetes Consortium Registries: comparing clinical characteristics and glycaemic control. Diabetic Medicine, 37(5), 863–867. https://doi.org/10.1111/dme.14233 DOI: https://doi.org/10.1111/dme.14233

Vitória, A. G., & Guandalini, V. R. (2017). Qualidade Da Dieta E Estado Nutricional De Diabéticos Tipo 2 Atendidos Na Atenção Primária Do Município De Vitória, Espírito Santo. Revista Baiana de Saúde Pública, 40(4). https://doi.org/10.22278/2318-2660.2016.v40.n4.a1910 DOI: https://doi.org/10.22278/2318-2660.2016.v40.n4.a1910

Wu, W. C., Li, H. Y., Chiang, C. C., Sung, F. C., Wei, J. N., & Chuang, L. M. (2020). Screening for diabetes in asymptomatic children: A simple and efficient method. Journal of the Formosan Medical Association, 119(5), 974–981. https://doi.org/10.1016/j.jfma.2019.09.013 DOI: https://doi.org/10.1016/j.jfma.2019.09.013

Zaccarelli-Marino, M. A., Fonseca, F. L. A., Gascón, T. M., & Filipini, R. (2020). Profile of overweight and obesity in children and adolescents and frequency of type 2 diabetes mellitus and glucose intolerance: a study in public school in brazil. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13, 1733–1741. https://doi.org/10.2147/DMSO.S246061 DOI: https://doi.org/10.2147/DMSO.S246061

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Published

2022-07-01

How to Cite

Silva, A. M., Sena, T. T. ., Jedlicka, L. D. L. ., Carvalho, A. C., & Campos, A. C. V. (2022). Type 2 diabetes mellitus non-lab pre-screening in schoolchildren aged 3-6 years in Eastern Amazon, Brazil. Brazilian Journal of Science, 1(7), 1–11. https://doi.org/10.14295/bjs.v1i7.127

Issue

Vol. 1 No. 7 (2022): Brazilian Journal of Science

Section

Health Sciences

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Copyright (c) 2022 Alice Maria Silva, Taiana Trindade Sena, Letícia Dias Lima Jedlicka, Aline Correa Carvalho, Ana Cristina Viana Campos

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