Prevalence of type 2 diabetes mellitus among Kuwaiti children and adolescents
Affiliations
Affiliations
- 1Department of Community Medicine and Behavioural Sciences, Faculty of Medicine, Kuwait University, Kuwait. amoussa@hsc.edu.kw
Abstract
Objectives: To determine the prevalence of type 2 diabetes among 6- to 18-year-old Kuwaiti children.
Subjects and methods: Children with type 2 diabetes were identified at 182 schools (50 primary, 63 intermediate, and 69 secondary) randomly selected using the 2000/2001 educational districts' registers as a sampling frame. Prevalence rates were adjusted to the 2002 Kuwaiti population. Diagnosis of type 2 diabetes was based on the World Health Organization and the American Diabetes Association criteria.
Results: Type 2 diabetes was identified in 45 of the 128,918 children surveyed, thereby giving an overall prevalence of 34.9 per 100,000 [95% confidence interval (CI) 24.7-45.1]. There was a significant difference in prevalence between males (47.3, 95% CI 28.7-65.8) and females (26.3, 95% CI 14.8-37.8) at p = 0.05 and a significant trend for an increase in prevalence of type 2 diabetes with age (p = 0.026). The overall age-adjusted prevalence rate in the 2002 Kuwaiti population was 33.2 (95% CI 26.6-39.9), 41.6 (95% CI 31.2-52.0) in male and 24.6 (95% CI 16.4-32.7) in female children; the difference was significant at p = 0.013. There was no significant difference in prevalence between regions. Children with type 2 diabetes had a significantly higher frequency (51.1%) of a positive family history of diabetes than children of a similar age without type 2 diabetes (22.2%) (p = 0.004).
Conclusion: The prevalence of type 2 diabetes in adult Kuwaitis is spreading to children and adolescents, making it an emergency public health problem. Efforts need to be initiated to address prevention strategies of type 2 diabetes in youth.
Similar articles
Prevalence of type 1 diabetes among 6- to 18-year-old Kuwaiti children.
Moussa MA, Alsaeid M, Abdella N, Refai TM, Al-Sheikh N, Gomez JE.Med Princ Pract. 2005 Mar-Apr;14(2):87-91. doi: 10.1159/000083917.PMID: 15785099
Prevalence of type 1 diabetes mellitus in Saudi Arabian children and adolescents.
Al-Herbish AS, El-Mouzan MI, Al-Salloum AA, Al-Qurachi MM, Al-Omar AA.Saudi Med J. 2008 Sep;29(9):1285-8.PMID: 18813413
Factors associated with type 1 diabetes in Kuwaiti children.
Moussa MA, Alsaeid M, Refai TM, Abdella N, Al-Sheikh N, Gomez JE.Acta Diabetol. 2005 Oct;42(3):129-37. doi: 10.1007/s00592-005-0192-0.PMID: 16258736
Epidemiology of childhood type 2 diabetes and obesity.
Shaw J.Pediatr Diabetes. 2007 Dec;8 Suppl 9:7-15. doi: 10.1111/j.1399-5448.2007.00329.x.PMID: 17991128 Review.
Valdez R, Greenlund KJ, Khoury MJ, Yoon PW.Pediatrics. 2007 Sep;120 Suppl 2:S78-86. doi: 10.1542/peds.2007-1010G.PMID: 17767009 Review.
Cited by
Youth-onset type 2 diabetes mellitus: an urgent challenge.
Bjornstad P, Chao LC, Cree-Green M, Dart AB, King M, Looker HC, Magliano DJ, Nadeau KJ, Pinhas-Hamiel O, Shah AS, van Raalte DH, Pavkov ME, Nelson RG.Nat Rev Nephrol. 2023 Mar;19(3):168-184. doi: 10.1038/s41581-022-00645-1. Epub 2022 Oct 31.PMID: 36316388 Review.
Ahmed SM, Haris B, Saraswathi S, Elawwa A, Khalifa A, AlMaadheed M, Abdel-Karim TR, Hamed N, Afyouni H, Dauleh H, Shamekh A, Al-Zyoud M, AlKhalaf F, Petrovski G, Hussain K.Diabetol Int. 2021 Oct 11;13(2):381-386. doi: 10.1007/s13340-021-00548-9. eCollection 2022 Apr.PMID: 35463855 Free PMC article.
Alkatan M, Alsharji K, Akbar A, Alshareefi A, Alkhalaf S, Alabduljader K, Al-Hazzaa HM.J Prev Med Hyg. 2021 Jul 30;62(2):E407-E414. doi: 10.15167/2421-4248/jpmh2021.62.2.1650. eCollection 2021 Jun.PMID: 34604581 Free PMC article.
Barakat C, Yousufzai SJ, Booth A, Benova L.BMJ Open. 2021 Sep 15;11(9):e046956. doi: 10.1136/bmjopen-2020-046956.PMID: 34526335 Free PMC article.
Haris B, Saraswathi S, Al-Khawaga S, Hasnah R, Saeed A, Mundekkadan S, Hamed N, Afyouni H, Abdel-Karim T, Mohammed S, Khalifa A, Al-Maadheed M, Al-Zyoud M, Shamekh A, Elawwa A, Al-Khalaf F, Boughorbel S, Petrovski G, Hussain K.J Diabetes Investig. 2021 Dec;12(12):2141-2148. doi: 10.1111/jdi.13610. Epub 2021 Jul 4.PMID: 34101350 Free PMC article.