Children, like adults of South Asian origin are at increased risk of developing type 2 diabetes and other conditions associated with insulin resistance. The rising prevalence of excess body weight in children is of special concern as a promoter of insulin resistance. This article considers the evidence and need to develop and implement healthy lifestyle interventions in schools.
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References
1.
McKeigue PM, Shah B., Marmot MGRelation of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians. Lancet1991;337:382-6.
2.
Bhopal R., Unwin N., White M. et al. Heterogeneity of coronary heart disease risk factors in Indian, Pakistani, Bangladeshi, and European origin populations: cross sectional study . BMJ1999;319:215-20.
3.
Fagot-Campagna A.Emergence of type 2 diabetes mellitus in children: epidemiological evidence. J Pediatr Endocrinol Metab2000;13 (suppl 6): 1395-402.
4.
Jones KL, Arslanian S., Peterokova VA, Park JS, Tomlinson MJEffect of metformin in pediatric patients with type 2 diabetes: a randomized controlled trial. Diabetes Care2002;25:89-94.
5.
Ehtisham S., Barrett TG, Shaw NJType 2 diabetes mellitus in UK children - An emerging problem. Diabet Med2000;17:867-71.
6.
Drake AJ, Smith A., Betts PR, Crowne EC, Shield JPH.Type 2 diabetes in obese white children. Arch Dis Child2002;86:207-08.
7.
Rosenbloom AL , Joe JR, Young RS, Winter WEEmerging epidemic of type 2 diabetes in youth . Diabetes Care1999;22:345-54.
8.
Reilly JJ, Dorosty AREpidemic of obesity in UK children. Lancet1999;354:1874-5.
9.
Deckelbaum RJ , Williams CLChildhood obesity: the health issue . Obes Res2001;9 (suppl 4):239S-43S.
10.
Crawford PB , Story M., Wang MC, Ritchie LD, Sabry ZIEthnic issues in the epidemiology of childhood obesity. Pediatr Clin North Am2001;48:855-78.
11.
Tuomilehto J., Lindstrom J., Eriksson JG et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med2001;344:1343-50.
12.
Knowler WC, Barrett-Connor E., Fowler SE et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med2002 ;346:393-403.
13.
Whincup PH, Gilg JA, Papacosta O. et al. Early evidence of ethnic differences in cardiovascular risk: Cross sectional comparison of British South Asian and white children. BMJ2002; 324:635-8.
14.
Cook VV, Hurley JSPrevention of type 2 diabetes in childhood. Clin Pediatr1998;37:123-30.
15.
Pinhas-Hamiel O., Standiford D., Hamiel D., Dolan LM, Cohen R., Zeitler PSThe type 2 family. A setting for development and treatment of adolescent type 2 diabetes mellitus . Arch Pediatr Adolesc Med1999;153:1063-7.
16.
Health Development Agency.Effectiveness of interventions to promote healthy eating in people from minority ethnic groups. Health promotion effectiveness reviews Summary Bulletin 12. 1998. Health Development Agency.
