title: [Modification of risk factors in the developing of diabetes mellitus type 2 in obese children].
abstract: OBJECTIVE
  To determine if an educational and dietetic program diminish the risk factors of diabetes mellitus type 2 in obese children.
  
  
  METHODS
  quasi-experimental trial.
  
  
  METHODS
  We performed a study in 28 obese children. They received instruction in diabetes mellitus, participated in a nutritional education group, and received an individual dietetic treatment during six months. There was used a 24-hour recall about dietary intake, body mass index and blood pressure measure monthly. Glucose, leptin, and insulin levels were measured at baseline and after the six months of treatment. Kruskal-Wallis and Wilcoxon tests were used.
  
  
  RESULTS
  We studied 13 female and 15 male obese children with an age average of 9.7 years. Body mass index (29.0 versus 25.6), blood pressure (121/80 versus 118/78 mm Hg), fasting glucose (95 versus 92 mg/dL), total cholesterol (166 versus 155 mg/dL), triglycerides (144 versus 142 mg/dL), insulin resistance index (5.9 versus 4.9), leptin (56.1 versus 57.3 ng/mL), and energy intake (3409 versus 2243 kcal) decreased, at the begin and at the end of the study. Nutriment and sufficiency balance were lower too (p<0.05).
  
  
  CONCLUSIONS
  The program diminished the risk factors for diabetes mellitus and cardiovascular disease.
authors.affiliation: Investigación Clínica, Unidad de Investigación Epidemiológica, UMAE Ginecoobstetricia, León, Medicina Familiar 47, Instituto Mexicano del Seguro Social, León, Guanajuato, Mexico. miguel.luna@imss.gob.mx
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Luna-Ruiz
authors.forename: Daniela
authors.initials: D
authors.lastname: Rangel-Vázquez
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Guizar-Mendoza
authors.forename: Norma
authors.initials: N
authors.lastname: Amador-Licona
mesh_terms: D002648:Child; D003924:Diabetes Mellitus, Type 2 / Q000209:etiology* / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications* / Q000628:therapy*; D012307:Risk Factors