Prediabetes in rural and urban children in 3 states in Mexico.
The authors studied the frequency, distribution, and factors associated with prediabetes (fasting glucose, 100-125 mg/dL) in rural and urban children from San Luis Potosí, León, and Querétaro in central Mexico. Family history, somatometry, and levels of fasting insulin, glucose, and lipids were collected in 1238 children 6 to 13 years of age. The authors found no cases of type 2 diabetes and a 5.7% frequency of prediabetes. The group with prediabetes had higher homeostasis model assessment of insulin resistance scores and total cholesterol and high-density lipoprotein cholesterol levels. Prediabetes was more frequent in León, with similar distribution in rural and urban children. The frequency of insulin resistance was 24.1%, with higher figures in urban groups and in San Luis Potosí. In multivariate analysis, prediabetes was associated with insulin resistance and residence in León. The authors concluded that in central Mexico the frequency of prediabetes is significant, and it is associated with insulin resistance and a geographic location, but not with obesity or urban vs rural dwelling.
Facultad de Medicina, Universidad Autónoma de San Luis Potosí, San Luis Potosí Mexico.
Celia
C
Aradillas-García
Juan M
JM
Malacara
Ma Eugenia
ME
Garay-Sevilla
Juan M
JM
Guízar
Nicolás
N
Camacho
Esperanza
E
De la Cruz-Mendoza
Leticia
L
Quemada
Juan Francisco Hernández
JF
Sierra
D000293:Adolescent; D002648:Child; D002784:Cholesterol / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D006801:Humans; D007333:Insulin Resistance; D008800:Mexico / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology; D011236:Prediabetic State / Q000453:epidemiology*; D012424:Rural Population; D014505:Urban Population
D008078:Cholesterol, LDL; D002784:Cholesterol