Addressing prediabetes in childhood obesity treatment programs: Support from research and current practice

Matthew A. Haemer, H. Mollie Grow, Cristina F. Fernández, Gloria J. Lukasiewicz, Erinn T. Rhodes, Laura A. Shaffer, Brooke Sweeney, Susan J. Woolford, Elizabeth Estrada

Research output: Contribution to journalReview article

20 Citations (Scopus)

Abstract

Background: Type 2 diabetes mellitus (T2DM) and prediabetes have increased in prevalence among overweight and obese children, with significant implications for long-term health. There is little published evidence on the best approaches to care of prediabetes among overweight youth or the current practices used across pediatric weight management programs. Methods: This article reviews the literature and summarizes current practices for screening, diagnosis, and treatment of prediabetes at childhood obesity treatment centers. Findings regarding current practice were based on responses to an online survey from 28 pediatric weight management programs at 25 children's hospitals in 2012. Based on the literature reviewed, and empiric data, consensus support statements on prediabetes care and T2DM prevention were developed among representatives of these 25 children's hospitals' obesity clinics. Results: The evidence reviewed demonstrates that current T2DM and prediabetes diagnostic parameters are derived from adult-based studies with little understanding of clinical outcomes among youth. Very limited evidence exists on preventing progression of prediabetes. Some evidence suggests that a significant proportion of obese youth with prediabetes will revert to normoglycemia without pharmacological management. Evidence supports lifestyle modification for children with prediabetes, but further study of specific lifestyle changes and pharmacological treatments is needed. Conclusion: Evidence to guide management of prediabetes in children is limited. Current practice patterns of pediatric weight management programs show areas of variability in practice, reflecting the limited evidence base. More research is needed to guide clinical care for overweight youth with prediabetes.

Original languageEnglish
Pages (from-to)292-303
Number of pages12
JournalChildhood Obesity
Volume10
Issue number4
DOIs
StatePublished - 2014

Fingerprint

Prediabetic State
Pediatric Obesity
Research
Type 2 Diabetes Mellitus
Therapeutics
Pediatrics
Weights and Measures
Life Style
Pharmacology
Consensus

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Haemer, M. A., Grow, H. M., Fernández, C. F., Lukasiewicz, G. J., Rhodes, E. T., Shaffer, L. A., ... Estrada, E. (2014). Addressing prediabetes in childhood obesity treatment programs: Support from research and current practice. Childhood Obesity, 10(4), 292-303. https://doi.org/10.1089/chi.2013.0158

Addressing prediabetes in childhood obesity treatment programs : Support from research and current practice. / Haemer, Matthew A.; Grow, H. Mollie; Fernández, Cristina F.; Lukasiewicz, Gloria J.; Rhodes, Erinn T.; Shaffer, Laura A.; Sweeney, Brooke; Woolford, Susan J.; Estrada, Elizabeth.

In: Childhood Obesity, Vol. 10, No. 4, 2014, p. 292-303.

Research output: Contribution to journalReview article

Haemer, MA, Grow, HM, Fernández, CF, Lukasiewicz, GJ, Rhodes, ET, Shaffer, LA, Sweeney, B, Woolford, SJ & Estrada, E 2014, 'Addressing prediabetes in childhood obesity treatment programs: Support from research and current practice', Childhood Obesity, vol. 10, no. 4, pp. 292-303. https://doi.org/10.1089/chi.2013.0158
Haemer, Matthew A. ; Grow, H. Mollie ; Fernández, Cristina F. ; Lukasiewicz, Gloria J. ; Rhodes, Erinn T. ; Shaffer, Laura A. ; Sweeney, Brooke ; Woolford, Susan J. ; Estrada, Elizabeth. / Addressing prediabetes in childhood obesity treatment programs : Support from research and current practice. In: Childhood Obesity. 2014 ; Vol. 10, No. 4. pp. 292-303.
@article{692d8ba9167847929f926e16e0e21718,
title = "Addressing prediabetes in childhood obesity treatment programs: Support from research and current practice",
abstract = "Background: Type 2 diabetes mellitus (T2DM) and prediabetes have increased in prevalence among overweight and obese children, with significant implications for long-term health. There is little published evidence on the best approaches to care of prediabetes among overweight youth or the current practices used across pediatric weight management programs. Methods: This article reviews the literature and summarizes current practices for screening, diagnosis, and treatment of prediabetes at childhood obesity treatment centers. Findings regarding current practice were based on responses to an online survey from 28 pediatric weight management programs at 25 children's hospitals in 2012. Based on the literature reviewed, and empiric data, consensus support statements on prediabetes care and T2DM prevention were developed among representatives of these 25 children's hospitals' obesity clinics. Results: The evidence reviewed demonstrates that current T2DM and prediabetes diagnostic parameters are derived from adult-based studies with little understanding of clinical outcomes among youth. Very limited evidence exists on preventing progression of prediabetes. Some evidence suggests that a significant proportion of obese youth with prediabetes will revert to normoglycemia without pharmacological management. Evidence supports lifestyle modification for children with prediabetes, but further study of specific lifestyle changes and pharmacological treatments is needed. Conclusion: Evidence to guide management of prediabetes in children is limited. Current practice patterns of pediatric weight management programs show areas of variability in practice, reflecting the limited evidence base. More research is needed to guide clinical care for overweight youth with prediabetes.",
author = "Haemer, {Matthew A.} and Grow, {H. Mollie} and Fern{\'a}ndez, {Cristina F.} and Lukasiewicz, {Gloria J.} and Rhodes, {Erinn T.} and Shaffer, {Laura A.} and Brooke Sweeney and Woolford, {Susan J.} and Elizabeth Estrada",
year = "2014",
doi = "10.1089/chi.2013.0158",
language = "English",
volume = "10",
pages = "292--303",
journal = "Childhood Obesity",
issn = "2153-2168",
publisher = "Mary Ann Liebert Inc.",
number = "4",

}

TY - JOUR

T1 - Addressing prediabetes in childhood obesity treatment programs

T2 - Support from research and current practice

AU - Haemer, Matthew A.

AU - Grow, H. Mollie

AU - Fernández, Cristina F.

AU - Lukasiewicz, Gloria J.

AU - Rhodes, Erinn T.

AU - Shaffer, Laura A.

AU - Sweeney, Brooke

AU - Woolford, Susan J.

AU - Estrada, Elizabeth

PY - 2014

Y1 - 2014

N2 - Background: Type 2 diabetes mellitus (T2DM) and prediabetes have increased in prevalence among overweight and obese children, with significant implications for long-term health. There is little published evidence on the best approaches to care of prediabetes among overweight youth or the current practices used across pediatric weight management programs. Methods: This article reviews the literature and summarizes current practices for screening, diagnosis, and treatment of prediabetes at childhood obesity treatment centers. Findings regarding current practice were based on responses to an online survey from 28 pediatric weight management programs at 25 children's hospitals in 2012. Based on the literature reviewed, and empiric data, consensus support statements on prediabetes care and T2DM prevention were developed among representatives of these 25 children's hospitals' obesity clinics. Results: The evidence reviewed demonstrates that current T2DM and prediabetes diagnostic parameters are derived from adult-based studies with little understanding of clinical outcomes among youth. Very limited evidence exists on preventing progression of prediabetes. Some evidence suggests that a significant proportion of obese youth with prediabetes will revert to normoglycemia without pharmacological management. Evidence supports lifestyle modification for children with prediabetes, but further study of specific lifestyle changes and pharmacological treatments is needed. Conclusion: Evidence to guide management of prediabetes in children is limited. Current practice patterns of pediatric weight management programs show areas of variability in practice, reflecting the limited evidence base. More research is needed to guide clinical care for overweight youth with prediabetes.

AB - Background: Type 2 diabetes mellitus (T2DM) and prediabetes have increased in prevalence among overweight and obese children, with significant implications for long-term health. There is little published evidence on the best approaches to care of prediabetes among overweight youth or the current practices used across pediatric weight management programs. Methods: This article reviews the literature and summarizes current practices for screening, diagnosis, and treatment of prediabetes at childhood obesity treatment centers. Findings regarding current practice were based on responses to an online survey from 28 pediatric weight management programs at 25 children's hospitals in 2012. Based on the literature reviewed, and empiric data, consensus support statements on prediabetes care and T2DM prevention were developed among representatives of these 25 children's hospitals' obesity clinics. Results: The evidence reviewed demonstrates that current T2DM and prediabetes diagnostic parameters are derived from adult-based studies with little understanding of clinical outcomes among youth. Very limited evidence exists on preventing progression of prediabetes. Some evidence suggests that a significant proportion of obese youth with prediabetes will revert to normoglycemia without pharmacological management. Evidence supports lifestyle modification for children with prediabetes, but further study of specific lifestyle changes and pharmacological treatments is needed. Conclusion: Evidence to guide management of prediabetes in children is limited. Current practice patterns of pediatric weight management programs show areas of variability in practice, reflecting the limited evidence base. More research is needed to guide clinical care for overweight youth with prediabetes.

UR - http://www.scopus.com/inward/record.url?scp=84905495835&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84905495835&partnerID=8YFLogxK

U2 - 10.1089/chi.2013.0158

DO - 10.1089/chi.2013.0158

M3 - Review article

C2 - 25055134

AN - SCOPUS:84905495835

VL - 10

SP - 292

EP - 303

JO - Childhood Obesity

JF - Childhood Obesity

SN - 2153-2168

IS - 4

ER -