Navigation Links
Childhood Diabetes Boosts Risk for Kidney Problems
Date:12/29/2007

Lifestyle changes are key to avoiding complications, doctors say

FRIDAY, Dec. 28 (HealthDay News) -- As more and more American children are diagnosed with type 2 diabetes, another serious problem is threatening their health.

Children and teens diagnosed with type 2 diabetes are five times more likely to develop kidney disease later in life than those who develop diabetes as adults, a recent study found.

The findings underscore the importance of preventing -- or at least delaying -- the onset of type 2 diabetes, doctors say.

"Since the development of diabetic kidney disease is strongly dependent on the duration of diabetes, developing diabetes in youth leads to a high risk of kidney disease in early- to mid-adulthood," said study author Dr. Robert G. Nelson, a staff clinician with the U.S. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).

"For example," he said, "a 15-year-old person with 10 years of type 2 diabetes has the same risk of kidney disease as a 55-year-old with 10 years of type 2 diabetes."

Diabetes is becoming increasingly prevalent among children and teens, largely due to the obesity epidemic. The U.S. Centers for Disease Control and Prevention estimates that among new cases of childhood diabetes, up to 43 percent are type 2 disease.

While type 2 diabetes can affect children of any race or ethnic group, it's more common among non-white individuals, the CDC reports. The Pima Indians of Arizona currently have the highest recorded rates of diabetes in the world, at 50.9 per 1,000 individuals, according to the CDC.

Diabetes is the most common cause of kidney failure. Initially, small amounts of albumin, a blood protein, begin to leak into the urine. As the amount of albumin in the urine increases, the filtering function of the kidneys begins to decline. It may take 15 to 25 years for kidney failure to occur. Native Americans, blacks and Hispanics have higher rates of kidney failure from diabetes, the NIDDK said.

Nelson and his colleagues examined the relationship between a person's age at the onset of diabetes and the likelihood that they would have "end-stage renal disease," or kidney failure. The study, published recently in the Journal of the American Medical Association, was based on data collected over four decades from more than 1,800 members of the Pima and closely related Papago Indian tribes. The researchers compared people who were diagnosed with type 2 diabetes before the age of 20 with those who developed the disease between ages 25 and 55.

Breaking down the numbers by age range, people who developed type 2 diabetes before age 20 were eight times more likely to experience kidney failure between 25 and 34 than those diagnosed after 20. And the younger diabetics were four times more likely to have kidney failure between the ages of 45 and 54 than those diagnosed at an older age.

Dr. Pascale H. Lane is a diabetic neuropathy specialist and associate chairwoman for research at the University of Nebraska Medical Center's Department of Pediatrics. She believes that patients and parents of children with diabetes need to be aware of the potential complications of type 2 diabetes and ways to minimize the risk.

"Nephropathy [kidney failure] may be prevented by strict control of blood sugar levels and by not smoking," Lane said. "Diagnosing and treating high blood pressure early and aggressively may also prevent or slow the development of this kidney disease."

Efforts also need to focus on preventing type 2 diabetes in children through lifestyle changes that emphasize weight loss and increased exercise, Nelson added.

"The explosion of obesity in children and adolescents is a cause for great concern and must be reversed," he said. "Calorie-dense fast foods must be replaced by healthy alternatives provided in reasonable portions, and hours of TV watching must be replaced by activities that require exercise."

More information

Visit the National Kidney Foundation for more on diabetes and kidney disease.



SOURCES: Robert G. Nelson, M.D., Ph.D., staff clinician, Diabetes and Arthritis Epidemiology Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix; Pascale H. Lane, M.D., Helen Freytag Distinguished Professor and Associate Chair for Research, Department of Pediatrics, University of Nebraska Medical Center, Omaha; U.S. Centers for Disease Control and Prevention, Atlanta; National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Md.


'/>"/>
Copyright©2007 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Genetic predisposition increases childhood asthma risk
2. Treating diabetes during pregnancy can break link to childhood obesity
3. Childhood asthma still inappropriately treated in the UK
4. Screening Proposed for Childhood Cholesterol Levels
5. Success of Shape-Up Somerville Childhood Obesity Intervention to be Presented at the Friedman School Symposium at Tufts, October 29-31, 2007 - Boston
6. Success of Shape Up Somerville childhood obesity intervention to be presented
7. Childhood vaccination may protect adult eyes
8. Childhood Obesity Epidemic a Long-Term Challenge
9. New chemotherapy regimen prolongs survival in difficult-to-treat childhood brainstem gliomas
10. Antibiotics Not Always Best Bet for Battling Childhood Ear Infections
11. Childhood TV viewing a risk for behavior problems
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Childhood Diabetes Boosts Risk for Kidney Problems
(Date:2/19/2017)... Warwick, RI (PRWEB) , ... February 19, 2017 ... ... data is proven to result in better care, and MEDfx and the Delaware ... the state of Delaware. , As the nation’s first state-wide health information exchange, ...
(Date:2/18/2017)... ... February 17, 2017 , ... ... Devicemakers , Sponsored by Axendia, **FDAnews Free Webinar**, March 1, 2017 — ... looking to reduce their regulatory burden? Pay dividends in enhanced and predictable ...
(Date:2/18/2017)... Lewisberry, PA (PRWEB) , ... February 17, 2017 , ... ... more about the Stannah Stairlift and other Butler products. Ken was impressed with ... team, and agreed to endorse the product on his show. This endorsement by ...
(Date:2/18/2017)... ... February 17, 2017 , ... Park Cities Pet Sitter President, Joette White, has ... Life Radio network. The episode, which was posted this week, features a 30-minute ... led to Park Cities Pet Sitter’s being awarded the 2017 National Association of Professional ...
(Date:2/18/2017)... La. (PRWEB) , ... February 18, 2017 , ... ... released today provides the latest information and contact points to easily connect elderly ... home care, assisted living, and elder-care funding. It also conveys material on this ...
Breaking Medicine News(10 mins):
(Date:2/20/2017)... -- Acute, Chronic and Prophylaxis GVHD The global ... of 7% from 2016-2021 and CAGR of 3% from 2021-2027. The market ... 2027. The market is estimated at $0.36bn in 2016, $0.51bn in 2021, ... How ... can exploit the future business opportunities emerging in this sector. ...
(Date:2/19/2017)... , February 18, 2017 Marapharm ... to purchase a Medical Delivery Service with the specific ... transactions between qualified patients and caregivers. The delivery service ... located in the Coachella Valley, California ... Los Angeles area to the West, population ...
(Date:2/18/2017)... Feb. 17, 2017 Research and Markets has announced ... report to their offering. ... The report provides separate comprehensive analytics for the US, Canada ... Asia-Pacific , Latin America , and ... 2015 through 2022. Also, a six-year historic analysis is provided for these ...
Breaking Medicine Technology: