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Studies Define Type 2 Diabetes Risk Factors in Women, Adolescents
Date:5/29/2008

. After controlling for BMI, boys exhibited significantly higher fitness levels compared to girls, while reported physical activity was not significantly different between genders. None of the youth reached age and gender-adjusted criteria for healthy fitness, and approximately 93 percent of boys and 94 percent of girls scored below the 10th percentile for maximal oxygen consumption during exercise testing. Similarly, only 18 percent of boys and 22 percent of girls reported performing the recommended 60 minutes or more of moderate to vigorous physical activity per day.

"It's important to encourage all youth to accumulate sufficient amounts of physical activity and increase their fitness levels, but this message is critical for youth with diabetes," said Gabriel Q. Shaibi, Ph.D., lead author. "Otherwise, with continuing weight gain and inactivity, they may be looking at the development of complications, such as heart disease later in life."

Another study from the same research team examined increased physical fitness and dietary modification for their roles in the management in diabetes in adolescents. This study paid particular attention to associations between lifestyle factors and overall metabolic health.

More than 100 adolescents were studied for type (both type 1 and 2) and duration of diabetes, BMI, physical fitness, and carbohydrate and saturated fat intake. Their results indicated that higher fitness levels, rather than fat, were a stronger predictor of better metabolic control. Duration of diabetes and saturated fat consumption were significant determinants of higher total and LDL cholesterol. Those with type 2 exhibited elevated levels of triglycerides similar to what is observed in the adult population.

Lead author Sara B. Fleet, Ph.D., says poor metabolic health is considered a precursor for type 2 diabetes, coronary artery disease and other chronic health problems. "Young people with diabetes have to model management of their
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SOURCE American College of Sports Medicine
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