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Brief ReportBrief Report

Lifestyle Intervention Programs for Adults at High-Risk for Type 2 Diabetes: A Platform to Reach High-Risk Children?

Maya Venkataramani, Tina L. Cheng, Hsin-Chieh Yeh and Nisa M. Maruthur
The Journal of the American Board of Family Medicine July 2019, 32 (4) 596-600; DOI: https://doi.org/10.3122/jabfm.2019.04.180317
Maya Venkataramani
Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (MV, H-CY, NMM); Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD (MV, TC); Welch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD (MV, H-CY, NMM).
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Tina L. Cheng
Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (MV, H-CY, NMM); Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD (MV, TC); Welch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD (MV, H-CY, NMM).
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Hsin-Chieh Yeh
Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (MV, H-CY, NMM); Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD (MV, TC); Welch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD (MV, H-CY, NMM).
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Nisa M. Maruthur
Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD (MV, H-CY, NMM); Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD (MV, TC); Welch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD (MV, H-CY, NMM).
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    Table 1.

    Characteristics of Children and Linked Parents in the Analytic Sample*

    Characteristic% (of N)
    Gender
        Male49.9
        Female50.1
    BMI category
        Overweight (≥85th percentile and <95th percentile BMI-for-age)13.9
        Obese (≥95th percentile BMI-for-age)11.9
    Parent gender
        Male38.4
        Female61.6
    Parent BMI category
        Overweight (BMI, ≥25 kg/m2 and <30 kg/m2)35.3
        Obese (BMI, ≥30 kg/m2)32.8
    Parent with prediabetes7.9
    Mothers with history of gestational diabetes†9.7
    Parent likely eligible for diabetes prevention programming‡9.5
    • ↵* Children ages 12 through 17 without missing BMI data, linked to parents who were sample adults, above the age of 18, and did not report a history of diabetes and were not missing BMI data; N = 13,633,334 weighted children and linked parents.

    • ↵† N = 8,399,465 weighted female parents.

    • ↵‡ Based on meeting BMI criteria and having a diagnosis of prediabetes or history of gestational diabetes.

    • BMI, body mass index.

    • View popup
    Table 2.

    Distribution of Child BMI by Parental BMI Categories*

    Child BMI CategoryParental BMI CategoryP Value†
    Under/Normal WeightOverweightObese
    (BMI, <25 kg/m2)(BMI, ≥25 kg/m2 and <30 kg/m2)(BMI, ≥30 kg/m2)
    N = 1,220‡N = 1,384§N = 1,301‖
    Under/normal weight, % (BMI-for-age <85th percentile)86.075.860.7<.01
    Overweight, % (BMI-for-age ≥85th and <95th percentile)8.714.918.0
    Obese, % (BMI-for-age ≥95th percentile)5.39.321.2
    • ↵* % represents column distribution.

    • ↵† From Pearson's χ2 analysis.

    • ↵‡ Inweighted N, representing 4,346,690 weighted individuals.

    • ↵§ Unweighted N, representing 4,815,587 weighted individuals.

    • ↵‖ §Unweighted N, representing 4,471,058 weighted individuals.

    • BMI, body mass index.

    • View popup
    Table 3.

    Distribution of Child BMI Categories by Likely Parental Diabetes Prevention Program Eligibility*

    Child BMI CategoryParent EligibleParent IneligibleP Value§
    N = 356†N = 3,532‡
    Under/normal weight, % (BMI-for-age <85th percentile)65.675.2<0.01
    Overweight, % (BMI-for-age ≥85th and <95th percentile)14.613.8
    Obese, % (BMI-for-age ≥95th percentile)19.811.0
    • ↵* Eligibility determined by parental weight status and self-report of history of prediabetes or gestational diabetes; % represents column distribution.

    • ↵† Unweighted N, representing 1,297,367 weighted individuals.

    • ↵‡ Unweighted N, representing 12,262,169 weighted individuals.

    • ↵§ From Pearson's χ2 analysis.

    • BMI, body mass index.

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The Journal of the American Board of Family     Medicine: 32 (4)
The Journal of the American Board of Family Medicine
Vol. 32, Issue 4
July-August 2019
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Lifestyle Intervention Programs for Adults at High-Risk for Type 2 Diabetes: A Platform to Reach High-Risk Children?
Maya Venkataramani, Tina L. Cheng, Hsin-Chieh Yeh, Nisa M. Maruthur
The Journal of the American Board of Family Medicine Jul 2019, 32 (4) 596-600; DOI: 10.3122/jabfm.2019.04.180317

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Lifestyle Intervention Programs for Adults at High-Risk for Type 2 Diabetes: A Platform to Reach High-Risk Children?
Maya Venkataramani, Tina L. Cheng, Hsin-Chieh Yeh, Nisa M. Maruthur
The Journal of the American Board of Family Medicine Jul 2019, 32 (4) 596-600; DOI: 10.3122/jabfm.2019.04.180317
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Keywords

  • Body Mass Index
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