HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Schreiner, B. Search for Related Content PubMed Articles by Schreiner, B. Social Bookmarking                What's this?

Promoting Lifestyle and Behavior Change in Overweight Children and Adolescents With Type 2 Diabetes

The first 300 words of the full text of this article appear below.

	Introduction

 
Sixteen-year-old Juana is a high school sophomore who loves movies, the local pizza parlor, and salsa music. She is young but has the health risks of someone three times her age. With a BMI > 95th percentile for age, Juana has many of the features of metabolic syndrome and may be only months from displaying the symptoms of type 2 diabetes. Juana is one of 8.8 million American youth who are overweight or obese.¹

The plight of Juana and her agemates has become increasingly visible in the media and in the scientific literature. Genetics has been blamed. Parents have been blamed. Schools have been blamed. Television has been blamed.² Society has been blamed. Although we are closer to understanding the causes, we lack effective strategies for prevention and management of obesity and diabetes in children and adolescents.

	How Did Children Become Part of This Epidemic?

 
The road to obesity and diabetes may begin in utero. Low birth weight and exposure to maternal diabetes have been implicated.^3,4 There may be genetic components to the problem.⁵ Certain genes associated with type 2 diabetes have been identified in Cree-Ojibway aboriginal children in Canada.⁶ Largely, however, the rise in childhood obesity corresponds to various environmental changes.

Children today are less physically active than in the past. They play less outside and have less physical education in school. In high school, enrollment in daily physical education (P.E.) classes dropped from 42% in 1991 to 25% in 1995.⁷ Only 19% of all high school students are physically active for at least 20 minutes in P.E. classes every day during the school week. What has replaced physical activity is television watching, Internet surfing, and computer gaming.

There is a strong correlation between childhood obesity and access to television. Children are more likely to be obese if they eat meals in front of the TV, have . . . [Full Text of this Article]

	The Aging of Youth

 

	Another Picture of Type 2 Diabetes in Youth

 

	Supporting Children and Adolescents With Type 2 Diabetes

 

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				A. Atkinson and D. Radjenovic Meeting Quality Standards for Self-Management Education in Pediatric Type 2 Diabetes Diabetes Spectr, January 1, 2007; 20(1): 40 - 46. [Abstract] [Full Text] [PDF]

				K. L. Fisher School Nurses' Perceptions of Self-Efficacy in Providing Diabetes Care The Journal of School Nursing, August 1, 2006; 22(4): 223 - 228. [Abstract] [PDF]