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Meta-Analysis
. 2022 Dec 1;5(12):e2247186.
doi: 10.1001/jamanetworkopen.2022.47186.

The Prevalence of Obesity Among Children With Type 2 Diabetes: A Systematic Review and Meta-analysis

Milena Cioana  1   2 , Jiawen Deng  1   2 , Ajantha Nadarajah  1   2 , Maggie Hou  1   2 , Yuan Qiu  1   2   3 , Sondra Song Jie Chen  1   2 , Angelica Rivas  1   2   3 , Laura Banfield  4 , Parm Pal Toor  1   2 , Fangwen Zhou  1   2 , Ayla Guven  5 , Haifa Alfaraidi  6 , Ahlam Alotaibi  7 , Lehana Thabane  8   9   10   11 , M Constantine Samaan  1   2   3   8
Affiliations
Meta-Analysis

The Prevalence of Obesity Among Children With Type 2 Diabetes: A Systematic Review and Meta-analysis

Milena Cioana et al. JAMA Netw Open. .

Abstract

Importance: The childhood obesity epidemic is presumed to drive pediatric type 2 diabetes (T2D); however, the global scale of obesity in children with T2D is unknown.

Objectives: To evaluate the global prevalence of obesity in pediatric T2D, examine the association of sex and race with obesity risk, and assess the association of obesity with glycemic control and dyslipidemia.

Data sources: MEDLINE, Embase, CINAHL, Cochrane Library, and Web of Science were searched from database inception to June 16, 2022.

Study selection: Observational studies with at least 10 participants reporting the prevalence of obesity in patients with pediatric T2D were included.

Data extraction and synthesis: Following the Meta-analysis of Observational Studies in Epidemiology reporting guideline, 2 independent reviewers in teams performed data extraction and risk of bias and level of evidence analyses. The meta-analysis was conducted using a random-effects model.

Main outcomes and measures: The primary outcomes included the pooled prevalence rates of obesity in children with T2D. The secondary outcomes assessed pooled prevalence rates by sex and race and associations between obesity and glycemic control and dyslipidemia.

Results: Of 57 articles included in the systematic review, 53 articles, with 8942 participants, were included in the meta-analysis. The overall prevalence of obesity among pediatric patients with T2D was 75.27% (95% CI, 70.47%-79.78%), and the prevalence of obesity at diabetes diagnosis among 4688 participants was 77.24% (95% CI, 70.55%-83.34%). While male participants had higher odds of obesity than female participants (odds ratio, 2.10; 95% CI, 1.33-3.31), Asian participants had the lowest prevalence of obesity (64.50%; 95% CI, 53.28%-74.99%), and White participants had the highest prevalence of obesity (89.86%; 95% CI, 71.50%-99.74%) compared with other racial groups. High heterogeneity across studies and varying degrees of glycemic control and dyslipidemia were noted.

Conclusions and relevance: The findings of this systematic review and meta-analysis suggest that obesity is not a universal phenotype in children with T2D. Further studies are needed to consider the role of obesity and other mechanisms in diabetes genesis in this population.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure 1.
Figure 1.. Pooled Obesity Prevalence in Cross-sectional and Retrospective Cohort Studies of Pediatric Type 2 Diabetes, by Study Design
Figure 2.
Figure 2.. Pooled Obesity Prevalence in Prospective Cohort Studies of Pediatric Type 2 Diabetes
Figure 3.
Figure 3.. Pooled Obesity Prevalence at Pediatric Type 2 Diabetes Diagnosis Across All Included Studies, by Study Design
Figure 4.
Figure 4.. Prevalence of Obesity in Pediatric Type 2 Diabetes by Sex
Figure 5.
Figure 5.. Prevalence of Obesity in Pediatric Type 2 Diabetes by Race
See this image and copyright information in PMC

References

    1. Pinhas-Hamiel O, Zeitler P. The global spread of type 2 diabetes mellitus in children and adolescents. J Pediatr. 2005;146(5):693-700. doi:10.1016/j.jpeds.2004.12.042 - DOI - PubMed
    1. Amed S, Dean HJ, Panagiotopoulos C, et al. . Type 2 diabetes, medication-induced diabetes, and monogenic diabetes in Canadian children: a prospective national surveillance study. Diabetes Care. 2010;33(4):786-791. doi:10.2337/dc09-1013 - DOI - PMC - PubMed
    1. Candler TP, Mahmoud O, Lynn RM, Majbar AA, Barrett TG, Shield JPH. Continuing rise of type 2 diabetes incidence in children and young people in the UK. Diabet Med. 2018;35(6):737-744. doi:10.1111/dme.13609 - DOI - PMC - PubMed
    1. Tajima N, Morimoto A. Epidemiology of childhood diabetes mellitus in Japan. Pediatr Endocrinol Rev. 2012;10(suppl 1):44-50. - PubMed
    1. Dabelea D, Mayer-Davis EJ, Saydah S, et al. ; SEARCH for Diabetes in Youth Study . Prevalence of type 1 and type 2 diabetes among children and adolescents from 2001 to 2009. JAMA. 2014;311(17):1778-1786. doi:10.1001/jama.2014.3201 - DOI - PMC - PubMed