ArticlePediatric obesity2021
Sex-based differences in screening and recognition of pre-diabetes and type 2 diabetes in pediatric primary care.
Article in Pediatric obesity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Prevalence and Predictors of Guideline Concordant Pediatric Obesity Care: A Narrative Review.Current obesity reports · 2026Review
- Article
- Prediabetes Prevalence by Adverse Social Determinants of Health in Adolescents.JAMA network open · 2024Article
- Paediatric obesity: Documentation, screening, and pharmacotherapy in a national cohort.Pediatric obesity · 2023Article
- Prospective Test Performance of Nonfasting Biomarkers to Identify Dysglycemia in Children and Adolescents.Hormone research in paediatrics · 2023Article
- Disparities in adherence to diabetes screening guidelines among males and females in a universal care setting: A population-based study of 1,380,697 adults.Lancet regional health. Americas · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundRisk-based screening for type 2 diabetes (T2D) in youth with overweight/obesity is recommended, but rates remain low in practice. Identification of factors impacting provider ordering and patient completion of testing may guide strategies to improve screening.
objectiveTo evaluate predictors of hemoglobin A1c (A1c)-based T2D screening in pediatric primary care.
methodsThis retrospective cohort study included 10 to 18 year-old patients with overweight/obesity (body mass index [BMI] Z-score ≥1.04) followed in a large academic-affiliated pediatric primary care network, 2009 to 2018. Percentages of patients with ordered and completed A1c were determined, and multivariable Cox proportional hazards regression was used to evaluate independent predictors of screening.
results34 927 (48.0% female; 52.5% with BMI Z-score ≥1.64) youth followed for a median of 3.0 years were included. 21% (7457) of patients had screening ordered and 14% (4966) completed screening during follow-up. In multivariable regression, after controlling for race/ethnicity, BMI, family history of diabetes and age, males were significantly less likely to have ordered screening, but were equally or more likely to complete screening if ordered.
conclusionsMale adolescents were less likely to undergo A1c-based T2D screening due to differential ordering practices. The source of this differential practice should be pursued to avoid under-recognition of cardiometabolic risk in at-risk male youth.
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