The Factors Associated with Impaired Fasting Glucose in Adolescents

Kang, Jae Heon; Kim, Kyunam; Lee, Seonyeong; Yoo, Sunmi

Abstract

BACKGROUND: Since the normal fasting plasma glucose level has decreased to below 100 mg/dL, the range for impaired fasting glucose (IFG) has expanded. Early detection and management of IFG in adolescents can reduce and delay the development of diabetes. Therefore, the prevalence of IFG in adolescents and its related factors were investigated in this study.
METHODS
The study population comprised of 2,850 (1,584 boys and 1,266 girls) students from 14 different middle schools in Korea. The participants'height, weight and fasting plasma glucose were measured. The participants'age, body mass index (BMI), number of siblings, their parents'monthly income, weight at birth, and physical activity were assessed using self-recording questionnaires.
RESULTS
The prevalence of IFG is 4.3% (boys; 5.3%, girls; 3.0%). Univariate analysis showed that rural community (OR = 1.67) and monthly income of parents (P = 0.021) were factors associated with IFG for boys, while rural community (OR = 2.18) and obesity (OR = 4.84) were associated with IFG for girls. Multiple logistic regression analysis showed that the risk of IFG is associated with skipping breakfasts (OR = 3.50 [2.01~6.09]) and high monthly income of parents (P = 0.011) for boys, while obesity (OR = 5.95 [2.58~13.75]) is the associated factor for girls.
CONCLUSION
The factors strongly associated with IFG for adolescents were skipping breakfast and obesity for boys and girls, respectively.