Evidence mapPaperPMID 34858039Full record

ReviewDiabetes, metabolic syndrome and obesity : targets and therapy2021

Prediabetes in Adolescents: Prevalence, Management and Diabetes Prevention Strategies.

Rebeca Esquivel Zuniga, Mark D DeBoer

Registry-linked trialAbstract readReview
In one paragraph

Review in Diabetes, metabolic syndrome and obesity : targets and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07221045 (PhytoRx Families), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07221045 narecruitingnot on this mapstarted 2025, after this paper: background citation

PhytoRx Families: A Pilot Test Study to Address Food Security and Fruit and Vegetable Intake in Rural North Carolina

TypeinterventionalSponsorNorth Carolina State UniversityRan2025 to 2026Enrolled30ConditionsDiet, Healthy, Health Behavior, Blood Pressure, Diabetes Mellitus RiskArmsPhytoRx Families: A Pilot Test to Address Food Security in Rural North Carolina
3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Prediabetes in children and adolescents: A ticking bomb!World journal of clinical pediatrics · 2024
    Article
  14. Article
  15. Article
  16. Less common forms of diabetes in young population.Pediatric endocrinology, diabetes, and metabolism · 2024
    Review
  17. Article
  18. Prediabetes in children and adolescents: An updated review.World journal of clinical pediatrics · 2023
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Rebeca Esquivel ZunigaDivision of Pediatric Endocrinology, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA.
Mark D DeBoerDivision of Pediatric Endocrinology, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0003-1462-591X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ongoing obesity epidemic in children and adolescents has greatly increased the prevalence of related comorbidities. Prediabetes is defined based on levels of fasting glucose, oral glucose tolerance tests or hemoglobin A1c, that are intermediate between normal levels and thresholds that define type 2 diabetes mellitus (T2DM). As such, prediabetes represents a sign of early pathophysiology preceding T2DM development. Recent analyses of data from US adolescents estimate prediabetes to be present in 4-23% of adolescents, depending on criteria used, with other studies finding an 8% risk of progression from prediabetes to T2DM over a 3-year period. These data support the importance of intervention to avoid long-term sequelae, focusing on reducing degree of obesity and insulin resistance. Lifestyle modification, with increases in physical activity and dietary improvements, remains the first-line approach. Other interventions are based on additional long-term risks and range from metformin treatment for more moderate cases of prediabetes to bariatric surgery for adolescents with severe obesity and comorbidities. As data accumulate regarding sequelae of T2DM in adolescents, there remains a critical need for prevention of obesity and T2DM throughout childhood, and prediabetes should be a trigger for improving this risk profile.

Indexed as

insulin resistanceobesitypediatricsprediabetestype 2 diabetes mellitus

Identifiers

PMID34858039
PMCPMC8629936

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.