Prevalence of metabolic syndrome and Acanthosis nigricans in students from 6 to 12 years that presents overweight and risk of obesity in elementary school, Hidalgo, Mexico

Abstract

determine whether there were any significant differences between persons without diabetes and those with early, medium, or advanced stage diabetes at the time of diagnosis. results: A total of 1,737 persons with diabetes were identified. Of these, 343 were surveyed prior to a confirming diagnosis of diabetes. 646 were at a mild stage of disease, 746 experienced a moderate stage, and 345 experienced an advanced stage of diabetes. Persons with advanced stage diabetes were more frequently former drinkers and smokers, ate more fruits and vegetables, were least active, reported higher levels of stress and a weaker sense of belonging, were more often exposed to second hand smoke, were more likely to be at an increased weight, more frequently perceived their health to be poor, reported an unmet health care, and experienced greater mortality in com in comparison to those with mild or moderate stage diabetes as well as in comparison to persons without diabetes. Discussion/conclusion: Results from our unique data linkage study suggest substantial differences in lifestyle and environmental factors associated with more advanced stages of diabetes, and poorer overall outcomes. In some cases it appears that respondents with advanced stage diabetes have adapted some lifestyle factors to address diabetes. However, decreased physical activity levels among those with advanced stage diabetes may contribute to increased weight. Environmental factors, such as a sense of belonging to the community, second hand smoke exposure, and perceived unmet health care needs may also contribute to progression of diabetes and complications.