Diabetes
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/29924
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Browsing Diabetes by Author "Habiba, Nusrath"
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Item Assessing Body Image Perception among Children aged 10-14, and their Caregivers(2020) Fulda, Kimberly; Bowman, William; Habiba, Nusrath; Fernando, Shane; Desai, ShivaniPurpose: The incidence of Type 2 Diabetes Mellitus in children continues to rise in the country. According to the ADA, in 2011-2012, the annual incidence of diagnosed diabetes in youth was estimated at 5,300 with T2DM. Not only can T2DM be managed with appropriate measures but also be prevented if the risk factors are identified.Methods: 10-14 year-old children and their caregivers participated in a 2-hour research study in which questions about body silhouettes were asked. Child subjects identified which body silhouettes (a gradient from 1: very thin to 9: obese) they currently looked like and the ones they wished to look like. Similarly, parents were asked to do the same for their child. Results: Male and female children wanted their desired silhouette number to be less than the number they picked for their current shape. The amount of male children who chose silhouette numbers 1-5 increased by 39% between their current and desired shape and for female children the increase was by 28%. For parents of male children, the increase was by 47% and for parents of female children, the increase was by 15%. Conclusion: This study suggests that the perception of desiring a thinner body were similar between male and female children and their parents. These body silhouettes may have potential as a screening tool for body image and healthy behaviors. Through this model, health care professionals can gauge their patient's perception on their body weight and help them facilitate conversation towards healthy behaviors.Item Assessing elevated liver enzymes as a potential early screen for type II diabetes mellitus in children(2020) Bowman, William; Basha, Riyaz; Hamby, Tyler; Habiba, Nusrath; Das, SiddharthPurpose: As the rise of obesity tracks with the incidence of Type 2 Diabetes Mellitus (T2DM) and nonalcoholic fatty liver diseases (NAFLD), it suggests that metabolic changes in obesity give rise to a clinically significant association between insulin resistance and elevated liver enzymes. This is illustrated in recent adult studies showing a high prevalence of NAFLD in patients with T2DM. Considering the diagnosis of T2DM and NAFLD often occurs late into adulthood, assessing the validity of metabolic-based early screening protocols may identify high-risk individuals in the pediatric population. Our study assesses the prevalence of elevated liver enzymes in children and evaluates the association between elevated liver enzymes and noninvasive risk factors. Methods: Our study enrolled 151 nondiabetic children between the ages 10-14 at the pediatric outpatient clinic at UNTHSC. We recorded noninvasive risk factors and measured liver enzymes. The liver enzymes studied were alanine aminotransferase (ALT), alkaline phosphatase (ALP), and gamma-glutamyl transpeptidase (GGT). Results: Through chi-squared analysis, boys were shown to have a statistically significant relationship between increased BMI and elevated GGT as well a statistically significant relationship between presence of acanthosis nigricans and elevated GGT. It was also shown that young girls and African American children have a higher prevalence of ALP and GGT, respectively. Conclusions: There was significant association between elevated liver enzymes and specific noninvasive risk factors. Furthermore, this study noticed that gender and racial differences may play confounding roles suggesting there is variation within liver enzyme levels inherent in particular subpopulations.