Type 1 and Type 2 Diabetes in Asian and Pacific Islander U.S. Youth

Type 1 and Type 2 Diabetes in Asian and Pacific Islander U.S. Youth The SEARCH for Diabetes in Youth Study Lenna L. Liu , MD, MPH 1 , Joyce P. Yi , PHD 1 , Jennifer Beyer , MS 2 , Elizabeth J. Mayer-Davis , PHD 3 4 , Lawrence M. Dolan , MD 5 , Dana M. Dabelea , MD, PHD 6 , Jean M. Lawrence , SCD, MPH, MSSA 7 , Beatriz L. Rodriguez , MD 8 , Santica M. Marcovina , PHD, SCD 9 , Beth E. Waitzfelder , PHD 8 , Wilfred Y. Fujimoto , MD 8 and for the SEARCH for Diabetes in Youth Study Group 1 Department of Pediatrics, Seattle Children's Hospital, Seattle, Washington 2 Department of Public Health Sciences, Wake Forest University Health Sciences, Winston-Salem, North Carolina 3 Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 4 Center for Research in Nutrition and Health Disparities and Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina 5 Department of Pediatrics, Cincinnati Children's Hospital, Cincinnati, Ohio 6 Department of Preventive Medicine and Biometrics, University of Colorado, Denver, Colorado 7 Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California 8 Pacific Health Research Institute, Honolulu, Hawaii 9 Northwest Lipid Metabolism and Diabetes Research Laboratories, University of Washington, Seattle, Washington Corresponding author: Lenna L. Liu, lennall{at}u.washington.edu Abstract OBJECTIVE —Given limited reports on diabetes among U.S. Asian and Pacific Islander youth, we describe the clinical characteristics, incidence, and prevalence of diabetes among Asian, Pacific Islander, and mixed Asian–Pacific Islander youth. RESEARCH DESIGN AND METHODS —Data were collected from 245 Asian, Pacific Islander, and Asian–Pacific Islander participants in the SEARCH for Diabetes in Youth Study, a population-based study of diabetes in youth (aged 33 kg/m 2 . In those with type 1 diabetes, Pacific Islanders were more likely to be obese, with a mean BMI of 26 vs. 20 kg/m 2 for Asian and Asian–Pacific Islander youth ( P < 0.0001). The incidence of type 1 diabetes for youth aged 0–9 years was 6.4 per 100,000 person-years and 7.4 per 100,000 person-year