Early-life factors associated with the development of youth onset type 2 diabetes mellitus in Manitoba: a retrospective case control study

dc.contributor.authorHalipchuk, Julie
dc.contributor.examiningcommitteeMartin, Donna (Nursing) Sellers, Elizabeth (Pediatrics & Child Health) Dart, Allison (Pediatrics & Child Health)en_US
dc.contributor.supervisorTemple, Beverley (Nursing)en_US
dc.date.accessioned2014-08-25T18:59:17Z
dc.date.available2014-08-25T18:59:17Z
dc.date.issued2014-08-25
dc.degree.disciplineNursingen_US
dc.degree.levelMaster of Nursing (M.N.)en_US
dc.description.abstractThe purpose of this study was to explore associations between early-life factors and the development of youth onset type 2 diabetes mellitus (T2DM). Until 1990, T2DM was seldom reported in youth, however rates of youth onset T2DM are rising worldwide. This retrospective case-control study utilized repository data housed at the Manitoba Centre for Health Policy to review perinatal exposures of Manitoba youth with and without T2DM. The mean age at time of diagnosis was 13.1 years and 61% of youth onset T2DM cases were female. The majority of youth with T2DM resided in rural areas at time of diagnosis. This study found a 14-fold increase in the risk of youth onset T2DM when the mother had pre-gestational diabetes, and 6.5-fold increase in that risk if the mother had gestational diabetes. Breastfeeding was found to be protective, and a lower income quintile at time of birth was found to be more significantly associated with the development of youth onset T2DM than increasingly higher income quintiles . The findings emphasize that efforts aimed at preventing T2DM in youth must begin in the pre-conception period and continue throughout pregnancy.en_US
dc.description.noteOctober 2014en_US
dc.identifier.urihttp://hdl.handle.net/1993/23877
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectdiabetesen_US
dc.subjectyouthen_US
dc.subjecttype 2en_US
dc.titleEarly-life factors associated with the development of youth onset type 2 diabetes mellitus in Manitoba: a retrospective case control studyen_US
dc.typemaster thesisen_US
local.subject.manitobayesen_US
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