In Los Angeles, the chances of a child developing type 2 diabetes fluctuates by ZIP code, according to Ellen Iverson, M.P.H., a medical anthropologist and public health investigator at Children’s Hospital Los Angeles.
At the Nov. 6 AHCJ chapter meeting, at the Los Angeles Times, Iverson and Steven Mittelman, M.D., Ph.D., a pediatrician/cancer researcher at Children’s Hospital Los Angeles who directs the Diabetes and Obesity Program, discussed why diabetes disproportionately affects kids in certain neighborhoods and what community interventions could be effective.
Mittelman’s field is childhood cancer. In adults, obesity raises the risk of developing cancer by 20 percent but, in children who have cancer, obesity leads to significantly worse outcomes. According to Mittelman, diabetes hits kids harder than adults. Most adults can control diabetes with drugs like metformin for years. “Most kids need insulin within three to five years,” Mittelman said.
Factors that include the barrage of junk food advertising aimed at kids, our evolutionarily developed efficiency at storing fat, the upswing in portion size (in the past 70 years, serving sizes increased 63 percent) and ubiquitous sugar (soda drinks containing sugar don’t have the same degree of satiety as sugar in food) contribute to obesity.