FOR THE SEARCH FOR DIABETES IN YOUTH STUDY GROUP

OBJECTIVE — The purpose of this study was to determine the prevalence and correlates of selected cardiovascular disease (CVD) risk factors among youth aged 20 years with diabetes. RESEARCHDESIGNANDMETHODS — The analysis included 1,083 girls and 1,013 boys examined as part of the SEARCH for Diabetes in Youth study, a multicenter, population-based study of youth 0–19 years of age with diabetes. Diabetes type was determined by a biochemical algorithm based on diabetes antibodies and fasting C-peptide level. CVD risk factors were defined as follows: HDL cholesterol40 mg/dl; age- and sex-specific waist circumference 90th percentile; systolic or diastolic blood pressure90th percentile for age, sex, and height or taking medication for high blood pressure; and triglycerides 110 mg/dl. RESULTS — The prevalence of having at least two CVD risk factors was 21%. The prevalence was 7 % among children aged 3–9 years and 25 % in youth aged 10–19 years (P 0.0001), 23% among girls and 19 % in boys (P 0.04), 68 % in American Indians, 37 % in Asian/Pacific Islanders, 32 % in African Americans, 35 % in Hispanics, and 16 % in non-Hispanic whites (P 0.0001). At least two CVD risk factors were present in 92 % of youth with type 2 and 14 % of those with type 1A diabetes (P 0.0001). In multivariate analyses, age, race/ethnicity, and diabete