PT  - JOURNAL ARTICLE
AU  - Drake, A J
AU  - Greenhalgh, L
AU  - Newbury-Ecob, R
AU  - Crowne, E C
AU  - Shield, J P H
TI  - Pancreatic dysfunction in severe obesity
AID  - 10.1136/adc.84.3.261
DP  - 2001 Mar 01
TA  - Archives of Disease in Childhood
PG  - 261--262
VI  - 84
IP  - 3
4099  - http://adc.bmj.com/content/84/3/261.short
4100  - http://adc.bmj.com/content/84/3/261.full
SO  - Arch Dis Child2001 Mar 01; 84
AB  - AIMS To investigate pancreatic function in children attending an obesity clinic.METHODS Thirty six children (of which 34 were white) with severe obesity of prepubertal onset (body mass index more than +2 SDS) were reviewed clinically and dysmorphologically, with assessment of pancreatic function.RESULTS Eight had dysmorphic features and 13 had learning difficulties. Four of 17 prepubertal children had hyperinsulinaemia and seven had hyperproinsulinaemia. All 19 pubertal children had hyperinsulinaemia, 14 had hyperproinsulinaemia, and one had type II diabetes.CONCLUSIONS Metabolic abnormalities predictive of type II diabetes occur in severely obese white children.