Document Type : Original Article


1 Department of Community Medicine,

2 Department of Cardiology

3 Department of Pathology, Atherosclerosis and Coronary Artery Research Center, Birjand University of Medical Sciences, Birjand, Iran


Background and Objectives: To determine the prevalence of impaired fasting glucose in
adolescents in Birjand city in eastern Iran. Materials and Methods: This cross‑sectional study
was done on 2653 students aged 11–18 years selected through multi‑stage stratified and
random sampling. Fasting blood glucose (FBS) of these students was measured applying
the enzymatic process. The obtained data were analyzed by means of SPSS software (V: 15)
and statistical tests T and X2. Results: The mean age of individual was 14.5 ± 2 years. Mean
FBS of the whole population was 89.8 ± 9.8 mg/dl, but it was significantly higher among
boys than girls (P < 0.001). Out of the whole subjects (92.4%), 1,328 (95.1%) of the girls and
1,122 (89.3%) of the boys, FBS was less than 100 mg/dl among whom 64.4% had FBS above
86 mg/dl. In 200 subjects (7.5%) of whole population, FBS was 100–125 mg/dl; with that of
the boys was 2.3 times than the girls revealing a prediabetes condition: OR = 2.3(CI: 1.7‑3.2).
Among the students, 3 (0.1%) had an FBS > 126 mg/dl. Mean blood glucose was significant
regarding age and sex. Conclusions: High prevalence of high FBS (within normal range)
among adolescents is warning and requires special attention of health officials. Screening of
children and adolescents in order to identify those at risk and plan for intervening is urgent to
prevent type‑2 diabetes epidemic and following cardiovascular complications in the Society.


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