Diabetes & Obesity
Diabetes and obesity have much in common: They’re both chronic health conditions that are often linked, are often preventable, and are considered epidemics. Nemours Children's researchers and specialists at our pediatric labs in the Delaware Valley and Florida investigate diabetes, obesity, growth and nutrition from several perspectives — including biological, genetic and behavioral.
We are dedicated to finding answers because every child deserves the best chance to grow into a healthy adult. Learn about our findings and what we’re working on now.
- Active Research
- Our Centers
Active Research
At Nemours, each pediatric biomedical research center works closely with clinicians and other professionals to find innovative ways of preventing and treating childhood diseases. One significant area of our work focuses on reversing the rise in diabetes and obesity, and addressing diseases related to growth and nutrition. Some of our significant work is summarized here.
Diabetes-Related Research
Statins in Children with Type 1 Diabetes
Many adults take statins (a class of cholesterol-lowering drugs) to reduce cholesterol and reduce the risk of heart disease. Researchers at our Center for Endocrinology, Diabetes and Metabolic Disorders are wrapping up three interrelated projects that investigate whether statins improve the cardiovascular health of children with type 1 diabetes. One project is a randomized placebo-controlled trial to see if statins can safely reduce abnormal plasma lipids and to study the interrelationship of these abnormal lipids with glucose levels using continuous glucose sensors in young children with type 1 diabetes. Another measures the effect of statins on markers of inflammation in circulating blood cells. The third measures artery damage with novel MRI scanning technology.
Abnormal Blood Sugars and the Brain
It’s well known that high blood sugar levels in children with diabetes can damage the cardiovascular system. Nemours researchers, in collaboration with colleagues at five other centers, are examining the effects of diabetes on the brain. They’re using state-of-the-art brain imaging tools and neurocognitive testing in very young children with and without diabetes. The researchers are investigating whether children with abnormal blood sugar levels have differences in brain anatomy and brain function compared with normal children without diabetes.
Childhood Obesity Research
Fitness Programs for Children with Family History of Obesity
Can a gym-based fitness program help children stay in better shape? Working closely with Christiana Hospital and the YMCA, Nemours researchers are piloting a community-based program to explore the benefits of a doctor-designed fitness program. Their focus: children who come from families where obesity is already a factor.
Growth & Nutrition Research
Growth Hormone, Aromatase Inhibitors and Idiopathic Short Stature
For adolescent males with severe short stature, puberty greatly limits the amount of time available for catch-up growth. It is the estrogen produced in puberty that ultimately fuses the growth plates of children, even in males. This randomized controlled trial examines the role of aromatase inhibitors — drugs that block the conversion of testosterone to estrogen — alone and in combination with growth hormone (GH) — in enhancing growth in adolescent boys with significant short stature. Sites for the study include Jacksonville, Philadelphia and Santiago, Chile.
In another study, researchers at Nemours Children’s Hospital in Orlando are working to obtain additional data on the safety and outcome of growth hormone therapy in patients utilizing different brands of the hormone. A third study evaluates the optimal management strategies for children receiving the hormone.
Estrogen and Turner Syndrome
Turner Syndrome is a genetic disorder that affects females and is associated with short stature and ovarian failure along with a number of other physical abnormalities. Researchers at Nemours are investigating whether estrogen administered either orally and via skin patches works differently on body composition and metabolism in girls with Turner syndrome. The study also aims to better understand whether titration of the dose of estrogen can be done using sophisticated laboratory assays during treatment.
Nutrition-Related Research
Natural Antioxidants and Obesity
Can the natural antioxidants found in fruit and vegetable juice concentrates, combined with nutritional counseling, play a role in obesity in male adolescents? A recent study by Nemours researchers looked at the evidence. Participants, including both lean and overweight boys, were tested over six months to see if the antioxidants in the juice might help reduce obesity — and help improve insulin resistance.
Our Centers
Our research into areas related to diabetes, obesity, growth and nutrition is focused in two centers: the Center for Endocrinology, Diabetes and Metabolic Disorders, and the Center for Integrative Pediatric Obesity Care.
Center for Endocrinology, Diabetes and Metabolic Disorders
Pediatric endocrinology is a specialty dealing with both common and very rare diseases. The Nemours Center for Endocrinology, Diabetes and Metabolic Disorders, our pediatric endocrinology clinic based in Northeast Florida, is dedicated to clinical care and health education for our patients. At Nemours Children's Health, Jacksonville, the latest technologies and treatments are studied and integrated into clinical care and patient support. We are fortunate to be part of exciting research that is quickly translating into direct benefits for children with diabetes, as well as disorders of puberty and growth.
Type 1 diabetes, the second most common chronic disease in children, is probably the most recognized condition of the pediatric endocrine specialist. Disorders of growth and puberty also top the list.
Supported by funding from the National Institutes of Health (NIH), Juvenile Diabetes Research Foundation (JDRF), and other internal and external grants, the investigative team within the center concentrates on studies related to pediatric diabetes and disorders of growth and puberty.
Our center also collaborates with many of the other centers within Nemours Biomedical Research and departments throughout Nemours to evaluate data and translate developments to improve clinical care. And we are active participants in national and international multicenter collaborative studies.
Clinical Research Experience
The Center for Endocrinology, Diabetes and Metabolic Disorders has conducted numerous clinical trials, Phase II-IV, studying effects of hormones, growth, metabolism and diabetes research in both children and young adults. Sponsors have included the National Institutes of Health, Juvenile Diabetes Research Foundation, the Thrasher Research Fund, Genentech Center for Clinical Research in Endocrinology, and industry.
Patient Demographics
As a regional referral center for pediatric sub-specialty care, Nemours Children's Health, Jacksonville draws from a diverse ethnic and socio-economic population from the southeastern part of the United States and from several foreign countries.
Contact Us
Kim Englert, RN
Fax: (904) 697-3140
The Center for Endocrinology, Diabetes and Metabolic Disorders
Nemours Children's Health, Jacksonville
807 Children's Way
Jacksonville, FL 32207
Center for Integrative Pediatric Obesity Care
The Center for Integrative Pediatric Obesity Care provides a continuum of integrated services designed to prevent, treat and research the epidemic of childhood obesity.
The center:
- Provides community outreach and leads efforts focused on public policy change to create healthier environments for children
- Delivers clinical care to children who are at risk or found to be overweight or obese
- Conducts research to identify promising interventions for the health and care of children at every stage of the care continuum
Current research topics within the center include the link between obesity and cancer, preventing type 2 diabetes and nonalcoholic steatohepatitis (NASH) among children who are found to be obese, and reviewing biomarkers to predict which children may benefit most from interventions to prevent obesity.
Pediatric obesity research at Nemours involves a significant amount of collaboration throughout our system, including physicians within our general pediatrics practice, endocrinologists, oncologists, pediatric psychologists, nutritionists, dieticians and health and prevention professionals.
Contact Us
Nemours Children's Hospital
6535 Nemours Parkway
Orlando, FL 32827
Sandra Hassink, MD, FAAP
Nemours Children’s Hospital, Delaware
1600 Rockland Road
Wilmington, DE 19803-3607
At Nemours, each pediatric biomedical research center works closely with clinicians and other professionals to find innovative ways of preventing and treating childhood diseases. One significant area of our work focuses on reversing the rise in diabetes and obesity, and addressing diseases related to growth and nutrition. Some of our significant work is summarized here.
Diabetes-Related Research
Statins in Children with Type 1 Diabetes
Many adults take statins (a class of cholesterol-lowering drugs) to reduce cholesterol and reduce the risk of heart disease. Researchers at our Center for Endocrinology, Diabetes and Metabolic Disorders are wrapping up three interrelated projects that investigate whether statins improve the cardiovascular health of children with type 1 diabetes. One project is a randomized placebo-controlled trial to see if statins can safely reduce abnormal plasma lipids and to study the interrelationship of these abnormal lipids with glucose levels using continuous glucose sensors in young children with type 1 diabetes. Another measures the effect of statins on markers of inflammation in circulating blood cells. The third measures artery damage with novel MRI scanning technology.
Abnormal Blood Sugars and the Brain
It’s well known that high blood sugar levels in children with diabetes can damage the cardiovascular system. Nemours researchers, in collaboration with colleagues at five other centers, are examining the effects of diabetes on the brain. They’re using state-of-the-art brain imaging tools and neurocognitive testing in very young children with and without diabetes. The researchers are investigating whether children with abnormal blood sugar levels have differences in brain anatomy and brain function compared with normal children without diabetes.
Childhood Obesity Research
Fitness Programs for Children with Family History of Obesity
Can a gym-based fitness program help children stay in better shape? Working closely with Christiana Hospital and the YMCA, Nemours researchers are piloting a community-based program to explore the benefits of a doctor-designed fitness program. Their focus: children who come from families where obesity is already a factor.
Growth & Nutrition Research
Growth Hormone, Aromatase Inhibitors and Idiopathic Short Stature
For adolescent males with severe short stature, puberty greatly limits the amount of time available for catch-up growth. It is the estrogen produced in puberty that ultimately fuses the growth plates of children, even in males. This randomized controlled trial examines the role of aromatase inhibitors — drugs that block the conversion of testosterone to estrogen — alone and in combination with growth hormone (GH) — in enhancing growth in adolescent boys with significant short stature. Sites for the study include Jacksonville, Philadelphia and Santiago, Chile.
In another study, researchers at Nemours Children’s Hospital in Orlando are working to obtain additional data on the safety and outcome of growth hormone therapy in patients utilizing different brands of the hormone. A third study evaluates the optimal management strategies for children receiving the hormone.
Estrogen and Turner Syndrome
Turner Syndrome is a genetic disorder that affects females and is associated with short stature and ovarian failure along with a number of other physical abnormalities. Researchers at Nemours are investigating whether estrogen administered either orally and via skin patches works differently on body composition and metabolism in girls with Turner syndrome. The study also aims to better understand whether titration of the dose of estrogen can be done using sophisticated laboratory assays during treatment.
Nutrition-Related Research
Natural Antioxidants and Obesity
Can the natural antioxidants found in fruit and vegetable juice concentrates, combined with nutritional counseling, play a role in obesity in male adolescents? A recent study by Nemours researchers looked at the evidence. Participants, including both lean and overweight boys, were tested over six months to see if the antioxidants in the juice might help reduce obesity — and help improve insulin resistance.
Our research into areas related to diabetes, obesity, growth and nutrition is focused in two centers: the Center for Endocrinology, Diabetes and Metabolic Disorders, and the Center for Integrative Pediatric Obesity Care.
Center for Endocrinology, Diabetes and Metabolic Disorders
Pediatric endocrinology is a specialty dealing with both common and very rare diseases. The Nemours Center for Endocrinology, Diabetes and Metabolic Disorders, our pediatric endocrinology clinic based in Northeast Florida, is dedicated to clinical care and health education for our patients. At Nemours Children's Health, Jacksonville, the latest technologies and treatments are studied and integrated into clinical care and patient support. We are fortunate to be part of exciting research that is quickly translating into direct benefits for children with diabetes, as well as disorders of puberty and growth.
Type 1 diabetes, the second most common chronic disease in children, is probably the most recognized condition of the pediatric endocrine specialist. Disorders of growth and puberty also top the list.
Supported by funding from the National Institutes of Health (NIH), Juvenile Diabetes Research Foundation (JDRF), and other internal and external grants, the investigative team within the center concentrates on studies related to pediatric diabetes and disorders of growth and puberty.
Our center also collaborates with many of the other centers within Nemours Biomedical Research and departments throughout Nemours to evaluate data and translate developments to improve clinical care. And we are active participants in national and international multicenter collaborative studies.
Clinical Research Experience
The Center for Endocrinology, Diabetes and Metabolic Disorders has conducted numerous clinical trials, Phase II-IV, studying effects of hormones, growth, metabolism and diabetes research in both children and young adults. Sponsors have included the National Institutes of Health, Juvenile Diabetes Research Foundation, the Thrasher Research Fund, Genentech Center for Clinical Research in Endocrinology, and industry.
Patient Demographics
As a regional referral center for pediatric sub-specialty care, Nemours Children's Health, Jacksonville draws from a diverse ethnic and socio-economic population from the southeastern part of the United States and from several foreign countries.
Contact Us
Kim Englert, RN
Fax: (904) 697-3140
The Center for Endocrinology, Diabetes and Metabolic Disorders
Nemours Children's Health, Jacksonville
807 Children's Way
Jacksonville, FL 32207
Center for Integrative Pediatric Obesity Care
The Center for Integrative Pediatric Obesity Care provides a continuum of integrated services designed to prevent, treat and research the epidemic of childhood obesity.
The center:
- Provides community outreach and leads efforts focused on public policy change to create healthier environments for children
- Delivers clinical care to children who are at risk or found to be overweight or obese
- Conducts research to identify promising interventions for the health and care of children at every stage of the care continuum
Current research topics within the center include the link between obesity and cancer, preventing type 2 diabetes and nonalcoholic steatohepatitis (NASH) among children who are found to be obese, and reviewing biomarkers to predict which children may benefit most from interventions to prevent obesity.
Pediatric obesity research at Nemours involves a significant amount of collaboration throughout our system, including physicians within our general pediatrics practice, endocrinologists, oncologists, pediatric psychologists, nutritionists, dieticians and health and prevention professionals.
Contact Us
Nemours Children's Hospital
6535 Nemours Parkway
Orlando, FL 32827
Sandra Hassink, MD, FAAP
Nemours Children’s Hospital, Delaware
1600 Rockland Road
Wilmington, DE 19803-3607
Research Publications
Browse a listing of research publications from Nemours researchers related to diabetes, obesity, growth and nutrition.
Collaborate With Us
With active labs in the Delaware Valley and Florida, we’re always seeking new research partners to collaborate with. Join us.
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Helpful Research Resources
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