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The incidence of Type I diabetes has not increased but shifted to a younger age at diagnosis in the 0–34 years group in Sweden 1983 to 1998
Open accessAbstract
Aims/hypothesis To analyse the incidence of Type I (insulin-dependent) diabetes mellitus in the 0-34 years age group in Sweden 1983-1998.Methods Incidence and cumulative incidence per 100 000 and Poisson regression analysis of age-period effects was carried out using 11 751 cases from two nation-wide prospective registers.Results Incidence (95%-CI) was 21.4 (20.8-21.9) in men and 17.1 (16.6-17.5) in women between 0 and 34 years of age. In boys aged 0-14 and girls aged 0-12 years the incidence increased over time, but it tended to decrease at older age groups, especially in men. Average cumulative incidence at 35 years was 748 in men and 598 in women. Cumulative incidence in men was rather stable during four 4-year periods (736, 732, 762, 756), while in women it varied more (592, 542, 617, 631). In males aged 0-34 years, the incidence did not vary between the 4-year periods ( p=0.63), but time changes among the 3-year age groups differed ( p<0.001). In females the incidence between the periods varied ( p<0.001), being lower in 1987-1990 compared to 1983-1986, but time changes in the age groups did not differ ( p=0.08). For both sexes median age at diagnosis was higher in 1983-1986 than in 1995-1998 ( p<0.001) (15.0 and 12.5 years in males; 11.9 and 10.4 in females, respectively).Conclusion/interpretation During a 16-year period the incidence of Type I diabetes did not increase in the 0-34 years age group in Sweden, while median age at diagnosis decreased. A shift to younger age at diagnosis seems to explain the increasing incidence of childhood Type I diabetes.
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“Many reports indicate an excess of T1D cases in male adults after the pubertal years (male-female ratio ≥1.5) in populations of European origin 31–34.”
From Epidemiology of type 1 diabetes (2010) · cites this paper as [33]
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“susceptible individuals rather than a true lifetime increasing risk of the disease has been suggested by the few studies that extended the recruitment of incident cases up to adults [ 4 , 5].”
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Cord blood islet autoantibodies and seasonal association with the type 1 diabetes high-risk genotype
Lynch, K. F., Lernmark, B., Merlo, J., Cilio, C., Ivarsson, S., Lernmark, Å., & for the Diabetes Prediction in Skåne (DiPiS) Study Group (2008) · Journal of Perinatology · doi:10.1038/sj.jp.7211912 · Cited by 47
Lamb, M. M., Yin, X., Barriga, K. J., Hoffman, M., Barón, A. E., Eisenbarth, G. S., Rewers, M., & Norris, J. M. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-0886 · Cited by 46
Dahlquist, G. G., Pundziūtė-Lyckå, A., Nyström, L., & Groups, S. C. D. S. A. T. D. I. S. I. S. (. (2005) · Diabetologia · doi:10.1007/s00125-005-1759-6 · Cited by 46
“The completeness of the register varied between 86 and 97% (mean 91%) [ 7 ].”
InfluentialSelf-citationJoner, G., Stene, L. C., Sövik, O., & the Norwegian Childhood Diabetes Study Group (2004) · Diabetes Care · doi:10.2337/diacare.27.7.1618 · Cited by 45
Pundziūtė-Lyckå, A., Urbonaitė, B., Ostrauskas, R., Zalinkevicius, R., & Dahlquist, G. G. (2003) · Diabetes Care · doi:10.2337/diacare.26.3.671 · Cited by 42
Self-citationType 1 diabetes and associated autoimmune diseases
Frommer, L., & Kahaly, G. J. (2020) · World Journal of Diabetes · doi:10.4239/wjd.v11.i11.527 · Cited by 41
More Than 20 Years of Registration of Type 1 Diabetes in Sardinian Children
Bruno, G., Maule, M. M., Biggeri, A., Ledda, A., Mannu, C., Merletti, F., Songini, M., & the Sardinian Group for Diabetes Epidemiology (2013) · Diabetes · doi:10.2337/db12-1771 · Cited by 41
Gong, C., Meng, X., Jiang, Y., Wang, X., Cui, H., & Chen, X. (2014) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2014.0205 · Cited by 41
Schölin, A., Törn, C., Nyström, L., Berne, C., Arnqvist, H. J., Blohmé, G., Bolinder, J., Eriksson, J. W., Kockum, I. S., Landin‐Olsson, M., et al. (2004) · Diabetic Medicine · doi:10.1111/j.1464-5491.2004.01175.x · Cited by 41
Self-citationMoore, P. A., Zgibor, J. C., & Dasanayake, A. P. (2003) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2003.0369 · Cited by 83
Rask, C., Evertsson, S., Telemo, E., & Wold, A. E. (2005) · Scandinavian Journal of Immunology · doi:10.1111/j.1365-3083.2005.01598.x · Cited by 40
Type 1 diabetes in Africa: an immunogenetic study in the Amhara of North-West Ethiopia
Balcha, S. A., Demisse, A. G., Mishra, R., Vartak, T., Cousminer, D. L., Hodge, K. M., Voight, B. F., Lorenz, K., Schwartz, S., Jerram, S. T., et al. (2020) · Diabetologia · doi:10.1007/s00125-020-05229-x · Cited by 41
Teeäär, T., Liivak, N., Heilman, K., Kool, P., Šor, R., Paal, M., Einberg, Ü., & Tillmann, V. (2009) · Pediatric Diabetes · doi:10.1111/j.1399-5448.2009.00535.x · Cited by 39
“This has been shown to be the case in some European countries, where an increase in childhood incidence was associated with a decrease in adult incidence (10, 11).”
BackgroundEising, S., Svensson, J., Skogstrand, K., Nilsson, A., Lynch, K. F., Andersen, P. S., Lernmark, Å., HOUGAARD, D. M., Pociot, F., Nørgaard‐Pedersen, B., et al. (2007) · Paediatric and Perinatal Epidemiology · doi:10.1111/j.1365-3016.2007.00846.x · Cited by 38
Sella, T., Shoshan, A., Goren, I., Shalev, V., Blumenfeld, O., Laron, Z., & Chodick, G. (2010) · Diabetic Medicine · doi:10.1111/j.1464-5491.2010.03174.x · Cited by 37
Svensson, M. K. E., Tyrberg, M., Nyström, L., Arnqvist, H. J., Bolinder, J., Östman, J., Guðbjörnsdóttir, S., Landin‐Olsson, M., & Eriksson, J. W. (2014) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.2574 · Cited by 36
“Since 1983, the DISS has aimed to register all newly diagnosed cases of diabetes, except gestational diabetes, in the age group 15–34 years [16].”
Self-citationFranke, B., Galloway, T. S., & Wilkin, T. J. (2005) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.554 · Cited by 36
“The Swedish study reported no change in the incidence of type 1 diabetes in the age group 0 to 34 over a 16year period, but the median age at diagnosis significantly decreased during this period [13].”
BackgroundHolmberg, H., Vaarala, O., Sadauskaitė – Kuehne, V., Ilonen, J., Padaiga, Ž., & Ludvigsson, J. (2006) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2005.10.022 · Cited by 35
Lindehammer, S. R., Larsson, K., Örtqvist, E., Carlsson, A., Cedervall, E., Cilio, C., Ivarsson, S. A., Jönsson, B., Larsson, H. E., Lynch, K. F., et al. (2008) · Acta Diabetologica · doi:10.1007/s00592-008-0048-5 · Cited by 35
“According to several studies in trends of incidence, the overall increase in Sweden at 0–34 years of age seems to have reached a plateau, concurrently as the onset of disease has shifted to younger ages [4].”
BackgroundSelf-citationStahl‐Pehe, A., Kamrath, C., Prinz, N., Kapellen, T. M., Menzel, U., Kordonouri, O., Schwab, K., Pozza, S. B., Rosenbauer, J., & Holl, R. W. (2022) · Journal of Diabetes · doi:10.1111/1753-0407.13339 · Cited by 33
Excess Cardiovascular Risk in Diabetic Women: A Case for Intensive Treatment
Recarti, C., Sep, S. J. S., Stehouwer, C. D. A., & Unger, T. (2015) · Current Hypertension Reports · doi:10.1007/s11906-015-0554-0 · Cited by 34
Chapter 5.2: Major public health problems — diabetes
Eliasson, M., & Boström, G. (2006) · Scandinavian Journal of Public Health · doi:10.1080/14034950600676883 · Cited by 33
“Since the disease starts at increasingly low ages, however, increasing numbers will contract it during childhood, instead of as young adults [6].”
BackgroundChildhood growth and age at diagnosis with Type 1 diabetes in Colorado young people
Vehik, K., Hamman, R. F., Lezotte, D. C., Norris, J. M., KLINGENSMITH, G. J., & Dabelea, D. (2009) · Diabetic Medicine · doi:10.1111/j.1464-5491.2009.02819.x · Cited by 32
Hussen, H. I., Persson, M., & Moradi, T. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-003418 · Cited by 30
Metadata
- Authors
- and the Swedish Childhood Diabetes Study Group, Pundziute-Lyckå, A., Dahlquist, G., Nyström, L., Arnqvist, H., Björk, E., Blohmé, G., Bolinder, J., Eriksson, J., Sundkvist, G., & Östman, J.
- Affiliations
- Umeå University (SE)
- Linköping University (SE)
- Uppsala University Hospital (SE)
- Karolinska Institutet (SE)
- Skåne University Hospital (SE)
- Venue
- Diabetologia
- Published
- 2002-05-08
- Volume
- 45
- Issue
- 6
- Pages
- 783-791
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- OpenAlex
- W1996624137
- Cited by
- 234
- References
- 40
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 9 · 2015: 10 · 2014: 13 · 2013: 12 · 2012: 12
- FWCI
- 8.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Diabetologia (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Medical Research Council
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- type 1 diabetes, incidence trends, age at diagnosis, pediatric diabetes, sex differences, Sweden, diabetes registry, cumulative incidence
- MeSH terms
- Adolescent, Adult, Child, Child, Preschool, Diabetes Mellitus, Type 1, Female, Humans, Infant, Male, Regression Analysis, Sex Characteristics, Sweden, Time Factors, Incidence, Poisson Distribution, Age of Onset, Age Distribution
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