Incidence of childhood-onset insulin-dependent diabetes mellitus: the EURODIAB ACE Study
Open accessAbstract
EURODIAB ACE is a collaborative European study that was set up to assess incidence of childhood insulin-dependent diabetes mellitus (IDDM) in Europe, test the proposal of a south-north gradient, and to gather information to determine the causes and pathogenesis of the disease. Here, the basic epidemiological results are reported. Newly diagnosed cases of IDDM in children aged up to 15 years were identified prospectively in twenty-four geographically well-defined study regions in Europe and Israel (a total of 16.8 million children) during 1989 and 1990. 3060 cases were identified with estimated ascertainment rates exceeding 90% in all study regions. Age-standardised and sex-standardised incidence rates varied widely, ranging from 4.6 (northern Greece) to 42.9 (two regions in Finland) cases per 100,000 per year. Rates in southern Europe were generally higher than previously assumed, and there was an unexpectedly high incidence in Sardinia, which had the second highest rate (30.2 cases per 100,000 per year) recorded in Europe. Eastern European regions had generally low rates. The collaborative network now established provides a framework for further studies to examine the complex interaction between genetic and environmental factors in the cause and pathogenesis of IDDM.
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Regions with high type 1 diabetes incidence, mainly populations of European origin, have a male excess, whereas low-incidence regions of non-European origin report a female excess.
“A distinctive pattern has been observed such that regions with a high incidence of T1D (populations of European origin) have a male excess, whereas regions with a low incidence (populations of non-European origin) report a female excess29,30.”
From Epidemiology of type 1 diabetes (2010) · cites this paper as [29]
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- Authors
- Green, A., Gale, E. A. M., & Patterson, C. C.
- Affiliations
- University of Southern Denmark (DK)
- St Bartholomew's Hospital (GB)
- Queen's University Belfast (GB)
- Corresponding author
- Green, A.
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1992-04
- Volume
- 339
- Issue
- 8798
- Pages
- 905-909
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2008539299
- Cited by
- 407
- References
- 23
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 3 · 2020: 2 · 2019: 7 · 2018: 9 · 2017: 7 · 2016: 11 · 2015: 11 · 2014: 9 · 2013: 7 · 2012: 10
- FWCI
- 11.39
- Type
- journal article
- Language
- en
- Open access
- green
- orbilu.uni.lu
- Licence
- cc-by-nc-sa
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Open Repository and Bibliography (University of Luxembourg) (submittedVersion, cc-by-nc-sa)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- 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, childhood-onset diabetes, incidence, age-standardized incidence rate, Sardinia, genetic and environmental risk factors, pathogenesis
- MeSH terms
- Adolescent, Child, Child, Preschool, Diabetes Mellitus, Type 1, Epidemiologic Methods, Europe, Female, Humans, Infant, Israel, Male, Prospective Studies
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