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Cited by 77Diabetes and associated disordersDiabetes Management and ResearchDiabetes, Cardiovascular Risks, and Lipoproteins

Updated 24-year trend of type 1 diabetes incidence in children in Poland reveals a sinusoidal pattern and sustained increase

Chobot, A., Polanska, J., Brandt, A., Deja, G., Glowinska‐Olszewska, B., Pilecki, O., Szadkowska, A., Mysliwiec, M. +1 more·2017·Diabetic Medicine
DOI 10.1111/dme.13345
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Abstract

Aims: To present the incidence trend for Type 1 diabetes in Polish children aged 0–14 years, updated using data collected during 2005–2012, and assess the reliability of the predictive model constructed previously using the 1989–2004 database. Methods: Children aged < 15 years with newly diagnosed Type 1 diabetes are recorded prospectively (EURODIAB criteria) in several regional registers in Poland. Age‐ and gender‐standardized incidence rates for Type 1 diabetes were calculated per 100 000 persons/year. Incidence rates were analysed in terms of the dependency on age, gender, geographical region and population density. Incidence rate trends over time were modelled using generalized linear models. Results: The mean standardized incidence for 1989–2012 was 12.72 per 100 000 persons/year [95% confidence interval (CI), 11.35 to 14.21]. Over the 24‐year observation period, the incidence increased from 5.36 to 22.74 per 100 000 persons/year. The lowest incidence rate was in children aged 0–4 years (8.35, 95% CI 7.27 to 9.57 per 100 000 persons/year). There was no difference between genders, or urban and rural regions. Incidence rates were higher in northern compared with southern Poland [14.04 (95% CI 12.59 to 15.63) vs. 11.94 (95% CI 10.62 to 13.39) per 100 000 persons/year]. The new data corrected the earlier predictive model by changing the estimates of some factors related to patient age, gender and their interactions with the remaining factors. The incidence rate shows periodic 5.33‐year fluctuations. The periodicity component allows for a more accurate prediction of the incidence rate over time. Conclusions: This cohort study reveals a sustained increase in Type 1 diabetes incidence in Polish children aged 0–14 years with regular, sinusoidal fluctuations and a slight levelling off in past few years. It is of concern that are the highest increases in incidence are found in children aged 0–4 years.

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Crossref · 10.1111/dme.13345

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  • The greatest observed increases in type 1 diabetes incidence are among children younger than 15 years, particularly those younger than 5 years.

    “The greatest observed increases in incidence of type 1 diabetes are among children younger than 15 years, particularly in those younger than 5 years.33”

    From Type 1 diabetes (2018) · cites this paper as [33]

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Authors
Chobot, A., Polanska, J., Brandt, A., Deja, G., Glowinska‐Olszewska, B., Pilecki, O., Szadkowska, A., Mysliwiec, M., & Jarosz‐Chobot, P.
Affiliations
  • Clinical Hospital No 1 Zabrze
  • Silesian University of Technology Gliwice
  • Gdańsk Medical University (PL)
  • Medical University of Silesia (PL)
  • Medical University of Białystok Białystok
  • Provincial Children's Hospital Bydgoszcz
  • Medical University of Lodz (PL)
  • Medical University of Gdansk Gdansk
  • Medical University of Silesia Katowice
Corresponding author
Chobot, A.
ORCID
Venue
Diabetic Medicine
Publisher
Wiley
Published
2017-03-19
Volume
34
Issue
9
Pages
1252-1258
ISSN
  • 0742-3071 (ISSN-L)
  • 1464-5491
DOI
10.1111/dme.13345
OpenAlex
W2593415355
Cited by
77
References
27
Citations by year
2026: 4 · 2025: 6 · 2024: 4 · 2023: 8 · 2022: 13 · 2021: 8 · 2020: 15 · 2019: 9 · 2018: 8 · 2017: 2
FWCI
6.16
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Diabetic Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Society for Underwater Technology (02/010/BK‐16/3015)
  • Ministerstwo Nauki i Szkolnictwa Wyższego (IP2012 007672, KNW‐1‐086/K/6/K)
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, pediatric diabetes, incidence trends, incidence rates, age-standardized incidence, regional variation, population density, children aged 0-4 years, Poland
MeSH terms
Adolescent, Child, Child, Preschool, Diabetes Mellitus, Type 1, Female, Humans, Infant, Infant, Newborn, Male, Poland, Population Growth, Cohort Studies, Incidence, Age Distribution

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