Cited by 147Celiac Disease Research and ManagementDiabetes and associated disordersDiabetes Management and Research

Prevalence of Celiac Disease in 52,721 Youth With Type 1 Diabetes: International Comparison Across Three Continents

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Craig, Maria E., Prinz, Nicole, Boyle, Claire T., Campbell, Fiona M., Jones, Timothy W., Hofer, Sabine E., Simmons, Jill H., Holman, Naomi +12 more·2017·Diabetes Care

Abstract

Objective Celiac disease (CD) has a recognized association with type 1 diabetes. We examined international differences in CD prevalence and clinical characteristics of youth with coexisting type 1 diabetes and CD versus type 1 diabetes only. Research design and methods Data sources were as follows: the Prospective Diabetes Follow-up Registry (DPV) (Germany/Austria); the T1D Exchange Clinic Network (T1DX) (U.S.); the National Paediatric Diabetes Audit (NPDA) (U.K. [England/Wales]); and the Australasian Diabetes Data Network (ADDN) (Australia). The analysis included 52,721 youths 1c , height SD score [SDS], overweight/obesity) and type 1 diabetes/CD versus type 1 diabetes, adjusting for sex, age, and diabetes duration. Results Biopsy-confirmed CD was present in 1,835 youths (3.5%) and was diagnosed at a median age of 8.1 years (interquartile range 5.3-11.2 years). Diabetes duration at CD diagnosis was 1-2 years in 18% of youths, >3-5 years in 23% of youths, and >5 years in 17% of youths. CD prevalence ranged from 1.9% in the T1DX to 7.7% in the ADDN and was higher in girls than boys (4.3% vs. 2.7%, P P P P P 1c values were comparable: 8.3 ± 1.5% (67 ± 17 mmol/mol) versus 8.4 ± 1.6% (68 ± 17 mmol/mol). Conclusions CD is a common comorbidity in youth with type 1 diabetes. Differences in CD prevalence may reflect international variation in screening and diagnostic practices, and/or CD risk. Although glycemic control was not different, the lower height SDS supports close monitoring…

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Crossref · 10.2337/dc16-2508

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Authors
Craig, M. E., Prinz, N., Boyle, C. T., Campbell, F. M., Jones, T. W., Hofer, S. E., Simmons, J. H., Holman, N., Tham, E., Fröhlich-Reiterer, E., DuBose, S., Thornton, H., King, B., Maahs, D. M., Holl, R. W., Warner, J. T., on behalf of the Australasian Diabetes Data Network (ADDN), the T1D Exchange Clinic Network (T1DX), the National Paediatric Diabetes Audit (NPDA) and the Royal College of Paediatrics and Child Health, & the Prospective Diabetes Follow-up Registry (DPV) initiative
Affiliations
  • The University of Sydney (AU)
  • Universität Ulm (DE)
  • Jaeb Center for Health Research (US)
  • Leeds Teaching Hospitals NHS Trust (GB)
  • The Kids Research Institute Australia (AU)
  • Innsbruck Medical University (AT)
  • Vanderbilt University Medical Center (US)
  • University of Glasgow (GB)
  • Women's and Children's Hospital (AU)
  • Medical University of Graz (AT)
  • Mersey and West Lancashire Teaching Hospitals NHS Trust (GB)
  • Hunter Medical Research Institute (AU)
  • Lucile Packard Children's Hospital (US)
  • Noah's Ark Children's Hospital for Wales (GB)
Corresponding author
Craig, Maria E.
Venue
Diabetes Care
Published
2017-05-25
Volume
40
Issue
8
Pages
1034-1040
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
OpenAlex
W2617859352
Cited by
146
References
38
Citations by year
2026: 9 · 2025: 14 · 2024: 11 · 2023: 14 · 2022: 20 · 2021: 23 · 2020: 17 · 2019: 14 · 2018: 17 · 2017: 6 · 2016: 1
FWCI
15.51
Type
journal article
Language
en
Open access
Locations
  • Diabetes Care (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
  • ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
  • NOVA (University of Newcastle Australia) (submittedVersion)
Funders
  • German Federal Ministry for Education and Research
  • Leona M. and Harry B. Helmsley Charitable Trust
  • Royal College of Paediatrics and Child Health
  • JDRF Australia (17-2011-665)
  • National Health and Medical Research Council (APP1045777)
Topics
  • Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
celiac disease, type 1 diabetes, youth, prevalence, comorbidities, HbA1c, glycemic control, height, obesity, sex differences, cross-national comparison, pediatric diabetes, non-white patients
MeSH terms
Adolescent, Australia, Blood Glucose, Celiac Disease, Child, Child, Preschool, Diabetes Mellitus, Type 1, England, Female, Follow-Up Studies, Germany, Glycated Hemoglobin, Humans, Male, Prospective Studies, Registries, Wales, Comorbidity, Prevalence

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