Increasing trend of childhood type 1 diabetes incidence: 20-year observation from Greater Poland Province, Poland.

IF 3.1 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Acta Diabetologica Pub Date : 2024-07-18 DOI:10.1007/s00592-024-02339-5

Elżbieta Niechciał, Michał Michalak, Bogda Skowrońska, Piotr Fichna

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Abstract

Aim: Type 1 diabetes is one of the fastest-growing chronic health conditions. Estimating the incidence rate of childhood type 1 diabetes will allow to aid in adequate planning of health care resources. The study's aim was to assess the incidence rate of type 1 diabetes in children below 15 years of age from Greater Poland (Poland) between 2006 and 2018, and then to compare obtained data to records collected between 1998 and 2003 in pediatric population aged 0-14 years from the same area.

Methods: In this cohort study covering the period from January 1998 to December 2018, data were collected for children and adolescents below 14 years of age with newly diagnosed type 1 diabetes living in Greater Poland. The overall population size was taken from the Statistical Office of Poland. Total, sex-, and age-specific incidence rates per 100,000 person-years were calculated for each calendar year.

Results: Over a 20-year period, the incidence rate of type 1 diabetes in children aged 0-14 years rose around 3.6-fold, from 8.4/100,000 in 1998 to 30.8/100,000 in 2018, with the peak incidence recorded in last year of the study. A clear male predominance of type 1 diabetes was seen in all ages. The rate of type 1 diabetes incidence growth was comparable between all age groups, while the highest incidence rate was mostly observed in children aged 5-9 and 10-14 years.

Conclusions: The incidence of type 1 diabetes in children aged 0-14 years is rapidly increasing in Greater Poland.

Abstract Image

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儿童 1 型糖尿病发病率的增长趋势：波兰大波兰省 20 年的观察结果。

目的：1 型糖尿病是增长最快的慢性疾病之一。估算儿童 1 型糖尿病的发病率有助于充分规划医疗资源。该研究旨在评估2006年至2018年期间大波兰地区（波兰）15岁以下儿童1型糖尿病的发病率，然后将获得的数据与1998年至2003年期间收集的同一地区0-14岁儿科人群的记录进行比较：在这项覆盖 1998 年 1 月至 2018 年 12 月期间的队列研究中，收集了居住在大波兰地区新诊断出 1 型糖尿病的 14 岁以下儿童和青少年的数据。总体人口数量来自波兰统计局。计算了每个日历年每 10 万人年的总发病率、性别发病率和年龄发病率：20年间，0-14岁儿童的1型糖尿病发病率上升了约3.6倍，从1998年的8.4/100,000上升到2018年的30.8/100,000，研究最后一年的发病率达到峰值。在所有年龄段中，1型糖尿病患者明显以男性为主。各年龄组的1型糖尿病发病率增长率相当，而发病率最高的主要是5-9岁和10-14岁的儿童：结论：在大波兰地区，0-14 岁儿童的 1 型糖尿病发病率正在迅速上升。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Diabetologica 医学-内分泌学与代谢

CiteScore

7.30

自引率

2.60%

发文量

180

审稿时长

2 months

期刊介绍： Acta Diabetologica is a journal that publishes reports of experimental and clinical research on diabetes mellitus and related metabolic diseases. Original contributions on biochemical, physiological, pathophysiological and clinical aspects of research on diabetes and metabolic diseases are welcome. Reports are published in the form of original articles, short communications and letters to the editor. Invited reviews and editorials are also published. A Methodology forum, which publishes contributions on methodological aspects of diabetes in vivo and in vitro, is also available. The Editor-in-chief will be pleased to consider articles describing new techniques (e.g., new transplantation methods, metabolic models), of innovative importance in the field of diabetes/metabolism. Finally, workshop reports are also welcome in Acta Diabetologica.