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Epidemiology of type 1 diabetes among Silesian children aged 0–14 years, 1989–2005

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Abstract

The aim of this study was to estimate the present Polish incidence rate of diabetes mellitus type 1 in children aged 0–14. The research was conducted between 1989 and 2005 among the children of Upper Silesia region (Poland), being the part of the EURODIAB program, according to all criteria of this project. During this period, 1,385 new cases (720 boys) of diabetes mellitus type 1 were recognized. The analysis of the standardized incidence rates performed after dividing into shorter periods (1989–1994, 1995–1999, 2000–2005) showed a sharp increase from 5.80/105/year through 9.54/105/year to 15.26/105/year, respectively, in the periods. Analysis of age subgroups showed the greatest increase in the incidence rate among the younger children: 3.59 times for children aged 0–4, 3.40 times for children aged 5–9 and 2.08 times for children aged 10–14. No significant difference of incidence rate between boys and girls was established. Such high increase of incidence rate of diabetes mellitus type 1 (above 260%) noted since 1989 shows a secular trend of an epidemic of diabetes mellitus type 1 in Poland and a conversion from countries with the lower incidence rates in Europe to the countries with the highest incidence rates.

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References

  1. The Diamond Project Group (2006) Incidence and trends of childhood T1DM worldwide 1990–1999. Diabet Med 23:857–866

    Article  Google Scholar 

  2. Rewers M, LaPorte RE, Walczak M, Dmochowski K, Bogaczynska E (1987) Apparent epidemic of insulin-dependent diabetes mellitus in midwestern Poland. Diabetes 36:106–113

    Article  CAS  PubMed  Google Scholar 

  3. Green A, Gale EAM, Patterson CC (1992) Incidence of childhood-onset insulin-dependent diabetes mellitus: the EURODIAB ACE study. Lancet 339:905–909

    Article  CAS  PubMed  Google Scholar 

  4. Green A (1993) Incidence registration system: user’s manual. Eurodiab Tiger, pp 13–19

  5. Jarosz-Chobot P (2000) The epidemiological characteristic of diabetes type 1 in children and adolescents in the population of Upper Silesia in the years 1989–1998 in reference to some of the EURODIAB program results, Katowice. ISBN-83-87114-38-3

  6. EURODIAB ACE Study Group (2000) Variation and trends in incidence of childhood diabetes in Europe. Lancet 335:873–876

    Google Scholar 

  7. Green A, Patterson CC, EURODIAB TIGER Study Group, Europe and Diabetes (2001) Trends in the incidence of childhood-onset diabetes in Europe 1989–1998. Diabetologia 44(Suppl 3):B3–B8

    Article  PubMed  Google Scholar 

  8. Libman IM, LaPorte RE (2005) Changing trends in epidemiology of type 1 diabetes mellitus throughout the world: how far have we come and where do we go from here. Pediatr Diabetes 6:119–121

    Article  PubMed  Google Scholar 

  9. Akerblom H, Vaarala O, Hyoty H, Ilonen J, Knip M (2002) Environmental factors in the ethiology of type 1 diabetes. Am J Med Genet 115:18–29

    Article  PubMed  Google Scholar 

  10. Devendra D, Liu E, Eisenbarth GS (2004) Type 1 diabetes: recent developments. BMJ 328:750–754

    Article  PubMed  Google Scholar 

  11. Jarosz-Chobot P, Otto-Buczkowska E, Koehler B, Matlakiewicz E, Green A (2000) Increased trend of type 1 diabetes mellitus in children’s population (0–14 years) in Upper Silesia region (Poland). Med Sci Monit 6:573–580

    CAS  PubMed  Google Scholar 

  12. Bandurska-Stankiewicz E, Rutkowska J, Zalutskaya A, Bornstein SR, Mokhort T, Garmaev D (2004) Did the Chernobyl incident cause an increase in type 1 diabetes mellitus incidence in children and adolescents? Diabetologia 47:2049–2050

    Article  CAS  PubMed  Google Scholar 

  13. Bandurska-Stankiewicz E, Rutkowska J, Klonowska B, Charemska D, Przybylowicz K (2006) Incidence of type 1 diabetes mellitus in age group 0–14 in Warmia and Mazury Region between 1994–2003. Exp Clin Diabetol 5:242–247

    Google Scholar 

  14. Kołłątaj W, Szewczyk L (1999) The incidence rate of diabetes mellitus type 1 in makroregion of Lublin in 1989–1997 years. Diabetol Pol 6:1–8

    Google Scholar 

  15. Kretowski A, Kowalska I, Pęczyńska J, Urban M, Green A, Kinalska I (2001) The large increase of type 1 diabetes mellitus in Poland. Diabetologia 3:B48–B50

    Article  Google Scholar 

  16. Sobel A, Grzywa M et al (1998) The incidence rate of DMT1 in population 0–29 years in Rzeszow region–prospective study in 1990–1994 years. Diabetol Pol 5:282–287

    Google Scholar 

  17. The EURODIAB Substudy 2 Study Group (2000) Infections and vaccinations as risk factors for childhood type 1 diabetes mellitus: a multicentre case control investigation. Diabetologia 43:47–53

    Article  Google Scholar 

  18. Rosenbauer J, Herzig P (1999) Temporal, seasonal and geographical incidence pattern of type 1 diabetes mellitus in children under 5 yrs of age in Germany. Diabetologia 42:1055–1059

    Article  CAS  PubMed  Google Scholar 

  19. Karvonen M, Pitkaniemi J et al (1999) The onset age of type 1 diabetes mellitus in finish children has become younger. Diabetes Care 22:1066–1070

    Article  CAS  PubMed  Google Scholar 

  20. Kyvik KO, Nystrom L, Gorus F, Songini M, Oestman J, Castell C, Green A et al (2004) The epidemiology of type 1 diabetes mellitus is not the same in young adults as in children. Diabetologia 47:377–384

    Article  CAS  PubMed  Google Scholar 

  21. Soltesz G (2003) Diabetes in the young: a pediatric and epidemiological perspective. Diabetologia 46:447–454

    Article  CAS  PubMed  Google Scholar 

  22. Gale EAM (2005) Spring harvest? Reflections on the rise of type 1 diabetes. Diabetologia 48:2445–2450

    Article  CAS  PubMed  Google Scholar 

  23. Dahlquist G (2006) Can we slow the rising incidence of childhood-onset autoimmune diabetes? The overload hypothesis. Diabetologia 49:20–24

    Article  CAS  PubMed  Google Scholar 

  24. Dalquist G, Patterson C, Soltesz G (1999) Perinatal risk factors for childhood type 1 diabetes in Europe. Diabetes Care 22:1698–1702

    Article  Google Scholar 

  25. Gale EAM (2002) A missing link in the hygiene hypothesis? Diabetologia 45:588–594

    Article  CAS  PubMed  Google Scholar 

  26. Wilkin TJ (2001) The accelerator hypothesis: weight gain as the missing link between type 1 and type 2 diabetes. Diabetologia 44:914–922

    Article  CAS  PubMed  Google Scholar 

  27. Wilkin TJ (2007) Changung perspectives in diabetes: their impact on its classification. Diabetologia 50:1587–1592

    Article  CAS  PubMed  Google Scholar 

  28. Douek IF, Gillespie KM, Bingley PJ, Gale EAM (2002) Diabetes in parents of children with type 1 diabetes. Diabetologia 45:495–501

    Article  CAS  PubMed  Google Scholar 

  29. Haynes A, Bulsara MK, Bower C, Codde JP, Jones TW, Davis EA (2006) Independent effects of socioeconomic status and place of residence on the incidence of childhood type 1 diabetes in Western Australia. Pediatr Diabetes 7:94–100

    Article  PubMed  Google Scholar 

  30. Polanska J, Jarosz-Chobot P (2006) Maternal age at delivery and order of birth are risk factors for type 1 diabetes mellitus in Upper Silesia, Poland. Med Sci Monitor 12:173–176

    Google Scholar 

  31. McKinney P, Parslow R (1999) Perinatal and neonatal determinants of childhood type 1 diabetes. Diabetes Care 22:928–932

    Article  CAS  PubMed  Google Scholar 

  32. Soltesz G, Patterson CC, Dahlquist G, on behalf of EURODIAB Study Group (2007) Worldwide childhood type 1 diabetes incidence—what can we learn from epidemiology? Pediatr Diabetes 8(Suppl 6):6–14

    Article  PubMed  Google Scholar 

  33. Aanstoot H, Anderson B, Daneman D et al (2007) The Global Burden of Youth Diabetes: perspective and potential, diabetes in children epidemiology. Pediatr Diabetes 8(Suppl 8):10–18

    Google Scholar 

  34. The Teddy study group (2007) The Environmental Determinants of Diabetes in the Young (TEDDY) study: study design. Pediatr Diabetes 8:286–298

    Article  Google Scholar 

  35. TRIGR Study Group (2007) Study design of the Trial to Reduce IDDM in the Genetically at Risk (TRIGR). Pediatr Diabetes 8:117–135

    Article  Google Scholar 

Download references

Acknowledgments

We would like to thank the team, especially Dr. Eva Gyurus, who continues the EURODIAB program for the diligence in the documenting of the results gathered at the Pecs University, Hungary. The project was partially supported by the Polish State Committee for Scientific Research (KBN), grant no. 3T11F 010 29.

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Authors and Affiliations

  1. Department of Pediatrics, Endocrinology and Diabetes, Medical University of Silesia, Medykow 16 Str., 40-752, Katowice, Poland

    Przemyslawa Jarosz-Chobot & Grazyna Deja

  2. Faculty of Automatic Control, Electronics and Computer Science, Silesian University of Technology, Gliwice, Poland

    Joanna Polanska

Authors
  1. Przemyslawa Jarosz-Chobot
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  2. Grazyna Deja
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  3. Joanna Polanska
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Correspondence to Przemyslawa Jarosz-Chobot.

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Jarosz-Chobot, P., Deja, G. & Polanska, J. Epidemiology of type 1 diabetes among Silesian children aged 0–14 years, 1989–2005. Acta Diabetol 47, 29–33 (2010). https://doi.org/10.1007/s00592-009-0094-7

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  • DOI: https://doi.org/10.1007/s00592-009-0094-7

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