Iranian Journal of Diabetes and Obesity
Shahid Sadoughi University Of Medical Sciences
Sun, May 19, 2024
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Volume 15, Issue 3 (volume 15, number 3 2023)
IJDO 2023, 15(3): 149-157 |
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Razavi Z, Ammeri P. Incidence of Type 1 Diabetes Mellitus in Hamadan West Region of Iran-2019 - 2020. IJDO 2023; 15 (3) :149-157
URL: http://ijdo.ssu.ac.ir/article-1-815-en.html
URL: http://ijdo.ssu.ac.ir/article-1-815-en.html
Professor, Department of Pediatrics, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract: (158 Views)
Objective: Type 1 diabetes mellitus (T1DM) results from the autoimmune destruction of insulin-producing beta cells of the pancreas. The objective of the present study was to describe the one year (2019-2020) incidence of T1DM in Hamadan west region of Iran.
Materials and Methods: All 25 new patients with T1DM resident of Hamadan and its suburbs registered in Besat Hospital, Hamadan, Iran, from March 2019 to 2020 were prospectively reviewed. Information including age, sex, place of residence (urban or rural), season of diagnosis and season of birth were taken from parents through face-to-face interviews.
Results: During 1 year survey, a total of 57 cases of newly diagnosed T1DM were identified in our center. Among these, 25 patients were residents of Hamadan city and suburbs. Based on this15 per 100 000 per year new cases T1DM occurred in the resident population of Hamadan areas, higher in boys than in girls (18 vs. 11 per 100 000).The mean age of diagnosis was 8.03 yr. The peak incidence was observed at the age group of 10-14 years. 92% were urban .Most cases were diagnosed in the autumn (44%). 52% had a history of neonatal jaundice and 16% had stressful life events in the family before the onset of diabetes.
Conclusion: Our study showed a relatively high incidence of T1DM according category of the WHO, being greater in boys and in the age group of 10 to 14 years. The incidence is lower than in some Middle Eastern countries.
Materials and Methods: All 25 new patients with T1DM resident of Hamadan and its suburbs registered in Besat Hospital, Hamadan, Iran, from March 2019 to 2020 were prospectively reviewed. Information including age, sex, place of residence (urban or rural), season of diagnosis and season of birth were taken from parents through face-to-face interviews.
Results: During 1 year survey, a total of 57 cases of newly diagnosed T1DM were identified in our center. Among these, 25 patients were residents of Hamadan city and suburbs. Based on this15 per 100 000 per year new cases T1DM occurred in the resident population of Hamadan areas, higher in boys than in girls (18 vs. 11 per 100 000).The mean age of diagnosis was 8.03 yr. The peak incidence was observed at the age group of 10-14 years. 92% were urban .Most cases were diagnosed in the autumn (44%). 52% had a history of neonatal jaundice and 16% had stressful life events in the family before the onset of diabetes.
Conclusion: Our study showed a relatively high incidence of T1DM according category of the WHO, being greater in boys and in the age group of 10 to 14 years. The incidence is lower than in some Middle Eastern countries.
Type of Study: Research |
Subject:
Special
Received: 2023/06/20 | Accepted: 2023/08/1 | Published: 2023/09/30
Received: 2023/06/20 | Accepted: 2023/08/1 | Published: 2023/09/30
References
1. Gan MJ, Albanese-O'Neill A, Haller MJ. Type 1 diabetes: current concepts in epidemiology, pathophysiology, clinical care, and research. Current problems in pediatric and adolescent health care. 2012;42(10):269-91.
2. Norris JM, Johnson RK, Stene LC. Type 1 diabetes-early life origins and changing epidemiology. The lancet Diabetes & endocrinology. 2020;8(3):226-38.
3. Kordonouri O, Von Schütz W, Meyer N, Aschemeier B, Kracht T, Danne T. Typ-1-Diabetes bei Kindern und Jugendlichen: Neue Strategien in Diagnostik und Therapie. Medizinische Monatsschrift für Pharmazeuten. 2008;31(6):200-6.
4. Mayer-Davis EJ, Lawrence JM, Dabelea D, Divers J, Isom S, Dolan L, et al. Incidence trends of type 1 and type 2 diabetes among youths, 2002-2012. New England Journal of Medicine. 2017;376(15):1419-29.
5. Patterson CC, Dahlquist GG, Gyürüs E, Green A, Soltész G. Incidence trends for childhood type 1 diabetes in Europe during 1989-2003 and predicted new cases 2005-20: a multicentre prospective registration study. The Lancet. 2009;373(9680):2027-33.
6. Patterson CC, Gyürüs E, Rosenbauer J, Cinek O, Neu A, Schober E, et al. Trends in childhood type 1 diabetes incidence in Europe during 1989-2008: evidence of non-uniformity over time in rates of increase. Diabetologia. 2012;55:2142-7.
7. Knip M, Veijola R, Virtanen SM, Hyoty H, Vaarala O, Akerblom HK. Environmental triggers and determinants of type 1 diabetes. Diabetes. 2005;54(suppl_2):S125-36.
8. Forouhi N, Wareham N. Epidemiology of diabetes. Medicine (Abingdon) .2014;42(12):698-702.
9. Maahs DM, West NA, Lawrence JM, Mayer-Davis EJ. Epidemiology of type 1 diabetes. Endocrinology and Metabolism Clinics. 2010;39(3):481-97.
10. Xia Y, Xie Z, Huang G, Zhou Z. Incidence and trend of type 1 diabetes and the underlying environmental determinants. Diabetes/metabolism research and reviews. 2019;35(1):e3075.
11. Chae HW, Seo GH, Song K, Choi HS, Suh J, Kwon A, et al. Incidence and prevalence of type 1 diabetes mellitus among Korean children and adolescents between 2007 and 2017: an epidemiologic study based on a national database. Diabetes & Metabolism Journal. 2020;44(6):866-74.
12. Chamberlain JJ, Rhinehart AS, Shaefer Jr CF, Neuman A. Diagnosis and management of diabetes: synopsis of the 2016 American Diabetes Association Standards of Medical Care in Diabetes. Annals of internal medicine. 2016;164(8):542-52.
13. Craig ME, Jefferies C, Dabelea D, Balde N, Seth A, Donaghue KC. Definition, epidemiology, and classification of diabetes in children and adolescents. Pediatric diabetes. 2014;15(S20):4-17.
14. Razavi Z, Karimpourian A, Aramian LM, Bazmamoun H. Demographic characteristics of type 1 diabetic children and adolescents in Hamadan, Iran. Journal of research in health sciences. 2015;15(3):196-9.
15. Karvonen M, Viik-Kajander M, Moltchanova E, Libman I, LaPorte RO, Tuomilehto J. Incidence of childhood type 1 diabetes worldwide. Diabetes Mondiale (DiaMond) Project Group. Diabetes care. 2000;23(10):1516-26.
16. Khater S, Aouar A, Bensmain N, Bendedouche S, Chabni N, Hamdaoui H, et al. Very high incidence of type 1 diabetes among children aged under 15 years in Tlemcen, Northwest Algeria (2015-2018). Journal of Clinical Research in Pediatric Endocrinology. 2021;13(1):44.
17. Mobasseri M, Shirmohammadi M, Amiri T, Vahed N, Fard HH, Ghojazadeh M. Prevalence and incidence of type 1 diabetes in the world: a systematic review and meta-analysis. Health promotion perspectives. 2020;10(2):98.
18. Soltesz G, Patterson CC, Dahlquist G, Eurodiab Study Group. Worldwide childhood type 1 diabetes incidence-what can we learn from epidemiology?. Pediatric diabetes. 2007;8:6-14.
19. Weng J, Zhou Z, Guo L, Zhu D, Ji L, Luo X, Mu Y, Jia W. Incidence of type 1 diabetes in China, 2010-13: population based study. British Medical Journal. 2018;3600:j5295.
20. Abduljabbar MA, Aljubeh JM, Amalraj A, Cherian MP. Incidence trends of childhood type 1 diabetes in eastern Saudi Arabia. Saudi medical journal. 2010;31(4):413-8.
21. Habeb AM, Al‐Magamsi MS, Halabi S, Eid IM, Shalaby S, Bakoush O. High incidence of childhood type 1 diabetes in Al‐Madinah, North West Saudi Arabia (2004-2009). Pediatric diabetes. 2011;12(8):676-81.
22. Robert AA, Al-Dawish A, Mujammami M, Dawish MA. Type 1 diabetes mellitus in Saudi Arabia: a soaring epidemic. International journal of pediatrics. 2018;2018:9408370.
23. De Sanctis V. Type 1 and Type 2 diabetes in children and adolescents: a public health problem in Qatar. The experience of Pediatric Diabetes Center at Hamad General Hospital (HGH) of Doha. Acta Bio-medica: Atenei Parmensis. 2018;89(S5):5-6.
24. Shera AS, Miyan Z, Basit A, Maqsood A, Ahmadani MY, Fawwad A, et al. Trends of type 1 diabetes in Karachi, Pakistan. Pediatric diabetes. 2008;9(4pt2):401-6.
25. Abdullah MA. Epidemiology of type I diabetes mellitus among Arab children. Saudi medical journal. 2005;26(6):911-7.
26. Shaltout AA, Wake D, Thanaraj TA, Omar DM, Al‐AbdulRazzaq D, Channanath A, et al. Incidence of type 1 diabetes has doubled in Kuwaiti children 0‐14 years over the last 20 years. Pediatric diabetes. 2017;18(8):761-6.
27. Bodin J, Stene LC, Nygaard UC. Can exposure to environmental chemicals increase the risk of diabetes type 1 development?. BioMed research international. 2015;2015:208947.
28. Demirbilek H, Özbek MN, Baran RT. Incidence of type 1 diabetes mellitus in Turkish children from the southeastern region of the country: a regional report. Journal of clinical research in pediatric endocrinology. 2013;5(2):98-103.
29. Samardzic M, Marinkovic J, Kocev N, Curovic N, Terzic N. Increasing incidence of childhood type 1 diabetes in Montenegro from 1997 to 2006. Pediatric Diabetes.2010;11(6):412-6.
30. Vojislav C, Natasa R, Milica P, Slobodan A, Radivoj K, Danijela R, et al. Incidence trend of type 1 diabetes mellitus in Serbia. BMC endocrine disorders. 2020;20:1-7.
31. Charkaluk ML, Czernichow P, Lévy-Marchal C. Incidence data of childhood-onset type I diabetes in France during 1988-1997: the case for a shift toward younger age at onset. Pediatric research. 2002;52(6):859-62. [DOI:10.1203/01.PDR.0000034261.44203.26]
32. Rafferty J, Stephens JW, Atkinson MD, Luzio SD, Akbari A, Gregory JW, et al. A retrospective epidemiological study of type 1 diabetes mellitus in Wales, UK between 2008 and 2018. International Journal of Population Data Science. 2021;6(1):1387.
33. Turtinen M, Härkönen T, Parkkola A, Ilonen J, Knip M, Finnish Pediatric Diabetes Register. Sex as a determinant of type 1 diabetes at diagnosis. Pediatric diabetes. 2018;19(7):1221-8.
34. Diamond Project Group. Incidence and trends of childhood type 1 diabetes worldwide 1990-1999. Diabetic medicine. 2006;23(8):857-66.
35. Shaltout AA, Moussa MA, Qabazard M, Abdella N, Karvonen M, Al‐Khawari M, et al. Further evidence for the rising incidence of childhood Type 1 diabetes in Kuwait. Diabetic medicine. 2002;19(6):522-5.
36. Szalecki M, Wysocka‐Mincewicz M, Ramotowska A, Mazur A, Lisowicz L, Beń‐Skowronek I, et al. Epidemiology of type 1 diabetes in Polish children: A multicentre cohort study. Diabetes/Metabolism Research and Reviews. 2018;34(2):e2962.
37. Haynes A, Bulsara MK, Bower C, Codde JP, Jones TW, Davis EA. Independent effects of socioeconomic status and place of residence on the incidence of childhood type 1 diabetes in Western Australia. Pediatric diabetes. 2006;7(2):94-100.
38. Miller LJ, Pearce J, Barnett R, Willis JA, Darlow BA, Scott RS. Is population mixing associated with childhood type 1 diabetes in Canterbury, New Zealand?. Social Science & Medicine. 2009;68(4):625-30.
39. Miller LJ, Willis JA, Pearce J, Barnett R, Darlow BA, Scott RS. Urban-rural variation in childhood type 1 diabetes incidence in Canterbury, New Zealand, 1980-2004. Health & Place. 2011;17(1):248-56.
40. Razavi Z, Hamidi F. Diabetic ketoacidosis: demographic data, clinical profile and outcome in a tertiary care hospital. Iranian Journal of Pediatrics. 2017;27(3):e7649.
41. Van Wouwe JP, Jacobusse G, Van Buuren S. Seasonal variation in the diagnosis of type 1 diabetes. diabetes research and clinical practice. 2008;79(2):e13.
42. Turtinen M, Härkönen T, Ilonen J, Parkkola A, Knip M, Finnish Pediatric Diabetes Register. Seasonality in the manifestation of type 1 diabetes varies according to age at diagnosis in Finnish children. Acta Paediatrica. 2022;111(5):1061-9.
43. Torras BZ, Real JL, Castellanos RB, Fernández JR, Oliver JA, Vergaz ÁG. Incidencia de diabetes mellitus tipo 1 en niños: resultados del registro poblacional de la comunidad de Madrid, 1997-2005. Medicina clínica. 2009;132(14):545-8.
44. Patterson CC, Gyürüs E, Rosenbauer J, Cinek O, Neu A, Schober E, et al. Seasonal variation in month of diagnosis in children with type 1 diabetes registered in 23 European centers during 1989-2008: little short‐term influence of sunshine hours or average temperature. Pediatric diabetes. 2015;16(8):573-80.
45. McKenna A, O'Regan M, Ryder K, Fitzgerald H, Hoey H, Roche E. Incidence of childhood type 1 diabetes mellitus in Ireland remains high but no longer rising. Acta Paediatrica. 2021;110(7):2142-8.
46. Hermann R, Soltész G. Prevalence and HLA association of GAD65 antibodies in Hungarian schoolchildren. Human immunology. 2003;64(1):152-5.
47. Gerasimidi Vazeou A, Kordonouri O, Witsch M, Hermann JM, Forsander G, de Beaufort C, et al. Seasonality at the clinical onset of type 1 diabetes-Lessons from the SWEET database. Pediatric diabetes. 2016;17:32-7.
48. Harvey JN, Hibbs R, Maguire MJ, O'Connell H, Gregory JW. The changing incidence of childhood-onset type 1 diabetes in Wales: Effect of gender and season at diagnosis and birth. diabetes research and clinical practice. 2021;175:108739..
49. Prietl B, Treiber G, Pieber TR, Amrein K. Vitamin D and immune function. Nutrients. 2013;5(7):2502-21.
50. Zipitis CS, Akobeng AK. Vitamin D supplementation in early childhood and risk of type 1 diabetes: a systematic review and meta-analysis. Archives of disease in childhood. 2008;93(6):512-7.
51. Nishioka Y, Noda T, Okada S, Myojin T, Kubo S, Higashino T, et al. Incidence and seasonality of type 1 diabetes: a population-based 3-year cohort study using the National Database in Japan. British Medical Journal Open Diabetes Research and Care. 2020;8(1):e001262.
52. Kida K, Mimura G, Ito T, Murakami K, Ashkenazi I, Laron Z, et al. Incidence of Type 1 diabetes mellitus in children aged 0-14 in Japan, 1986-1990, including an analysis for seasonality of onset and month of birth: JDS study. Diabetic medicine. 2000;17(1):59-63.
53. við Streym S, Rejnmark L, Mosekilde L, Vestergaard P. No effect of season of birth on risk of type 1 diabetes, cancer, schizophrenia and ischemic heart disease, while some variations may be seen for pneumonia and multiple sclerosis. Dermato-endocrinology. 2013;5(2):309-16.
54. Vaiserman AM, Carstensen B, Voitenko VP, Tronko MD, Kravchenko VI, Khalangot MD, et al. Seasonality of birth in children and young adults (0-29 years) with type 1 diabetes in Ukraine. Diabetologia. 2007;50:32-5. [DOI:10.1007/s00125-007-0608-1]
55. Bélteky M, Wahlberg J, Ludvigsson J. Maternal respiratory infections in early pregnancy increases the risk of type 1 diabetes. Pediatric diabetes. 2020;21(7):1193-201.
56. Dahlquist GG, Ivarsson S, Lindberg B, Forsgren M. Maternal enteroviral infection during pregnancy as a risk factor for childhood IDDM: a population-based case-control study. Diabetes. 1995;44(4):408-13. [DOI:10.2337/diab.44.4.408]
57. Sun HL, Lue KH, Ku MS. Neonatal jaundice is a risk factor for childhood allergic rhinitis: a retrospective cohort study. American journal of rhinology & allergy. 2013;27(3):192-6.
58. McNamee MB, Cardwell CR, Patterson CC. Neonatal jaundice is associated with a small increase in the risk of childhood type 1 diabetes: a meta-analysis of observational studies. Acta diabetologica. 2012;49:83-7.
59. Majeed AA, Hassan K. Risk factors for type 1 diabetes mellitus among children and adolescents in Basrah. Oman medical journal. 2011;26(3):189-95.
60. Awadalla NJ, Hegazy AA, Abd El-Salam M, Elhady M. Environmental factors associated with type 1 diabetes development: a case control study in Egypt. International Journal of Environmental Research and Public Health. 2017;14(6):615.
61. Aspberg S, Dahlquist G, Kahan T, Källén B. Is neonatal phototherapy associated with an increased risk for hospitalized childhood bronchial asthma?. Pediatric allergy and immunology. 2007;18(4):313-9.
62. Waernbaum I, Dahlquist G, Lind T. Perinatal risk factors for type 1 diabetes revisited: a population-based register study. Diabetologia. 2019;62:1173-84.
63. Robertson L, Harrild K. Maternal and neonatal risk factors for childhood type 1 diabetes: a matched case-control study. BMC public health. 2010;10(1):1-8.
64. Newman TB, Wickremasinghe AC, Walsh EM, Grimes BA, McCulloch CE, Kuzniewicz MW. Phototherapy and risk of type 1 diabetes. Pediatrics. 2016;138(5):e20160687.
65. Razavi Z, Sadri H. Environmental Factors before the Onset of Type 1 Diabetes Mellitus: A Case-Control Study. Iranian journal of diabetes and obesity. 2022;14(3):152-58.
66. Sipetic S, Vlajinac H, Marinkovi J, Kocev N, Milan B, Ratkov I, Sajic S. Stressful life events and psychological dysfunctions before the onset of type 1 diabetes mellitus. Journal of Pediatric Endocrinology and Metabolism. 2007;20(4):527-34.
67. Lundgren M, Ellström K, Elding Larsson H. Influence of early-life parental severe life events on the risk of type 1 diabetes in children: the DiPiS study. Acta diabetologica. 2018;55:797-804.
68. Cosgrove M. Do stressful life events cause type 1 diabetes?. Occupational Medicine. 2004;54(4):250-4.
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