The incidence of type 1 diabetes in Republic of Srpska (Bosnia and Herzegovina) and Slovenia in the period 1998-2010

Radosevic, Bojana; Bukara-Radujković, Gordana; Miljković, Vesna; Pejicic, Snjezana Popovic; Bratina, Nataša; Battelino, Tadej

doi:10.1111/j.1399-5448.2012.00898.x

Cited by 21 publications

(17 citation statements)

References 24 publications

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“…Our results are similar for both genders. This is in accordance with the latest findings from Germany, the Netherlands and Slovenia, although the results of other studies are inconclusive [17,[24][25][26][27][28].…”

Section: Discussionsupporting

confidence: 92%

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

et al. 2017

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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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Section: Discussionsupporting

confidence: 92%

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

et al. 2017

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“…The standardized incidence of T1DM for the 0-14 years age group in the Republika Srpska (a self-governing entity in Bosnia and Herzegovina) was estimated to be 8.2 cases /100 000 and the annual increase in the incidence was estimated to be 2.3% for the 1998-2010 period (5). These results allow the conclusion that the Republika Srpska may be placed within the group of European regions with a low incidence of T1DM.…”

Section: Introductionsupporting

confidence: 51%

Evidence for the increase in the incidence of type 1 diabetes in children aged 0-14 years in the Republika Srpska, 2001-2016

Bukara-Radujković

Miljković

Ljuboja

et al. 2018

CEJP

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“…The youngest age group was once believed to have the fastest growth in T1D incidence . Recently, however, quite a few studies reporting 5 to 9 years or 10 to 14 years as the age group with the greatest annual increase seem to have conflicted with the mainstream finding that the youngest age group, 0 to 4 years, exhibits the most substantial increase in T1D incidences . Although most epidemiological investigations focus on the age group of 0 to 14 years and data of patients with T1D aged over 14 years are insufficient, studies conducted in the United Kingdom, Mexico, Israel, and the United States have revealed a significant increment in T1D incidences for youth aged 15 to 34, 15 to 19, 15 to 17, and 15 to 19 years respectively.…”

Section: Epidemiologymentioning

confidence: 99%

“…9,31,42 In contrast to the consistently high incidence rates in Caucasians, incidences of T1D in Arabs range from as high as 40.9/100 000 in Kuwait 27 to 29.0/100 000 in Saudi Arabia 3 to slightly higher than 10/100 000 in Israel. 18 Next come countries in southeast Europe 12,35,[37][38][39] which usually manifest a moderate risk for T1D with incidences around 10/ 100 000 person-years. Last, but not least, incidences as low as 1 to 5 cases/100 000 person-years are not uncommon in Latin America, 40,43 Africa, 19,41 and Asia.…”

Section: Incidence Of T1dmentioning

confidence: 99%

Incidence and trend of type 1 diabetes and the underlying environmental determinants

Xia

Xie

Huang

et al. 2018

Diabetes Metabolism Res

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A wealth of epidemiological studies concerning the distribution of type 1 diabetes (T1D) around the world have pointed to the appreciable variation in the incidence of T1D among disparate age groups, ethnicities, and geographical locations. On the whole, the incidence of childhood T1D has been on the rise, and a plausible inverse relationship between the initial incidence rate and the following annual increase in incidence has been raised. Countries that used to exhibit lower incidences tend to have steep annual increase whereas those with already-established high incidences are more likely to show a modest increase or even stabilization in T1D incidence. Environmental agents considered responsible for the current evolving pattern of T1D incidence will be detailed, mainly including the increasing prevalence of childhood obesity, viral infections in a chronic manner, maternal-child interaction such as breastfeeding, and latitude-ultraviolet B-vitamin D pathway. Certain rationale has been put forward in an attempt to explain the potential association between environmental agents and development of T1D. For instance, accelerator hypothesis regards insulin resistance as the promoter of earlier disease onset in obese children whereas the negative correlation of microbial infections in background populations with incidence of T1D represents the basic component of the hygiene hypothesis. Further investigations are still warranted to verify these theories across multiple ethnic groups and to identify additional contributors to the variation in T1D incidence.

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The incidence of type 1 diabetes in Republic of Srpska (Bosnia and Herzegovina) and Slovenia in the period 1998-2010

Abstract: The incidence for age group 0-18 yr standardized to the world population is remarkably higher in Slovenia than in the Republic of Srpska. Further follow-up and investigations are needed to explain the high difference in incidence of T1DM between the two geographically related countries.

Cited by 21 publications

References 24 publications

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

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

Evidence for the increase in the incidence of type 1 diabetes in children aged 0-14 years in the Republika Srpska, 2001-2016

Incidence and trend of type 1 diabetes and the underlying environmental determinants

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