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Correlating the global increase in type 1 diabetes incidence across age groups with national economic prosperity: A systematic review

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World Journal of Diabetes 2019年第12期10卷 560-580页

作者： Natalia Gomez-Lopera Nicolas Pineda-Trujillo Paula Andrea Diaz-Valencia grupo mapeo genetico Departamento de PediatríaFacultad de MedicinaUniversidad de AntioquiaMedellín 050010470Colombia Epidemiology Group.School of Public Health.Universidad de Antioquia Medellín 050010470Colombia

BACKGROUND The global epidemiology of type 1 diabetes(T1D)is not yet well known,as no precise data are available from many countries.T1D is,however,characterized by an important variation in incidences among countries and a dramatic increase of these incidences during the last decades,predominantly in younger *** the United States and Europe,the increase has been associated with the gross domestic product(GDP)per *** our previous systematic review,geographical variation of incidence was correlated with socio-economic *** To investigate variation in the incidence of T1D in age categories and search to what extent these variations correlated with the GDP per *** A systematic review was performed to retrieve information about the global incidence of T1D among those younger than 14 years of *** study was carried out according to the PRISMA *** the analysis,the incidence was organized in the periods:1975-1999 and *** searched the incidence of T1D in the age-groups 0-4,5-9 and *** compared the incidences in countries for which information was available for the two *** obtained the GDP from the World *** analysed the relationship between the incidence of T1D with the GDP in countries reporting data at the national *** We retrieved information for 84 out of 194 countries around the *** found a wide geographic variation in the incidence of T1D and a worldwide increase during the two *** largest contribution to this increase was observed in the youngest group of children with T1D,with a relative increase of almost double when comparing the two periods(P value=2.5×e-5).Twenty-six countries had information on the incidence of T1D at the national level for the two *** was a positive correlation between GDP and the incidence of T1D in both periods(Spearman correlation=0.52 from 1975-1999 and Spearman correlation=0.53 from 2000-2017).CONCLUSION The incidence increase was

关键词： Type 1 diabetes Incidence Children Age categories Gross domestic product per capita

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