Epidemiology of type 1 (insulin-dependent) and type 2 (non-insulin-dependent) diabetes mellitus in Japanese children

Kitagawa, Teruo; Ōwada, Misao; Urakami, Tatsuhiko; Tajima, Naoko

doi:10.1016/0168-8227(94)90221-6

Cited by 87 publications

(60 citation statements)

References 9 publications

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“…The current New Zealand incidence (0.72 per 100,000) is low in comparison to other reported rates: 7.3 and 21 per 100,000 in Japanese school children and Manitoban Indian youths, respectively [18][19][20]. When considering different subpopulations, however, the incidence in the North Island Maori population is 6.9 per 100,000 for 10-to 14-year-olds, this being more comparable to the rate for 10-to 19-year-olds in Greater Cincinnati in 1994 (7.2/100,000) [21].…”

Section: Discussioncontrasting

confidence: 59%

Prospective incidence study of diabetes mellitus in New Zealand children aged 0 to 14 years

Campbell-Stokes¹,

Taylor²

2005

Diabetologia

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Aims/hypothesis: The aim of this study was to establish the incidence of type 1 and type 2 diabetes mellitus in children aged 0-14 years. Methods: The New Zealand Paediatric Surveillance Unit sought monthly reporting of diabetes mellitus cases from paediatricians. All resident children aged below 15 years (1996 census risk population 832,000) who met the criteria for diagnosis of diabetes mellitus from 1 January 1999 to 31 December 2000 were included. The average annual incidence of type 1 and type 2 diabetes was calculated, as were incidence rates according to age, sex, region, ethnicity and season. Case ascertainment was estimated using hospital admission data. Results: There were 315 valid reports of new cases of diabetes. Of these, 298 (94.6%) had type 1 diabetes, 12 (3.8%) had type 2 diabetes and five had other specified types of diabetes. The average annual incidence of type 1 diabetes was 17.9/100,000 (95% CI: 15.9-20/100,000). Children in the South Island had a 1.5-fold higher incidence than children in the North Island, which was largely accounted for by the variation in incidence with ethnicity, in that the European rate was 4.5 times higher than the Maori rate. The average annual incidence of type 2 diabetes was 0.84/100,000 (95% CI: 0.37-1.26/100,000). Estimated case ascertainment rate was 95.2%. Conclusions/interpretation: Type 1 diabetes incidence has doubled over the past three decades. The geographical differences previously described have persisted, and are largely explained by the ethnic variation in incidence. This population includes young adolescents with type 2 diabetes. These findings are in keeping with international trends.

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Section: Discussioncontrasting

confidence: 59%

Prospective incidence study of diabetes mellitus in New Zealand children aged 0 to 14 years

Campbell-Stokes¹,

Taylor²

2005

Diabetologia

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“…In the Cincinnati area the proportion of children with Type II diabetes among 10 to 19-year-old patients with diabetes increased from 4 % in 1982±1991 to 16 % in 1994 [10]. During the period from 1975 to 1990, the incidence rates of Type II diabetes in school children in Tokyo showed a 1.5-fold increase, along with a similar increase in the prevalence of obesity [36].…”

Section: Discussionmentioning

confidence: 83%

Increasing prevalence of Type II diabetes in American Indian children

et al. 1998

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“…Type 2 diabetes has also become an epidemic in Asian countries. In Japan, the incidence of type 2 diabetes is estimated to be ϳ2.8 -4.6 per 100,000 children per year (23)(24)(25). In Taiwan, with the advent of a nationwide mass urine screening program for diabetes in schoolchildren in the past decade, we recruited a cohort of 1,966 subjects with diabetes and 96,548 subjects with normal fasting glycemia (NFG).…”

mentioning

confidence: 99%

Low Birth Weight and High Birth Weight Infants Are Both at an Increased Risk to Have Type 2 Diabetes Among Schoolchildren in Taiwan

et al. 2003

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OBJECTIVE—To study the effect of birth weight on risk of type 2 diabetes in the schoolchildren in Taiwan. RESEARCH DESIGN AND METHODS—From 1992 to 1997, all schoolchildren aged 6–18 years were screened for diabetes in Taiwan Province. This cohort consisted of 1,966 patients with diabetes and 1,780 randomly selected subjects with normal fasting glycemia (NFG). Questionnaire interviewing was designed to classify diabetes. The birth weight was obtained from the Taiwan’s Birth Registry. After merging the data, there were 978 subjects, including 429 with type 2 diabetes and 549 with of NFG enrolled in the present analyses. RESULTS—The odds ratios (95% CI) for type 2 diabetes, after adjusting age, sex, BMI, family history of diabetes, and socioeconomic status, were 2.91 (1.25–6.76) for children with low birth weight (<2,500 g) and 1.78 (1.04–3.06) for those with high birth weight (≥4,000 g) when compared with the referent group (birth weight 3,000–3,499 g). The risk of diabetes was still 64% higher in the high birth weight group [odds ratio (OR) 1.64 (95% CI 0.91–2.96)], even after adjustment for gestational diabetes mellitus (GDM). Patients with type 2 diabetes who were born with high birth weight were more likely to have a higher BMI and diastolic blood pressure as well as a higher family history of diabetes compared with those with low birth weight. CONCLUSIONS—A U-shaped relationship between birth weight and risk of type 2 diabetes was found in the schoolchildren aged 6–18 years in Taiwan. Schoolchildren with type 2 diabetes who were born with low birth weight had different metabolic phenotypes compared with those born with high birth weight.

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Epidemiology of type 1 (insulin-dependent) and type 2 (non-insulin-dependent) diabetes mellitus in Japanese children

Cited by 87 publications

References 9 publications

Prospective incidence study of diabetes mellitus in New Zealand children aged 0 to 14 years

Prospective incidence study of diabetes mellitus in New Zealand children aged 0 to 14 years

Increasing prevalence of Type II diabetes in American Indian children

Low Birth Weight and High Birth Weight Infants Are Both at an Increased Risk to Have Type 2 Diabetes Among Schoolchildren in Taiwan

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