Trends in the Incidence of Young-adult-onset Diabetes by Diabetes Type: a Multi-national Population-based Study From an International Diabetes Consortium.

Details

• Alternative Title:
  The Lancet. Diabetes & Endocrinology, 2024, v. 12, no. 12: Trends in the Incidence of Young-adult-onset Diabetes by Diabetes Type: a Multi-national Population-based Study From an International Diabetes Consortium.
• Journal Article:
  The Lancet. Diabetes & Endocrinology
• Personal Author:
  Magliano, Dianna J ; Chen, Lei ; Morton, Jedidiah I ; Salim, Agus ; Carstensen, Bendix ; Gregg, Edward W ; Pavkov, Meda E ; Arffman, Martti ; Colhoun, Helen M ; Ha, Kyoung Hwa ; Imamura, Tomoaki ; Jermendy, György ; Kim, Dae Jung ; Kiss, Zoltán ; Mauricio, Didac ; McGurnaghan, Stuart J ; Nishioka, Yuichi ; Wild, Sarah H ; Winell, Klas ; Shaw, Jonathan E
• Description:
  Population-based incidence data on young-adult-onset type 1 diabetes and type 2 diabetes are limited. We aimed to examine secular trends in the incidence of diagnosed type 1 diabetes and type 2 diabetes with an age of onset between 15 and 39 years.
  
  In this multicountry aggregate data analysis, we assembled eight administrative datasets from high-income jurisdictions and countries (Australia, Denmark, Finland, Hungary, Japan, Scotland, South Korea, and Spain Catalonia) that had appropriate data available from an international diabetes consortium (GLOBODIAB) describing incidence by diabetes type among people aged 15-39 years from 2000 to 2020. We modelled type 1 diabetes and type 2 diabetes incidence rates using Poisson regression including age and calendar time by sex.
  
  During the years 2000-20, there were 349 591 incident diabetes (both types) cases from 346 million person-years of follow-up among people aged 15-39 years. Over time, there was no statistically significant change in the incidence of type 1 diabetes in Hungary and Japan. The incidence of type 1 diabetes significantly increased in Australia, Denmark, Finland, Scotland, South Korea, and Spain, with annual changes ranging from 0·5% to 6·0%. The incidence of type 2 diabetes significantly increased in four of eight jurisdictions (Denmark, Finland, Japan, and South Korea), with annual increases from 2·0% to 8·5%. The magnitude of increase in incidence of type 2 diabetes was greater in Asian than non-Asian jurisdictions. There was no statistically significant change in type 2 diabetes incidence in Australia and Hungary. The incidence of type 2 diabetes significantly decreased in Scotland and Spain, with annual changes of -0·7% and -1·5%, respectively.
  
  There is variability in the trajectory of the incidence of young-adult-onset type 2 diabetes among high-income countries or jurisdictions, with a greater evidence of increase in Asian than non-Asian countries. Evolving trends in the incidence of type 1 and type 2 diabetes in young adults call for the ongoing surveillance of diabetes incidence and a greater research focus on this population.
  
  US Centers for Disease Control and Prevention, Diabetes Australia Research Programme, and Victoria State Government Operational Infrastructure Support Programme.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Incidence
  • Adolescent
  • Adult
  • Male
  • Young Adult
  • Female
  • Diabetes Mellitus, Type 2
  • Diabetes Mellitus, Type 1
  • Age of Onset
• Source:
  The Lancet. Diabetes & Endocrinology, 2024, v. 12, no. 12
• DOI:
  https://doi.org/10.1016/S2213-8587(24)00243-2
• ISSN:
  2213-8587 ; 2213-8595
• Pubmed ID:
  39541997
• Pubmed Central ID:
  PMC11812581
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  Australia
• Pages in Document:
  915-923 (18 pdf pages)
• Volume:
  12
• Issue:
  12
• Download URL:
  https://stacks.cdc.gov/view/cdc/261924/cdc_261924_DS1.pdf
• File Type:
  [PDF - 695.53 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:902d5451eff31043371cf7a3d6f84533960af57427916e168040615bb28587caece3dd2a392463dc52976512cbc766487669726d6aa7fd4527d367a14356305b