[1997年至2002年比得哥什地区1型糖尿病流行病学]

[Epidemiology of type 1 diabetes mellitus in Bydgoszcz region in the years 1997-2002].

作者信息

Pilecki Olgierd, Robak-Kontna Katarzyna, Jasiński Dariusz, Boguń-Reszczyńska Zofia, Bojko-Zbikowska Maria

机构信息

Oddział Pediatrii i Endokrynologii Wojewódzkiego Szpitala Dzieciecego w Bydgoszczy, Bydgoszcz, Poland.

出版信息

Endokrynol Diabetol Chor Przemiany Materii Wieku Rozw. 2003;9(2):77-81.

PMID:14575616

Abstract

INTRODUCTION

Type 1 diabetes mellitus belongs to the diseases most often appearing in the developmental age. The incidence of this disease is characterized by the constant dynamic increase.

AIM

The purpose of this work was to estimate the value and the dynamics of the incidence of type 1 diabetes mellitus in children from Bydgoszcz region and its analysis according to sex, age, place of residence and season of diabetes diagnosis.

MATERIAL AND METHODS

In the period from 1997 to 2002 type 1 diabetes mellitus was recognized in 161 children (80 boys and 81 girls) up to the 14th age of life in separate age groups: 0-4 years: 20; 5-9 years: 68; 10-14 years: 73. The incidence was estimated with the help of an index which was the number of new-recognized type 1 diabetes mellitus cases during one year in the population of 100 000. The number of population was taken from Demographic Yearbook of Provincial Office.

RESULTS

The average annual index of the incidence for the six-year period being analyzed was 13.55, it balanced in the following years from 9.44 (1997) up to 15.28 (2002). The highest index of incidence (16.34) was noted in 2000 year. The increase in number of falling ill was observed in groups: 5-9 years old and 10-14 years old. Rarely the diabetes was recognized in the youngest children. The diabetes was almost twice more often recognized in children living in towns (16.30) in comparison with those living in the country (8.84). Revelation of the diabetes takes place mainly in the autumn and winter months. The least number of falling ill was noted in June. The seasonal incidence was observed mainly in children over 5 years.

CONCLUSIONS

The index of the type 1 diabetes mellitus incidence among 0-14 year old children was 13.55. 2. During the years 1997-2002 this index increased from 9.44 to 15.28. 3. The diabetes was almost twice more often recognized in children living in towns. 4. The number of becoming ill depends on the season of the year.

摘要

引言

1型糖尿病是发育年龄阶段最常见的疾病之一。该疾病的发病率呈持续动态上升趋势。

目的

本研究旨在评估比得哥什地区儿童1型糖尿病的发病率及其变化趋势，并按性别、年龄、居住地和糖尿病诊断季节进行分析。

材料与方法

1997年至2002年期间，共确诊161例14岁以下儿童1型糖尿病（80例男孩，81例女孩），分为不同年龄组：0 - 4岁：20例；5 - 9岁：68例；10 - 14岁：73例。发病率通过一个指数进行评估，该指数为每10万人口中每年新确诊的1型糖尿病病例数。人口数量取自省办公室的《人口年鉴》。

结果

所分析的六年期间平均年发病率指数为13.55，各年份指数在9.44（1997年）至15.28（2002年）之间波动。2000年发病率指数最高（16.34）。5 - 9岁和10 - 14岁年龄组的患病数量呈上升趋势。最年幼的儿童中糖尿病确诊病例较少。城镇儿童糖尿病确诊率（16.30）几乎是农村儿童（8.84）的两倍。糖尿病主要在秋冬季节确诊。6月确诊病例数最少。季节性发病率主要出现在5岁以上儿童中。