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Incidence and prevalence of childhood-onset Type 1 diabetes in Japan: the T1D study
Y Onda1, S Sugihara2, T Ogata3
1Division of Diabetes, Metabolism and Endocrinology, Department of Internal Medicine, Jikei University School of Medicine.
Insights
This study found no increase in childhood Type 1 diabetes incidence in Japan, but confirmed adolescent onset peaks with a female predominance. The disease shows a bimodal annual onset pattern.
Area of Science:
- Pediatric Endocrinology
- Epidemiology
- Public Health
Background:
- Type 1 diabetes is a significant chronic condition in children.
- Japan utilizes the Specified Pediatric Chronic Disease Treatment Research Projects (SPCDTRP) for managing such cases.
Purpose of the Study:
- To estimate the incidence and prevalence of childhood-onset Type 1 diabetes in Japan.
- To analyze trends and patterns in disease onset using national registry data.
Main Methods:
- Utilized data from the SPCDTRP and Statistics Bureau for 2005-2012.
- Estimated incidence for 2005-2010, stratified by sex, age, and onset period.
- Calculated prevalence for children under 15 years.
Main Results:
- Incidence was 2.25/100,000 persons, with higher rates in girls and older children (10-14 years).
- Disease onset peaked at ages 10 (girls) and 13 (boys), with seasonal peaks in April/May and December.
- Estimated 2326 children (<15 years) had Type 1 diabetes, with a prevalence of 13.53/100,000.
Conclusions:
- No increase in childhood Type 1 diabetes incidence was observed.
- Onset peaks in adolescence with a female predominance and shows an annual bimodal pattern.
- Findings align with previous reports on Type 1 diabetes onset characteristics.
Aims:
A majority of children with Type 1 diabetes in Japan are registered with the government-subsidized Specified Pediatric Chronic Disease Treatment Research Projects (SPCDTRP). In this study, the incidence and prevalence of childhood-onset (< 15 years) Type 1 diabetes in Japan were estimated by drawing on SPCDTRP data.
Methods:
Data available for 2005-2012 from the SPCDTRP and Statistics Bureau, Ministry of Internal Affairs and Communications were used to estimate the incidence of Type 1 diabetes for 2005-2010, adjusted to cover those registered within 3 years of disease onset and stratified by sex, age at onset and period of onset.
Results:
The incidence of Type 1 diabetes for 2005-2010 was 2.25/100,000 persons [95% confidence intervals (95% CI), 2.14-2.36] (boys: 1.91, 95% CI, 1.83-1.98; girls: 2.52, 95% CI, 2.34-2.69), with that for the age brackets 0-4, 5-9 and 10-14 years being 1.48 (95% CI, 1.29-1.66), 2.27 (95% CI, 2.08-2.47) and 3.00 (95% CI, 2.74-3.25), respectively. The onset of disease was shown to peak at age 13 among boys (3.28, 95% CI, 3.02-3.55) and at age 10 among girls (3.28, 95% CI, 3.02-3.55). The peak periods of disease onset were April/May and December. The number of children aged < 15 years with Type 1 diabetes for 2005-2012 was estimated to be 2326 (95% CI, 2202-2450) with the prevalence estimated as 13.53/100,000 persons (95% CI, 12.63-14.43).
Conclusions:
Study findings demonstrated no increase in the incidence of Type 1 diabetes, although suggesting, in agreement with earlier reports, that the onset of disease peaks in adolescence with a female predominance. In addition, the incidence of childhood-onset diabetes exhibited an annual bimodal pattern in this study.
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