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The prevalence of having coeliac disease in children with type 1 diabetes was not significantly higher during the Swedish coeliac epidemic

Bybrant, Mara Cerqueiro LU ; Palmkvist, Elsa LU orcid ; Söderström, Hanna LU ; Lindgren, Marie LU ; Hildebrand, Hans ; Norström, Fredrik and Carlsson, Annelie LU orcid (2023) In Acta Paediatrica, International Journal of Paediatrics 112(10). p.2175-2181
Abstract

Aim: From 1986 to 1996, there was a four-fold increase in coeliac disease among young Swedish children, known as the Swedish coeliac epidemic. Children with type 1 diabetes have an increased risk of developing coeliac disease. We studied whether the prevalence of coeliac disease differed in children with type 1 diabetes born during and after this epidemic. Methods: We compared national birth cohorts of 240 844 children born in 1992–1993 during the coeliac disease epidemic and 179 530 children born in 1997–1998 after the epidemic. Children diagnosed with both type 1 diabetes and coeliac disease were identified by merging information from five national registers. Results: There was no statistically significant difference in the prevalence... (More)

Aim: From 1986 to 1996, there was a four-fold increase in coeliac disease among young Swedish children, known as the Swedish coeliac epidemic. Children with type 1 diabetes have an increased risk of developing coeliac disease. We studied whether the prevalence of coeliac disease differed in children with type 1 diabetes born during and after this epidemic. Methods: We compared national birth cohorts of 240 844 children born in 1992–1993 during the coeliac disease epidemic and 179 530 children born in 1997–1998 after the epidemic. Children diagnosed with both type 1 diabetes and coeliac disease were identified by merging information from five national registers. Results: There was no statistically significant difference in the prevalence of coeliac disease among children with type 1 diabetes between the two cohorts: 176/1642 (10.7%, 95% confidence interval 9.2%–12.2%) in the cohort born during the coeliac disease epidemic versus 161/1380 (11.7%, 95% confidence interval 10.0%–13.5%) in the post-epidemic cohort. Conclusion: The prevalence of having both coeliac disease and type 1 diabetes was not significantly higher in children born during, than after, the Swedish coeliac epidemic. This may support a stronger genetic disposition in children who develop both conditions.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
children and adolescents, coeliac disease12, epidemiology, register study, type 1 diabetes
in
Acta Paediatrica, International Journal of Paediatrics
volume
112
issue
10
pages
7 pages
publisher
Wiley-Blackwell
external identifiers
  • pmid:37312596
  • scopus:85164605811
ISSN
0803-5253
DOI
10.1111/apa.16876
language
English
LU publication?
yes
id
7c8e145d-f1e2-4eaf-8eb0-12b6da789056
date added to LUP
2023-09-27 11:41:56
date last changed
2024-04-19 01:44:23
@article{7c8e145d-f1e2-4eaf-8eb0-12b6da789056,
  abstract     = {{<p>Aim: From 1986 to 1996, there was a four-fold increase in coeliac disease among young Swedish children, known as the Swedish coeliac epidemic. Children with type 1 diabetes have an increased risk of developing coeliac disease. We studied whether the prevalence of coeliac disease differed in children with type 1 diabetes born during and after this epidemic. Methods: We compared national birth cohorts of 240 844 children born in 1992–1993 during the coeliac disease epidemic and 179 530 children born in 1997–1998 after the epidemic. Children diagnosed with both type 1 diabetes and coeliac disease were identified by merging information from five national registers. Results: There was no statistically significant difference in the prevalence of coeliac disease among children with type 1 diabetes between the two cohorts: 176/1642 (10.7%, 95% confidence interval 9.2%–12.2%) in the cohort born during the coeliac disease epidemic versus 161/1380 (11.7%, 95% confidence interval 10.0%–13.5%) in the post-epidemic cohort. Conclusion: The prevalence of having both coeliac disease and type 1 diabetes was not significantly higher in children born during, than after, the Swedish coeliac epidemic. This may support a stronger genetic disposition in children who develop both conditions.</p>}},
  author       = {{Bybrant, Mara Cerqueiro and Palmkvist, Elsa and Söderström, Hanna and Lindgren, Marie and Hildebrand, Hans and Norström, Fredrik and Carlsson, Annelie}},
  issn         = {{0803-5253}},
  keywords     = {{children and adolescents; coeliac disease12; epidemiology; register study; type 1 diabetes}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{2175--2181}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Paediatrica, International Journal of Paediatrics}},
  title        = {{The prevalence of having coeliac disease in children with type 1 diabetes was not significantly higher during the Swedish coeliac epidemic}},
  url          = {{http://dx.doi.org/10.1111/apa.16876}},
  doi          = {{10.1111/apa.16876}},
  volume       = {{112}},
  year         = {{2023}},
}