Incidence and clinical characteristics of pediatric‐onset type 2 diabetes in Hong Kong: The Hong Kong childhood diabetes registry 2008 to 2017
Objective With increasing prevalence of childhood obesity worldwide, the incidence of pediatric‐onset type 2 diabetes (T2D) is also increasing in many countries. We aim to analyze the time trend and incidence of T2D in children in Hong Kong from 2008 to 2017, and to characterize clinical characteris...
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| Veröffentlicht in: | Pediatric diabetes 2022-08, Vol.23 (5), p.556-561 |
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| creator | Tung, Joanna Yuet‐ling Kwan, Elaine Yin‐wah But, Betty Wai‐man Wong, Wilfred Hing‐sang Fu, Antony Chun‐cheung Pang, Gloria Tsang, Jennifer Wing‐yan Yau, Ho‐chung Belaramani, Kiran Wong, Lap‐ming Wong, Shirley Man‐yee Lo, Priscilla Ng, Kwok‐leung Yeung, Wilson Kwan‐yee Chan, Kwong‐tat Chan, Angela Mo‐kit Wong, Sammy Wai‐chun Tay, Ming‐kut Chung, Jacky Lee, Ching‐yin Lam, Yuen‐yu Cheung, Pik‐to |
| description | Objective
With increasing prevalence of childhood obesity worldwide, the incidence of pediatric‐onset type 2 diabetes (T2D) is also increasing in many countries. We aim to analyze the time trend and incidence of T2D in children in Hong Kong from 2008 to 2017, and to characterize clinical characteristics at diagnosis.
Methods
Data were retrieved from the Hong Kong Childhood Diabetes Registry. All children with T2D diagnosed at the age of less than 18 years from January 1, 2008 to December 31, 2017 and managed in the public health care system were included in this study.
Results
In the incident years of 2008–2017 period, 391 children were diagnosed with T2D. The crude incidence rate was 3.42 per 100,000 persons/year [95% confidence interval (CI) 3.08–3.76], which was much higher than that in last registry of 1.27 per 100,000 persons/year in 1997–2007 (P |
| doi_str_mv | 10.1111/pedi.13231 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2526137261</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2693604752</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3931-a5a94b87624c601c5f7109d55ff38d092c6678f550a315c68f8c7575e0013f543</originalsourceid><addsrcrecordid>eNp9kctqGzEUhkVpiFMnmz5AEXRTCk51GY1G3ZXcbBJoFglkJ2TNka0wllxpTPCuj-Bn7JNEjnOBLqLFOZL4-CT-g9BnSo5pWT-W0PpjyhmnH9AB5UqNRFU1H1_3_G6APuV8TwiVilf7aMC5kg0n5ABtJsH6FoIFbEKLbeeDt6bDdm6SsT0kn3tvM44Ob58xffL2399NDBl63K-XgBku11PoIWMf8DiGGb4s5Se-mcPbsQh9185jbN_wBLNiT2vMCGlwH0un8hDtOdNlOHruQ3R7fnZzMh5d_b6YnPy6GlmuOB0ZYVQ1bWTNKlsTaoWTlKhWCOd40xLFbF3LxglBDKfC1o1rrBRSQAmBu5LJEH3beZcp_llB7vXCZwtdZwLEVdZMsJpyuS1D9PU_9D6uUii_06xWvCaVFKxQ33eUTTHnBE4vk1-YtNaU6O2c9DZA_TSnAn95Vq6mC2hf0ZfBFIDugAffwfodlb4-O53spI9Cp5wZ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2693604752</pqid></control><display><type>article</type><title>Incidence and clinical characteristics of pediatric‐onset type 2 diabetes in Hong Kong: The Hong Kong childhood diabetes registry 2008 to 2017</title><source>Wiley Online Library All Journals</source><creator>Tung, Joanna Yuet‐ling ; Kwan, Elaine Yin‐wah ; But, Betty Wai‐man ; Wong, Wilfred Hing‐sang ; Fu, Antony Chun‐cheung ; Pang, Gloria ; Tsang, Jennifer Wing‐yan ; Yau, Ho‐chung ; Belaramani, Kiran ; Wong, Lap‐ming ; Wong, Shirley Man‐yee ; Lo, Priscilla ; Ng, Kwok‐leung ; Yeung, Wilson Kwan‐yee ; Chan, Kwong‐tat ; Chan, Angela Mo‐kit ; Wong, Sammy Wai‐chun ; Tay, Ming‐kut ; Chung, Jacky ; Lee, Ching‐yin ; Lam, Yuen‐yu ; Cheung, Pik‐to</creator><creatorcontrib>Tung, Joanna Yuet‐ling ; Kwan, Elaine Yin‐wah ; But, Betty Wai‐man ; Wong, Wilfred Hing‐sang ; Fu, Antony Chun‐cheung ; Pang, Gloria ; Tsang, Jennifer Wing‐yan ; Yau, Ho‐chung ; Belaramani, Kiran ; Wong, Lap‐ming ; Wong, Shirley Man‐yee ; Lo, Priscilla ; Ng, Kwok‐leung ; Yeung, Wilson Kwan‐yee ; Chan, Kwong‐tat ; Chan, Angela Mo‐kit ; Wong, Sammy Wai‐chun ; Tay, Ming‐kut ; Chung, Jacky ; Lee, Ching‐yin ; Lam, Yuen‐yu ; Cheung, Pik‐to</creatorcontrib><description>Objective
With increasing prevalence of childhood obesity worldwide, the incidence of pediatric‐onset type 2 diabetes (T2D) is also increasing in many countries. We aim to analyze the time trend and incidence of T2D in children in Hong Kong from 2008 to 2017, and to characterize clinical characteristics at diagnosis.
Methods
Data were retrieved from the Hong Kong Childhood Diabetes Registry. All children with T2D diagnosed at the age of less than 18 years from January 1, 2008 to December 31, 2017 and managed in the public health care system were included in this study.
Results
In the incident years of 2008–2017 period, 391 children were diagnosed with T2D. The crude incidence rate was 3.42 per 100,000 persons/year [95% confidence interval (CI) 3.08–3.76], which was much higher than that in last registry of 1.27 per 100,000 persons/year in 1997–2007 (P < 0.001).Most children (76%) were asymptomatic and were diagnosed by routine screening. At presentation, a significant proportion presented with co‐morbidities including fatty liver (37.9%), dyslipidaemia (35.3%), hypertension (22.5%), and microalbuminuria (12.8%).
Conclusions
The incidence of T2D in children has increased significantly in Hong Kong. Most of them were asymptomatic and picked up on routine health screening. Yet, comorbidities were commonly identified at diagnosis.</description><identifier>ISSN: 1399-543X</identifier><identifier>EISSN: 1399-5448</identifier><identifier>DOI: 10.1111/pedi.13231</identifier><identifier>PMID: 33978300</identifier><language>eng</language><publisher>Former Munksgaard: John Wiley & Sons A/S</publisher><subject>Asymptomatic ; Childhood ; childhood diabetes registry ; Children ; Comorbidity ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; Diagnosis ; Dyslipidemia ; epidemiology ; Fatty liver ; Health care ; Hong Kong ; incidence ; Medical screening ; Pediatrics ; Public health ; type 2 diabetes mellitus</subject><ispartof>Pediatric diabetes, 2022-08, Vol.23 (5), p.556-561</ispartof><rights>2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3931-a5a94b87624c601c5f7109d55ff38d092c6678f550a315c68f8c7575e0013f543</citedby><cites>FETCH-LOGICAL-c3931-a5a94b87624c601c5f7109d55ff38d092c6678f550a315c68f8c7575e0013f543</cites><orcidid>0000-0001-7897-716X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpedi.13231$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpedi.13231$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33978300$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tung, Joanna Yuet‐ling</creatorcontrib><creatorcontrib>Kwan, Elaine Yin‐wah</creatorcontrib><creatorcontrib>But, Betty Wai‐man</creatorcontrib><creatorcontrib>Wong, Wilfred Hing‐sang</creatorcontrib><creatorcontrib>Fu, Antony Chun‐cheung</creatorcontrib><creatorcontrib>Pang, Gloria</creatorcontrib><creatorcontrib>Tsang, Jennifer Wing‐yan</creatorcontrib><creatorcontrib>Yau, Ho‐chung</creatorcontrib><creatorcontrib>Belaramani, Kiran</creatorcontrib><creatorcontrib>Wong, Lap‐ming</creatorcontrib><creatorcontrib>Wong, Shirley Man‐yee</creatorcontrib><creatorcontrib>Lo, Priscilla</creatorcontrib><creatorcontrib>Ng, Kwok‐leung</creatorcontrib><creatorcontrib>Yeung, Wilson Kwan‐yee</creatorcontrib><creatorcontrib>Chan, Kwong‐tat</creatorcontrib><creatorcontrib>Chan, Angela Mo‐kit</creatorcontrib><creatorcontrib>Wong, Sammy Wai‐chun</creatorcontrib><creatorcontrib>Tay, Ming‐kut</creatorcontrib><creatorcontrib>Chung, Jacky</creatorcontrib><creatorcontrib>Lee, Ching‐yin</creatorcontrib><creatorcontrib>Lam, Yuen‐yu</creatorcontrib><creatorcontrib>Cheung, Pik‐to</creatorcontrib><title>Incidence and clinical characteristics of pediatric‐onset type 2 diabetes in Hong Kong: The Hong Kong childhood diabetes registry 2008 to 2017</title><title>Pediatric diabetes</title><addtitle>Pediatr Diabetes</addtitle><description>Objective
With increasing prevalence of childhood obesity worldwide, the incidence of pediatric‐onset type 2 diabetes (T2D) is also increasing in many countries. We aim to analyze the time trend and incidence of T2D in children in Hong Kong from 2008 to 2017, and to characterize clinical characteristics at diagnosis.
Methods
Data were retrieved from the Hong Kong Childhood Diabetes Registry. All children with T2D diagnosed at the age of less than 18 years from January 1, 2008 to December 31, 2017 and managed in the public health care system were included in this study.
Results
In the incident years of 2008–2017 period, 391 children were diagnosed with T2D. The crude incidence rate was 3.42 per 100,000 persons/year [95% confidence interval (CI) 3.08–3.76], which was much higher than that in last registry of 1.27 per 100,000 persons/year in 1997–2007 (P < 0.001).Most children (76%) were asymptomatic and were diagnosed by routine screening. At presentation, a significant proportion presented with co‐morbidities including fatty liver (37.9%), dyslipidaemia (35.3%), hypertension (22.5%), and microalbuminuria (12.8%).
Conclusions
The incidence of T2D in children has increased significantly in Hong Kong. Most of them were asymptomatic and picked up on routine health screening. Yet, comorbidities were commonly identified at diagnosis.</description><subject>Asymptomatic</subject><subject>Childhood</subject><subject>childhood diabetes registry</subject><subject>Children</subject><subject>Comorbidity</subject><subject>Diabetes</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diagnosis</subject><subject>Dyslipidemia</subject><subject>epidemiology</subject><subject>Fatty liver</subject><subject>Health care</subject><subject>Hong Kong</subject><subject>incidence</subject><subject>Medical screening</subject><subject>Pediatrics</subject><subject>Public health</subject><subject>type 2 diabetes mellitus</subject><issn>1399-543X</issn><issn>1399-5448</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kctqGzEUhkVpiFMnmz5AEXRTCk51GY1G3ZXcbBJoFglkJ2TNka0wllxpTPCuj-Bn7JNEjnOBLqLFOZL4-CT-g9BnSo5pWT-W0PpjyhmnH9AB5UqNRFU1H1_3_G6APuV8TwiVilf7aMC5kg0n5ABtJsH6FoIFbEKLbeeDt6bDdm6SsT0kn3tvM44Ob58xffL2399NDBl63K-XgBku11PoIWMf8DiGGb4s5Se-mcPbsQh9185jbN_wBLNiT2vMCGlwH0un8hDtOdNlOHruQ3R7fnZzMh5d_b6YnPy6GlmuOB0ZYVQ1bWTNKlsTaoWTlKhWCOd40xLFbF3LxglBDKfC1o1rrBRSQAmBu5LJEH3beZcp_llB7vXCZwtdZwLEVdZMsJpyuS1D9PU_9D6uUii_06xWvCaVFKxQ33eUTTHnBE4vk1-YtNaU6O2c9DZA_TSnAn95Vq6mC2hf0ZfBFIDugAffwfodlb4-O53spI9Cp5wZ</recordid><startdate>202208</startdate><enddate>202208</enddate><creator>Tung, Joanna Yuet‐ling</creator><creator>Kwan, Elaine Yin‐wah</creator><creator>But, Betty Wai‐man</creator><creator>Wong, Wilfred Hing‐sang</creator><creator>Fu, Antony Chun‐cheung</creator><creator>Pang, Gloria</creator><creator>Tsang, Jennifer Wing‐yan</creator><creator>Yau, Ho‐chung</creator><creator>Belaramani, Kiran</creator><creator>Wong, Lap‐ming</creator><creator>Wong, Shirley Man‐yee</creator><creator>Lo, Priscilla</creator><creator>Ng, Kwok‐leung</creator><creator>Yeung, Wilson Kwan‐yee</creator><creator>Chan, Kwong‐tat</creator><creator>Chan, Angela Mo‐kit</creator><creator>Wong, Sammy Wai‐chun</creator><creator>Tay, Ming‐kut</creator><creator>Chung, Jacky</creator><creator>Lee, Ching‐yin</creator><creator>Lam, Yuen‐yu</creator><creator>Cheung, Pik‐to</creator><general>John Wiley & Sons A/S</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7897-716X</orcidid></search><sort><creationdate>202208</creationdate><title>Incidence and clinical characteristics of pediatric‐onset type 2 diabetes in Hong Kong: The Hong Kong childhood diabetes registry 2008 to 2017</title><author>Tung, Joanna Yuet‐ling ; Kwan, Elaine Yin‐wah ; But, Betty Wai‐man ; Wong, Wilfred Hing‐sang ; Fu, Antony Chun‐cheung ; Pang, Gloria ; Tsang, Jennifer Wing‐yan ; Yau, Ho‐chung ; Belaramani, Kiran ; Wong, Lap‐ming ; Wong, Shirley Man‐yee ; Lo, Priscilla ; Ng, Kwok‐leung ; Yeung, Wilson Kwan‐yee ; Chan, Kwong‐tat ; Chan, Angela Mo‐kit ; Wong, Sammy Wai‐chun ; Tay, Ming‐kut ; Chung, Jacky ; Lee, Ching‐yin ; Lam, Yuen‐yu ; Cheung, Pik‐to</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3931-a5a94b87624c601c5f7109d55ff38d092c6678f550a315c68f8c7575e0013f543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Asymptomatic</topic><topic>Childhood</topic><topic>childhood diabetes registry</topic><topic>Children</topic><topic>Comorbidity</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diagnosis</topic><topic>Dyslipidemia</topic><topic>epidemiology</topic><topic>Fatty liver</topic><topic>Health care</topic><topic>Hong Kong</topic><topic>incidence</topic><topic>Medical screening</topic><topic>Pediatrics</topic><topic>Public health</topic><topic>type 2 diabetes mellitus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tung, Joanna Yuet‐ling</creatorcontrib><creatorcontrib>Kwan, Elaine Yin‐wah</creatorcontrib><creatorcontrib>But, Betty Wai‐man</creatorcontrib><creatorcontrib>Wong, Wilfred Hing‐sang</creatorcontrib><creatorcontrib>Fu, Antony Chun‐cheung</creatorcontrib><creatorcontrib>Pang, Gloria</creatorcontrib><creatorcontrib>Tsang, Jennifer Wing‐yan</creatorcontrib><creatorcontrib>Yau, Ho‐chung</creatorcontrib><creatorcontrib>Belaramani, Kiran</creatorcontrib><creatorcontrib>Wong, Lap‐ming</creatorcontrib><creatorcontrib>Wong, Shirley Man‐yee</creatorcontrib><creatorcontrib>Lo, Priscilla</creatorcontrib><creatorcontrib>Ng, Kwok‐leung</creatorcontrib><creatorcontrib>Yeung, Wilson Kwan‐yee</creatorcontrib><creatorcontrib>Chan, Kwong‐tat</creatorcontrib><creatorcontrib>Chan, Angela Mo‐kit</creatorcontrib><creatorcontrib>Wong, Sammy Wai‐chun</creatorcontrib><creatorcontrib>Tay, Ming‐kut</creatorcontrib><creatorcontrib>Chung, Jacky</creatorcontrib><creatorcontrib>Lee, Ching‐yin</creatorcontrib><creatorcontrib>Lam, Yuen‐yu</creatorcontrib><creatorcontrib>Cheung, Pik‐to</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tung, Joanna Yuet‐ling</au><au>Kwan, Elaine Yin‐wah</au><au>But, Betty Wai‐man</au><au>Wong, Wilfred Hing‐sang</au><au>Fu, Antony Chun‐cheung</au><au>Pang, Gloria</au><au>Tsang, Jennifer Wing‐yan</au><au>Yau, Ho‐chung</au><au>Belaramani, Kiran</au><au>Wong, Lap‐ming</au><au>Wong, Shirley Man‐yee</au><au>Lo, Priscilla</au><au>Ng, Kwok‐leung</au><au>Yeung, Wilson Kwan‐yee</au><au>Chan, Kwong‐tat</au><au>Chan, Angela Mo‐kit</au><au>Wong, Sammy Wai‐chun</au><au>Tay, Ming‐kut</au><au>Chung, Jacky</au><au>Lee, Ching‐yin</au><au>Lam, Yuen‐yu</au><au>Cheung, Pik‐to</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and clinical characteristics of pediatric‐onset type 2 diabetes in Hong Kong: The Hong Kong childhood diabetes registry 2008 to 2017</atitle><jtitle>Pediatric diabetes</jtitle><addtitle>Pediatr Diabetes</addtitle><date>2022-08</date><risdate>2022</risdate><volume>23</volume><issue>5</issue><spage>556</spage><epage>561</epage><pages>556-561</pages><issn>1399-543X</issn><eissn>1399-5448</eissn><abstract>Objective
With increasing prevalence of childhood obesity worldwide, the incidence of pediatric‐onset type 2 diabetes (T2D) is also increasing in many countries. We aim to analyze the time trend and incidence of T2D in children in Hong Kong from 2008 to 2017, and to characterize clinical characteristics at diagnosis.
Methods
Data were retrieved from the Hong Kong Childhood Diabetes Registry. All children with T2D diagnosed at the age of less than 18 years from January 1, 2008 to December 31, 2017 and managed in the public health care system were included in this study.
Results
In the incident years of 2008–2017 period, 391 children were diagnosed with T2D. The crude incidence rate was 3.42 per 100,000 persons/year [95% confidence interval (CI) 3.08–3.76], which was much higher than that in last registry of 1.27 per 100,000 persons/year in 1997–2007 (P < 0.001).Most children (76%) were asymptomatic and were diagnosed by routine screening. At presentation, a significant proportion presented with co‐morbidities including fatty liver (37.9%), dyslipidaemia (35.3%), hypertension (22.5%), and microalbuminuria (12.8%).
Conclusions
The incidence of T2D in children has increased significantly in Hong Kong. Most of them were asymptomatic and picked up on routine health screening. Yet, comorbidities were commonly identified at diagnosis.</abstract><cop>Former Munksgaard</cop><pub>John Wiley & Sons A/S</pub><pmid>33978300</pmid><doi>10.1111/pedi.13231</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-7897-716X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Pediatric diabetes, 2022-08, Vol.23 (5), p.556-561 |
| issn | 1399-543X 1399-5448 |
| language | eng |
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| source | Wiley Online Library All Journals |
| subjects | Asymptomatic Childhood childhood diabetes registry Children Comorbidity Diabetes Diabetes mellitus (non-insulin dependent) Diagnosis Dyslipidemia epidemiology Fatty liver Health care Hong Kong incidence Medical screening Pediatrics Public health type 2 diabetes mellitus |
| title | Incidence and clinical characteristics of pediatric‐onset type 2 diabetes in Hong Kong: The Hong Kong childhood diabetes registry 2008 to 2017 |
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