Trends in Prevalence of Type 1 and Type 2 Diabetes in Children and Adolescents in the US, 2001-2017
IMPORTANCE: Changes in the prevalence of youth-onset diabetes have previously been observed. OBJECTIVE: To estimate changes in prevalence of type 1 and type 2 diabetes in youths in the US from 2001 to 2017. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional observational study, individuals y...
Gespeichert in:
| Veröffentlicht in: | JAMA : the journal of the American Medical Association 2021-08, Vol.326 (8), p.717-727 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 727 |
|---|---|
| container_issue | 8 |
| container_start_page | 717 |
| container_title | JAMA : the journal of the American Medical Association |
| container_volume | 326 |
| creator | Lawrence, Jean M Divers, Jasmin Isom, Scott Saydah, Sharon Imperatore, Giuseppina Pihoker, Catherine Marcovina, Santica M Mayer-Davis, Elizabeth J Hamman, Richard F Dolan, Lawrence Dabelea, Dana Pettitt, David J Liese, Angela D |
| description | IMPORTANCE: Changes in the prevalence of youth-onset diabetes have previously been observed. OBJECTIVE: To estimate changes in prevalence of type 1 and type 2 diabetes in youths in the US from 2001 to 2017. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional observational study, individuals younger than 20 years with physician-diagnosed diabetes were enumerated from 6 areas in the US (4 geographic areas, 1 health plan, and select American Indian reservations) for 2001, 2009, and 2017. EXPOSURES: Calendar year. MAIN OUTCOMES AND MEASURES: Estimated prevalence of physician-diagnosed type 1 and type 2 diabetes overall and by race and ethnicity, age, and sex. RESULTS: Among youths 19 years or younger, 4958 of 3.35 million had type 1 diabetes in 2001, 6672 of 3.46 million had type 1 diabetes in 2009, and 7759 of 3.61 million had type 1 diabetes in 2017; among those aged 10 to 19 years, 588 of 1.73 million had type 2 diabetes in 2001, 814 of 1.85 million had type 2 diabetes in 2009, and 1230 of 1.85 million had type 2 diabetes in 2017. The estimated type 1 diabetes prevalence per 1000 youths for those 19 years or younger increased significantly from 1.48 (95% CI, 1.44-1.52) in 2001 to 1.93 (95% CI, 1.88-1.98) in 2009 to 2.15 (95% CI, 2.10-2.20) in 2017, an absolute increase of 0.67 per 1000 youths (95%, CI, 0.64-0.70) and a 45.1% (95% CI, 40.0%-50.4%) relative increase over 16 years. The greatest absolute increases were observed among non-Hispanic White (0.93 per 1000 youths [95% CI, 0.88-0.98]) and non-Hispanic Black (0.89 per 1000 youths [95% CI, 0.88-0.98]) youths. The estimated type 2 diabetes prevalence per 1000 youths aged 10 to 19 years increased significantly from 0.34 (95% CI, 0.31-0.37) in 2001 to 0.46 (95% CI, 0.43-0.49) in 2009 to 0.67 (95% CI, 0.63-0.70) in 2017, an absolute increase of 0.32 per 1000 youths (95% CI, 0.30-0.35) and a 95.3% (95% CI, 77.0%-115.4%) relative increase over 16 years. The greatest absolute increases were observed among non-Hispanic Black (0.85 per 1000 youths [95% CI, 0.74-0.97]) and Hispanic (0.57 per 1000 youths [95% CI, 0.51-0.64]) youths. CONCLUSIONS AND RELEVANCE: In 6 areas of the US from 2001 to 2017, the estimated prevalence of diabetes among children and adolescents increased for both type 1 and type 2 diabetes. |
| doi_str_mv | 10.1001/jama.2021.11165 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8385600</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>2783420</ama_id><sourcerecordid>2564138504</sourcerecordid><originalsourceid>FETCH-LOGICAL-a486t-90b4927a4311ab1340bed82c90403465c7cf0f4a50bd6b940a10a6452f977cee3</originalsourceid><addsrcrecordid>eNpdkc1r3DAQxUVJabZpz4EcgiCXHurNjD4s-RIIm35BoIVuzkK2x1kvXnsjeQP57yvvJqGtLhK834zmzWPsFGGOAHi59hs_FyBwjoi5fsNmqKXNpC7sEZsBFDYzyqpj9j7GNaSD0rxjx1IpYXKAGauWgfo68rbnvwI9-o76ivjQ8OXTljhy39eHp-A3rS9ppD27WLVdnSr3-nU9dBQr6se9Nq6I3_3-zEX6LROA5gN72_gu0sfn-4Tdff2yXHzPbn9--7G4vs28svmYFVCqQhivJKIvUSooqbaiKkCBVLmuTNVAo7yGss7LQoFH8LnSoimMqYjkCbs69N3uyg3V00DBd24b2o0PT27wrftX6duVux8enZVWp22kBp-eG4ThYUdxdJs2-eo639Owi07oXGFiQSX04j90PexCn-wlKq0cdPKUqMsDVYUhxkDN6zAIbgrQTQG6KUC3DzBVnP_t4ZV_SSwBZwdgKnxRhbFSCZB_AA2om6U</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2574805486</pqid></control><display><type>article</type><title>Trends in Prevalence of Type 1 and Type 2 Diabetes in Children and Adolescents in the US, 2001-2017</title><source>MEDLINE</source><source>American Medical Association Journals</source><creator>Lawrence, Jean M ; Divers, Jasmin ; Isom, Scott ; Saydah, Sharon ; Imperatore, Giuseppina ; Pihoker, Catherine ; Marcovina, Santica M ; Mayer-Davis, Elizabeth J ; Hamman, Richard F ; Dolan, Lawrence ; Dabelea, Dana ; Pettitt, David J ; Liese, Angela D</creator><creatorcontrib>Lawrence, Jean M ; Divers, Jasmin ; Isom, Scott ; Saydah, Sharon ; Imperatore, Giuseppina ; Pihoker, Catherine ; Marcovina, Santica M ; Mayer-Davis, Elizabeth J ; Hamman, Richard F ; Dolan, Lawrence ; Dabelea, Dana ; Pettitt, David J ; Liese, Angela D ; SEARCH for Diabetes in Youth Study Group</creatorcontrib><description>IMPORTANCE: Changes in the prevalence of youth-onset diabetes have previously been observed. OBJECTIVE: To estimate changes in prevalence of type 1 and type 2 diabetes in youths in the US from 2001 to 2017. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional observational study, individuals younger than 20 years with physician-diagnosed diabetes were enumerated from 6 areas in the US (4 geographic areas, 1 health plan, and select American Indian reservations) for 2001, 2009, and 2017. EXPOSURES: Calendar year. MAIN OUTCOMES AND MEASURES: Estimated prevalence of physician-diagnosed type 1 and type 2 diabetes overall and by race and ethnicity, age, and sex. RESULTS: Among youths 19 years or younger, 4958 of 3.35 million had type 1 diabetes in 2001, 6672 of 3.46 million had type 1 diabetes in 2009, and 7759 of 3.61 million had type 1 diabetes in 2017; among those aged 10 to 19 years, 588 of 1.73 million had type 2 diabetes in 2001, 814 of 1.85 million had type 2 diabetes in 2009, and 1230 of 1.85 million had type 2 diabetes in 2017. The estimated type 1 diabetes prevalence per 1000 youths for those 19 years or younger increased significantly from 1.48 (95% CI, 1.44-1.52) in 2001 to 1.93 (95% CI, 1.88-1.98) in 2009 to 2.15 (95% CI, 2.10-2.20) in 2017, an absolute increase of 0.67 per 1000 youths (95%, CI, 0.64-0.70) and a 45.1% (95% CI, 40.0%-50.4%) relative increase over 16 years. The greatest absolute increases were observed among non-Hispanic White (0.93 per 1000 youths [95% CI, 0.88-0.98]) and non-Hispanic Black (0.89 per 1000 youths [95% CI, 0.88-0.98]) youths. The estimated type 2 diabetes prevalence per 1000 youths aged 10 to 19 years increased significantly from 0.34 (95% CI, 0.31-0.37) in 2001 to 0.46 (95% CI, 0.43-0.49) in 2009 to 0.67 (95% CI, 0.63-0.70) in 2017, an absolute increase of 0.32 per 1000 youths (95% CI, 0.30-0.35) and a 95.3% (95% CI, 77.0%-115.4%) relative increase over 16 years. The greatest absolute increases were observed among non-Hispanic Black (0.85 per 1000 youths [95% CI, 0.74-0.97]) and Hispanic (0.57 per 1000 youths [95% CI, 0.51-0.64]) youths. CONCLUSIONS AND RELEVANCE: In 6 areas of the US from 2001 to 2017, the estimated prevalence of diabetes among children and adolescents increased for both type 1 and type 2 diabetes.</description><identifier>ISSN: 0098-7484</identifier><identifier>EISSN: 1538-3598</identifier><identifier>DOI: 10.1001/jama.2021.11165</identifier><identifier>PMID: 34427600</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Adolescent ; Adolescents ; Child ; Child, Preschool ; Children ; Cross-Sectional Studies ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (insulin dependent) ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetes Mellitus, Type 1 - ethnology ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - ethnology ; Female ; Hispanic people ; Humans ; Male ; Minority & ethnic groups ; Native reservations ; Original Investigation ; Prevalence ; Teenagers ; United States - epidemiology ; Young Adult</subject><ispartof>JAMA : the journal of the American Medical Association, 2021-08, Vol.326 (8), p.717-727</ispartof><rights>Copyright American Medical Association Aug 24-Aug 31, 2021</rights><rights>Copyright 2021 American Medical Association. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a486t-90b4927a4311ab1340bed82c90403465c7cf0f4a50bd6b940a10a6452f977cee3</citedby><cites>FETCH-LOGICAL-a486t-90b4927a4311ab1340bed82c90403465c7cf0f4a50bd6b940a10a6452f977cee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jama/articlepdf/10.1001/jama.2021.11165$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2021.11165$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,230,314,776,780,881,3327,27901,27902,76232,76235</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34427600$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lawrence, Jean M</creatorcontrib><creatorcontrib>Divers, Jasmin</creatorcontrib><creatorcontrib>Isom, Scott</creatorcontrib><creatorcontrib>Saydah, Sharon</creatorcontrib><creatorcontrib>Imperatore, Giuseppina</creatorcontrib><creatorcontrib>Pihoker, Catherine</creatorcontrib><creatorcontrib>Marcovina, Santica M</creatorcontrib><creatorcontrib>Mayer-Davis, Elizabeth J</creatorcontrib><creatorcontrib>Hamman, Richard F</creatorcontrib><creatorcontrib>Dolan, Lawrence</creatorcontrib><creatorcontrib>Dabelea, Dana</creatorcontrib><creatorcontrib>Pettitt, David J</creatorcontrib><creatorcontrib>Liese, Angela D</creatorcontrib><creatorcontrib>SEARCH for Diabetes in Youth Study Group</creatorcontrib><title>Trends in Prevalence of Type 1 and Type 2 Diabetes in Children and Adolescents in the US, 2001-2017</title><title>JAMA : the journal of the American Medical Association</title><addtitle>JAMA</addtitle><description>IMPORTANCE: Changes in the prevalence of youth-onset diabetes have previously been observed. OBJECTIVE: To estimate changes in prevalence of type 1 and type 2 diabetes in youths in the US from 2001 to 2017. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional observational study, individuals younger than 20 years with physician-diagnosed diabetes were enumerated from 6 areas in the US (4 geographic areas, 1 health plan, and select American Indian reservations) for 2001, 2009, and 2017. EXPOSURES: Calendar year. MAIN OUTCOMES AND MEASURES: Estimated prevalence of physician-diagnosed type 1 and type 2 diabetes overall and by race and ethnicity, age, and sex. RESULTS: Among youths 19 years or younger, 4958 of 3.35 million had type 1 diabetes in 2001, 6672 of 3.46 million had type 1 diabetes in 2009, and 7759 of 3.61 million had type 1 diabetes in 2017; among those aged 10 to 19 years, 588 of 1.73 million had type 2 diabetes in 2001, 814 of 1.85 million had type 2 diabetes in 2009, and 1230 of 1.85 million had type 2 diabetes in 2017. The estimated type 1 diabetes prevalence per 1000 youths for those 19 years or younger increased significantly from 1.48 (95% CI, 1.44-1.52) in 2001 to 1.93 (95% CI, 1.88-1.98) in 2009 to 2.15 (95% CI, 2.10-2.20) in 2017, an absolute increase of 0.67 per 1000 youths (95%, CI, 0.64-0.70) and a 45.1% (95% CI, 40.0%-50.4%) relative increase over 16 years. The greatest absolute increases were observed among non-Hispanic White (0.93 per 1000 youths [95% CI, 0.88-0.98]) and non-Hispanic Black (0.89 per 1000 youths [95% CI, 0.88-0.98]) youths. The estimated type 2 diabetes prevalence per 1000 youths aged 10 to 19 years increased significantly from 0.34 (95% CI, 0.31-0.37) in 2001 to 0.46 (95% CI, 0.43-0.49) in 2009 to 0.67 (95% CI, 0.63-0.70) in 2017, an absolute increase of 0.32 per 1000 youths (95% CI, 0.30-0.35) and a 95.3% (95% CI, 77.0%-115.4%) relative increase over 16 years. The greatest absolute increases were observed among non-Hispanic Black (0.85 per 1000 youths [95% CI, 0.74-0.97]) and Hispanic (0.57 per 1000 youths [95% CI, 0.51-0.64]) youths. CONCLUSIONS AND RELEVANCE: In 6 areas of the US from 2001 to 2017, the estimated prevalence of diabetes among children and adolescents increased for both type 1 and type 2 diabetes.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetes Mellitus, Type 1 - ethnology</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - ethnology</subject><subject>Female</subject><subject>Hispanic people</subject><subject>Humans</subject><subject>Male</subject><subject>Minority & ethnic groups</subject><subject>Native reservations</subject><subject>Original Investigation</subject><subject>Prevalence</subject><subject>Teenagers</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0098-7484</issn><issn>1538-3598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1r3DAQxUVJabZpz4EcgiCXHurNjD4s-RIIm35BoIVuzkK2x1kvXnsjeQP57yvvJqGtLhK834zmzWPsFGGOAHi59hs_FyBwjoi5fsNmqKXNpC7sEZsBFDYzyqpj9j7GNaSD0rxjx1IpYXKAGauWgfo68rbnvwI9-o76ivjQ8OXTljhy39eHp-A3rS9ppD27WLVdnSr3-nU9dBQr6se9Nq6I3_3-zEX6LROA5gN72_gu0sfn-4Tdff2yXHzPbn9--7G4vs28svmYFVCqQhivJKIvUSooqbaiKkCBVLmuTNVAo7yGss7LQoFH8LnSoimMqYjkCbs69N3uyg3V00DBd24b2o0PT27wrftX6duVux8enZVWp22kBp-eG4ThYUdxdJs2-eo639Owi07oXGFiQSX04j90PexCn-wlKq0cdPKUqMsDVYUhxkDN6zAIbgrQTQG6KUC3DzBVnP_t4ZV_SSwBZwdgKnxRhbFSCZB_AA2om6U</recordid><startdate>20210824</startdate><enddate>20210824</enddate><creator>Lawrence, Jean M</creator><creator>Divers, Jasmin</creator><creator>Isom, Scott</creator><creator>Saydah, Sharon</creator><creator>Imperatore, Giuseppina</creator><creator>Pihoker, Catherine</creator><creator>Marcovina, Santica M</creator><creator>Mayer-Davis, Elizabeth J</creator><creator>Hamman, Richard F</creator><creator>Dolan, Lawrence</creator><creator>Dabelea, Dana</creator><creator>Pettitt, David J</creator><creator>Liese, Angela D</creator><general>American Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210824</creationdate><title>Trends in Prevalence of Type 1 and Type 2 Diabetes in Children and Adolescents in the US, 2001-2017</title><author>Lawrence, Jean M ; Divers, Jasmin ; Isom, Scott ; Saydah, Sharon ; Imperatore, Giuseppina ; Pihoker, Catherine ; Marcovina, Santica M ; Mayer-Davis, Elizabeth J ; Hamman, Richard F ; Dolan, Lawrence ; Dabelea, Dana ; Pettitt, David J ; Liese, Angela D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a486t-90b4927a4311ab1340bed82c90403465c7cf0f4a50bd6b940a10a6452f977cee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (insulin dependent)</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 1 - epidemiology</topic><topic>Diabetes Mellitus, Type 1 - ethnology</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - ethnology</topic><topic>Female</topic><topic>Hispanic people</topic><topic>Humans</topic><topic>Male</topic><topic>Minority & ethnic groups</topic><topic>Native reservations</topic><topic>Original Investigation</topic><topic>Prevalence</topic><topic>Teenagers</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lawrence, Jean M</creatorcontrib><creatorcontrib>Divers, Jasmin</creatorcontrib><creatorcontrib>Isom, Scott</creatorcontrib><creatorcontrib>Saydah, Sharon</creatorcontrib><creatorcontrib>Imperatore, Giuseppina</creatorcontrib><creatorcontrib>Pihoker, Catherine</creatorcontrib><creatorcontrib>Marcovina, Santica M</creatorcontrib><creatorcontrib>Mayer-Davis, Elizabeth J</creatorcontrib><creatorcontrib>Hamman, Richard F</creatorcontrib><creatorcontrib>Dolan, Lawrence</creatorcontrib><creatorcontrib>Dabelea, Dana</creatorcontrib><creatorcontrib>Pettitt, David J</creatorcontrib><creatorcontrib>Liese, Angela D</creatorcontrib><creatorcontrib>SEARCH for Diabetes in Youth Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JAMA : the journal of the American Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lawrence, Jean M</au><au>Divers, Jasmin</au><au>Isom, Scott</au><au>Saydah, Sharon</au><au>Imperatore, Giuseppina</au><au>Pihoker, Catherine</au><au>Marcovina, Santica M</au><au>Mayer-Davis, Elizabeth J</au><au>Hamman, Richard F</au><au>Dolan, Lawrence</au><au>Dabelea, Dana</au><au>Pettitt, David J</au><au>Liese, Angela D</au><aucorp>SEARCH for Diabetes in Youth Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in Prevalence of Type 1 and Type 2 Diabetes in Children and Adolescents in the US, 2001-2017</atitle><jtitle>JAMA : the journal of the American Medical Association</jtitle><addtitle>JAMA</addtitle><date>2021-08-24</date><risdate>2021</risdate><volume>326</volume><issue>8</issue><spage>717</spage><epage>727</epage><pages>717-727</pages><issn>0098-7484</issn><eissn>1538-3598</eissn><abstract>IMPORTANCE: Changes in the prevalence of youth-onset diabetes have previously been observed. OBJECTIVE: To estimate changes in prevalence of type 1 and type 2 diabetes in youths in the US from 2001 to 2017. DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional observational study, individuals younger than 20 years with physician-diagnosed diabetes were enumerated from 6 areas in the US (4 geographic areas, 1 health plan, and select American Indian reservations) for 2001, 2009, and 2017. EXPOSURES: Calendar year. MAIN OUTCOMES AND MEASURES: Estimated prevalence of physician-diagnosed type 1 and type 2 diabetes overall and by race and ethnicity, age, and sex. RESULTS: Among youths 19 years or younger, 4958 of 3.35 million had type 1 diabetes in 2001, 6672 of 3.46 million had type 1 diabetes in 2009, and 7759 of 3.61 million had type 1 diabetes in 2017; among those aged 10 to 19 years, 588 of 1.73 million had type 2 diabetes in 2001, 814 of 1.85 million had type 2 diabetes in 2009, and 1230 of 1.85 million had type 2 diabetes in 2017. The estimated type 1 diabetes prevalence per 1000 youths for those 19 years or younger increased significantly from 1.48 (95% CI, 1.44-1.52) in 2001 to 1.93 (95% CI, 1.88-1.98) in 2009 to 2.15 (95% CI, 2.10-2.20) in 2017, an absolute increase of 0.67 per 1000 youths (95%, CI, 0.64-0.70) and a 45.1% (95% CI, 40.0%-50.4%) relative increase over 16 years. The greatest absolute increases were observed among non-Hispanic White (0.93 per 1000 youths [95% CI, 0.88-0.98]) and non-Hispanic Black (0.89 per 1000 youths [95% CI, 0.88-0.98]) youths. The estimated type 2 diabetes prevalence per 1000 youths aged 10 to 19 years increased significantly from 0.34 (95% CI, 0.31-0.37) in 2001 to 0.46 (95% CI, 0.43-0.49) in 2009 to 0.67 (95% CI, 0.63-0.70) in 2017, an absolute increase of 0.32 per 1000 youths (95% CI, 0.30-0.35) and a 95.3% (95% CI, 77.0%-115.4%) relative increase over 16 years. The greatest absolute increases were observed among non-Hispanic Black (0.85 per 1000 youths [95% CI, 0.74-0.97]) and Hispanic (0.57 per 1000 youths [95% CI, 0.51-0.64]) youths. CONCLUSIONS AND RELEVANCE: In 6 areas of the US from 2001 to 2017, the estimated prevalence of diabetes among children and adolescents increased for both type 1 and type 2 diabetes.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>34427600</pmid><doi>10.1001/jama.2021.11165</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0098-7484 |
| ispartof | JAMA : the journal of the American Medical Association, 2021-08, Vol.326 (8), p.717-727 |
| issn | 0098-7484 1538-3598 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8385600 |
| source | MEDLINE; American Medical Association Journals |
| subjects | Adolescent Adolescents Child Child, Preschool Children Cross-Sectional Studies Diabetes Diabetes mellitus Diabetes mellitus (insulin dependent) Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 1 - epidemiology Diabetes Mellitus, Type 1 - ethnology Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - ethnology Female Hispanic people Humans Male Minority & ethnic groups Native reservations Original Investigation Prevalence Teenagers United States - epidemiology Young Adult |
| title | Trends in Prevalence of Type 1 and Type 2 Diabetes in Children and Adolescents in the US, 2001-2017 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T04%3A03%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Trends%20in%20Prevalence%20of%20Type%201%20and%20Type%202%20Diabetes%20in%20Children%20and%20Adolescents%20in%20the%20US,%202001-2017&rft.jtitle=JAMA%20:%20the%20journal%20of%20the%20American%20Medical%20Association&rft.au=Lawrence,%20Jean%20M&rft.aucorp=SEARCH%20for%20Diabetes%20in%20Youth%20Study%20Group&rft.date=2021-08-24&rft.volume=326&rft.issue=8&rft.spage=717&rft.epage=727&rft.pages=717-727&rft.issn=0098-7484&rft.eissn=1538-3598&rft_id=info:doi/10.1001/jama.2021.11165&rft_dat=%3Cproquest_pubme%3E2564138504%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2574805486&rft_id=info:pmid/34427600&rft_ama_id=2783420&rfr_iscdi=true |