Type 1 diabetes

Incidence and trends of type 1 diabetes before and after 2000 in the Western Pacific Region: A systematic review and meta-analysis

Diabetes Res Clin PractPublished Systematic review and meta-analysis

Authors' conclusion

T1DM incidence in the WPR is generally increasing, varying by age, sex, time and country. Results increase understanding of regional T1DM incidence and inform research and healthcare strategies.

Study context

Population
Population-based studies of T1D incidence, mostly in youth, in 11 Western Pacific Region countries, published 1973–201745 studies
Outcome
Mean annual T1D incidence/100,000 person years
Follow-up
After 2000
Methodological detailssubgroup analyses by time and by region
  • Subgroup analyses by time and by region

Pooled result

As reported in the abstract

Mean annual T1D incidence/100,000 person years, aged 0-14 years

Lowest: Fiji

0.9

95 % CI, 0.6–1.3

Highest: Australia

23.2

95 % CI, 21.3–25.2

Further pooled results

Mean annual increase in incidence over time

Australia (1990-2002)
2.8 %
Shanghai (1997-2011)
14.2 %
China: largest increase, over 30-years
2.7-fold
Thailand, over 15-years
2-fold

Incidence by age and sex

Most studies documented increasing incidence with age; only two studies included people aged ≥ 20 years
Many, but not all studies reported significantly higher T1D incidence in females vs males

Original publication

Incidence and trends of type 1 diabetes before and after 2000 in the Western Pacific Region: A systematic review and meta-analysis. Diabetes Res Clin Pract. Published 15 December 2023. doi:10.1016/j.diabres.2023.111055

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