Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Epidemiologic characteristics of type 1 diabetes in children aged 14 years or under in Korea, 1985-2000

1985-2000년에 15세 미만 한국인에서 발생한 1형 당뇨병의 역학적 특징

  • Shin, Choong Ho (Department of Pediatrics, College of Medicine, Seoul National University)
  • 신충호 (서울대학교 의과대학 소아과학교실)
  • Received : 2008.04.16
  • Accepted : 2008.05.11
  • Published : 2008.06.15
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Abstract

Type 1 diabetes mellitus (T1 DM) develops in genetically susceptible individuals as a result of progressive autoimmune destruction of beta cells. There is larger global variation in incidence among children aged 0-14 years. The incidence of T1 DM in Korea is very low. The latest survey in Korea was conducted in 2001 by Korean Society of Pediatrics to analyse the childhood (0-14 years) national-wide incidence during 1 995-2000. The average childhood incidence (/100,000 and year) was 1.36 (95% CI: 1.23-1.48), higher than 1.06 of Korea in 1 994. This survey reported that higher mean annual incidence was observed in female (girls, 1.67 vs boy 1.07), older age group (10-14 years, 1.98; 5-9 years, 1.43; 0-4 years, 0.73), Kangwondo (2.09) and Seoul (1.99), and more new patients developed in spring (spring, 27.1%; winter, 26.6%; summer, 24.8%; autumn, 21.5%). The increase of childhood T1 DM incidence has occurred in every region (4.0% in Asia, 3.2% in Europe during 1990-1999). Also, steady increase in incidence was observed during 1985-2000 in Korea. This trends may be maintained or accelerated by environmental factors, known as triggers, modifiers and promoters of the T1 DM occurrence. The rising incidence of T1 DM suggests the need for continuous monitoring of incidence by using standardized methods in order to plan or assess prevention strategies.

Keywords

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