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. 2024 Feb 14:68:1606491.
doi: 10.3389/ijph.2023.1606491. eCollection 2023.

The Burden of Type 1 and Type 2 Diabetes Among Adolescents and Young Adults in 24 Western European Countries, 1990-2019: Results From the Global Burden of Disease Study 2019

Benedetta Armocida  1   2 , Lorenzo Monasta  3 , Susan M Sawyer  4 , Flavia Bustreo  5 , Graziano Onder  6   7 , Giulio Castelpietra  8 , Flavia Pricci  2 , Valentina Minardi  9 , Claudia Giacomozzi  2 , Cristiana Abbafati  10 , Lauryn K Stafford  11 , Maja Pasovic  11 , Simon I Hay  11   12 , Kanyin Lian Ong  11 , Pablo Perel  13 , David Beran  14 ; GBD 2019 Europe Adolescent Diabetes
Affiliations

The Burden of Type 1 and Type 2 Diabetes Among Adolescents and Young Adults in 24 Western European Countries, 1990-2019: Results From the Global Burden of Disease Study 2019

Benedetta Armocida et al. Int J Public Health. .

Abstract

Objectives: As little is known about the burden of type 1 (T1DM) and type 2 diabetes (T2DM) in adolescents in Western Europe (WE), we aimed to explore their epidemiology among 10-24 year-olds. Methods: Estimates were retrieved from the Global Burden of Diseases Study (GBD) 2019. We reported counts, rates per 100,000 population, and percentage changes from 1990 to 2019 for prevalence, incidence and years lived with disability (YLDs) of T1DM and T2DM, and the burden of T2DM in YLDs attributable to high body mass index (HBMI), for 24 WE countries. Results: In 2019, prevalence and disability estimates were higher for T1DM than T2DM among 10-24 years old adolescents in WE. However, T2DM showed a greater increase in prevalence and disability than T1DM in the 30 years observation period in all WE countries. Prevalence increased with age, while only minor differences were observed between sexes. Conclusion: Our findings highlight the substantial burden posed by DM in WE among adolescents. Health system responses are needed for transition services, data collection systems, education, and obesity prevention.

Keywords: Western Europe; adolescent health; diabetes; global burden of disease; public health.

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Conflict of interest statement

The authors declare that they do not have any conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Prevalence rate per 100,000 population (uncertainty intervals), both sexes, 10–24 years old, in 2019, by country: Type 1 Diabetes Mellitus (Panel (A)); Type 2 Diabetes Mellitus (Panel (B)). Abbreviations: T1DM, diabetes mellitus type 1; T2DM, diabetes mellitus type 2; UK, United Kingdom. Legend: T1DMformula image T2DMformula image (Global Burden of Disease Study, 24 Western Europe countries, 2019).
FIGURE 2
FIGURE 2
Years lived with disability rate per 100,000 (uncertainty intervals) of Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus, in 2019, by sex and age. Type 1 Diabetes Mellitus (Panel A); Type 1 Diabetes Mellitus (Panel B). (Global Burden of Disease Study, Western Europe region, 2019).
FIGURE 3
FIGURE 3
High body mass Index attributable years lived with disability rate per 100,000 for Type 2 Diabetes Mellitus, both sexes, 20–24 years old, from 1990 to 2019, in three countries and Western Europe (Global Burden of Disease Study, United Kingdom, Finland, Israel and Western Europe Region, 1990–2019). Abbreviations: HBMI, high body mass index; YLDs, Years lived with disability; UK, United Kingdom *Note: The countries were selected for being the top three countries having the highest percentage change (1990–2019).
See this image and copyright information in PMC

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