Prevalence and Predictive Factors for Celiac Disease in Children With Type 1 Diabetes : Whom and When to Screen? A Nationwide Longitudinal Cohort Study of Swedish Children

© 2024 by the American Diabetes Association..

OBJECTIVE: To examine the prevalence and predictive factors for celiac disease (CD) after a diagnosis of type 1 diabetes (T1D) in children and adolescents, to improve the current screening guidelines.

RESEARCH DESIGN AND METHODS: The association between sex, age at T1D diagnosis, HLA, and diabetes autoantibodies, and a diagnosis of CD was examined in 5,295 children with T1D from the Better Diabetes Diagnosis study in Sweden.

RESULTS: The prevalence of biopsy-proven CD was 9.8%, of which 58.2% already had a CD diagnosis before or at T1D onset. Almost all, 95.9%, were diagnosed with CD within 5 years after the T1D diagnosis. Younger age at the T1D diagnosis and being homozygote for DQ2 increased the risk of CD after T1D, but neither sex nor diabetes-related autoantibodies were associated with the risk.

CONCLUSIONS: Age at and time after diabetes diagnosis should be considered in screening guidelines for CD in children with T1D.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:47

Enthalten in:

Diabetes care - 47(2024), 4 vom: 01. März, Seite 756-760

Sprache:

Englisch

Beteiligte Personen:

Lindgren, Marie [VerfasserIn]
Norström, Fredrik [VerfasserIn]
Persson, Martina [VerfasserIn]
Elding Larsson, Helena [VerfasserIn]
Forsander, Gun [VerfasserIn]
Åkesson, Karin [VerfasserIn]
Samuelsson, Ulf [VerfasserIn]
Ludvigsson, Johnny [VerfasserIn]
Carlsson, Annelie [VerfasserIn]

Links:

Volltext

Themen:

Autoantibodies
Journal Article

Anmerkungen:

Date Completed 27.03.2024

Date Revised 30.03.2024

published: Print

Citation Status MEDLINE

doi:

10.2337/dc23-1671

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368540413