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Diabetologia:儿童1型糖尿病:全英格兰范围的相关性研究

2020-07-20 MedSci原创 MedSci原创

1型糖尿病是一种自身免疫性疾病,在英国约有40万人患有此病。很可能是环境因素触发了遗传易感个体的疾病过程。我们使用一种不可知论的、生态环境范围内的关联研究(EnWAS)方法,评估了各种环境因素影响。

1型糖尿病是一种自身免疫性疾病,在英国约有40万人患有此病。很可能是环境因素触发了遗传易感个体的疾病过程。我们使用一种不可知论的、生态环境范围内的关联研究(EnWAS)方法,评估了各种环境因素与英国儿童1型糖尿病发病率之间的关联,以对关于环境诱因的假设进行验证。 我们使用基于国家医院事件统计的1型糖尿病数据集进行了地方当局区域(LAD)层面的分析,该数据集包括2000年4月至2011年3月期间0-9岁的13,948名糖尿病患者。我们就一系列潜在的人口及环境风险因素(包括气象、土地用途及环境污染变数),构建了LAD分析级别的评估。通过泊松回归、疾病定位和生态回归评估1型糖尿病发病率与危险因素之间的关系。 研究结果显示,LAD的病例数从1到236(中位数33,四分位数之间24-46)。总体1型糖尿病发病率为21.2 (95% CI 20.9, 21.6) / 10万人。EnWAS和疾病图谱显示,53个人口和环境危险因素中有15个与糖尿病发病率显著相关。这些污染物包括空气污染物(颗粒物、二氧化氮、氮氧化物、一氧化碳;以及土壤中的铅、氡、夜间室外光照、过度拥挤、人口密度和种族。疾病图谱显示1型

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    2020-07-20 misszhang

    谢谢MedSci提供最新的资讯

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