Impact of the severe acute respiratory syndrome coronavirus 2 pandemic on the incidence of type 1 diabetes mellitus in children in Yamanashi, Japan

Abstract It has been hypothesized that the biopsychosocial stress associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, in combination with the immunological effects of SARS-CoV-2 and pancreatic β-cell dysfunction, may contribute to the onset of type 1 diabetes (...

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Main Authors: Tomohiro Saito, Mie Mochizuki, Kisho Kobayashi, Hiromune Narusawa, Daisuke Watanabe, Koichi Makino, Hideaki Yagasaki, Kazumasa Sato, Tomoaki Sano, Masanori Ohta, Hiroshi Yokomichi, Shin Amemiya, Koji Kobayashi
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84654-z
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author Tomohiro Saito
Mie Mochizuki
Kisho Kobayashi
Hiromune Narusawa
Daisuke Watanabe
Koichi Makino
Hideaki Yagasaki
Kazumasa Sato
Tomoaki Sano
Masanori Ohta
Hiroshi Yokomichi
Shin Amemiya
Koji Kobayashi
author_facet Tomohiro Saito
Mie Mochizuki
Kisho Kobayashi
Hiromune Narusawa
Daisuke Watanabe
Koichi Makino
Hideaki Yagasaki
Kazumasa Sato
Tomoaki Sano
Masanori Ohta
Hiroshi Yokomichi
Shin Amemiya
Koji Kobayashi
author_sort Tomohiro Saito
collection DOAJ
description Abstract It has been hypothesized that the biopsychosocial stress associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, in combination with the immunological effects of SARS-CoV-2 and pancreatic β-cell dysfunction, may contribute to the onset of type 1 diabetes (T1D) in children. In this study, we documented the incidences of T1D in Yamanashi Prefecture, Japan, from 1986 to 2018, and expanded the analysis to include cases from 2019 to 2022 to evaluate the potential influence of coronavirus disease 2019 (COVID-19) on T1D incidence. The COVID-19 pandemic period was defined as 2020 to 2022. Data spanning from 1986 to 2022 were analyzed in annual increments, while data from 1987 to 2022 were analyzed in 3-year interval increments using Joinpoint regression analysis. Across all analyses, no joinpoints were identified, and a consistent linear increase was observed. These findings suggest that there was no statistically significant change in the incidence of T1D attributable to the COVID-19 pandemic in Yamanashi Prefecture. The annual increase in the incidence was calculated to be 3.384% per year, while the increase in the 3-year interval incidence was calculated to be 2.395% per year. Although the incidence of pediatric T1D among children aged 0–14 years in Yamanashi Prefecture increased during the COVID-19 pandemic (2020–2022), this trend appeared to be a continuation of the pre-2019 increase. The direct or indirect impact of COVID-19 on this trend could not be conclusively determined due to the limited number of cases included in this study.
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spelling doaj-art-0731ef1ecd7d48328882d4f5390927ee2025-01-05T12:14:11ZengNature PortfolioScientific Reports2045-23222025-01-0115111210.1038/s41598-024-84654-zImpact of the severe acute respiratory syndrome coronavirus 2 pandemic on the incidence of type 1 diabetes mellitus in children in Yamanashi, JapanTomohiro Saito0Mie Mochizuki1Kisho Kobayashi2Hiromune Narusawa3Daisuke Watanabe4Koichi Makino5Hideaki Yagasaki6Kazumasa Sato7Tomoaki Sano8Masanori Ohta9Hiroshi Yokomichi10Shin Amemiya11Koji Kobayashi12Department of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiDepartment of Pediatrics, Faculty of Medicine, Saitama Medical UniversityDepartment of Pediatrics, Faculty of Medicine Graduate School of Medicine, University of YamanashiAbstract It has been hypothesized that the biopsychosocial stress associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, in combination with the immunological effects of SARS-CoV-2 and pancreatic β-cell dysfunction, may contribute to the onset of type 1 diabetes (T1D) in children. In this study, we documented the incidences of T1D in Yamanashi Prefecture, Japan, from 1986 to 2018, and expanded the analysis to include cases from 2019 to 2022 to evaluate the potential influence of coronavirus disease 2019 (COVID-19) on T1D incidence. The COVID-19 pandemic period was defined as 2020 to 2022. Data spanning from 1986 to 2022 were analyzed in annual increments, while data from 1987 to 2022 were analyzed in 3-year interval increments using Joinpoint regression analysis. Across all analyses, no joinpoints were identified, and a consistent linear increase was observed. These findings suggest that there was no statistically significant change in the incidence of T1D attributable to the COVID-19 pandemic in Yamanashi Prefecture. The annual increase in the incidence was calculated to be 3.384% per year, while the increase in the 3-year interval incidence was calculated to be 2.395% per year. Although the incidence of pediatric T1D among children aged 0–14 years in Yamanashi Prefecture increased during the COVID-19 pandemic (2020–2022), this trend appeared to be a continuation of the pre-2019 increase. The direct or indirect impact of COVID-19 on this trend could not be conclusively determined due to the limited number of cases included in this study.https://doi.org/10.1038/s41598-024-84654-zType 1 diabetesCoronavirusCOVID-19SARS-CoV-2IncidencePandemic
spellingShingle Tomohiro Saito
Mie Mochizuki
Kisho Kobayashi
Hiromune Narusawa
Daisuke Watanabe
Koichi Makino
Hideaki Yagasaki
Kazumasa Sato
Tomoaki Sano
Masanori Ohta
Hiroshi Yokomichi
Shin Amemiya
Koji Kobayashi
Impact of the severe acute respiratory syndrome coronavirus 2 pandemic on the incidence of type 1 diabetes mellitus in children in Yamanashi, Japan
Scientific Reports
Type 1 diabetes
Coronavirus
COVID-19
SARS-CoV-2
Incidence
Pandemic
title Impact of the severe acute respiratory syndrome coronavirus 2 pandemic on the incidence of type 1 diabetes mellitus in children in Yamanashi, Japan
title_full Impact of the severe acute respiratory syndrome coronavirus 2 pandemic on the incidence of type 1 diabetes mellitus in children in Yamanashi, Japan
title_fullStr Impact of the severe acute respiratory syndrome coronavirus 2 pandemic on the incidence of type 1 diabetes mellitus in children in Yamanashi, Japan
title_full_unstemmed Impact of the severe acute respiratory syndrome coronavirus 2 pandemic on the incidence of type 1 diabetes mellitus in children in Yamanashi, Japan
title_short Impact of the severe acute respiratory syndrome coronavirus 2 pandemic on the incidence of type 1 diabetes mellitus in children in Yamanashi, Japan
title_sort impact of the severe acute respiratory syndrome coronavirus 2 pandemic on the incidence of type 1 diabetes mellitus in children in yamanashi japan
topic Type 1 diabetes
Coronavirus
COVID-19
SARS-CoV-2
Incidence
Pandemic
url https://doi.org/10.1038/s41598-024-84654-z
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