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The global impact of COVID-19 pandemic on the incidence of pediatric new-onset type 1 diabetes and ketoacidosis: A systematic review and meta-analysis

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dc.contributor.author신재일-
dc.date.accessioned2023-03-03T02:17:48Z-
dc.date.available2023-03-03T02:17:48Z-
dc.date.issued2022-11-
dc.identifier.issn0146-6615-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/192794-
dc.description.abstractViral infections may increase the risk of developing type 1 diabetes (T1D), and recent reports suggest that Coronavirus Disease 2019 (COVID-19) might have increased the incidence of pediatric T1D and/or diabetic ketoacidosis (DKA). Therefore, this meta-analysis aims to estimate the risk of global pediatric new-onset T1D, DKA, and severe DKA before and after the COVID-19 pandemic. A systematic search of MEDLINE/PubMed, CINAHL, Scopus, and EMBASE was conducted for articles published up to March 2022. A random-effects meta-analysis was performed to compare the relative risk of T1D and DKA among pediatric patients with T1D between the COVID-19 pre-pandemic and pandemic periods. We also compared glucose and HbA1c values in children who were newly diagnosed with T1D before and after the COVID-19 pandemic. The global incidence rate of T1D in the 2019 period was 19.73 per 100 000 children and 32.39 per 100 000 in the 2020 period. Compared with pre-COVID-19 pandemic, the number of worldwide pediatric new-onset T1D, DKA, and severe DKA during the first year of the COVID-19 pandemic increased by 9.5%, 25%, and 19.5%, respectively. Compared with pre-COVID-19 pandemic levels, the median glucose, and HbA1c values in newly diagnosed T1D children after the COVID-19 pandemic increased by 6.43% and 6.42%, respectively. The COVID-19 pandemic has significantly increased the risk of global pediatric new-onset T1D, DKA, and severe DKA. Moreover, higher glucose and HbA1c values in newly diagnosed T1D children after the COVID-19 pandemic mandates targeted measures to raise public and physician awareness.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherWiley-Liss-
dc.relation.isPartOfJOURNAL OF MEDICAL VIROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHCOVID-19* / epidemiology-
dc.subject.MESHChild-
dc.subject.MESHDiabetes Mellitus, Type 1* / complications-
dc.subject.MESHDiabetes Mellitus, Type 1* / diagnosis-
dc.subject.MESHDiabetes Mellitus, Type 1* / epidemiology-
dc.subject.MESHDiabetic Ketoacidosis* / epidemiology-
dc.subject.MESHGlucose-
dc.subject.MESHGlycated Hemoglobin-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHPandemics-
dc.titleThe global impact of COVID-19 pandemic on the incidence of pediatric new-onset type 1 diabetes and ketoacidosis: A systematic review and meta-analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Pediatrics (소아과학교실)-
dc.contributor.googleauthorMasoud Rahmati-
dc.contributor.googleauthorMaryam Keshvari-
dc.contributor.googleauthorShahrzad Mirnasuri-
dc.contributor.googleauthorDong K Yon-
dc.contributor.googleauthorSeung W Lee-
dc.contributor.googleauthorJae Il Shin-
dc.contributor.googleauthorLee Smith-
dc.identifier.doi10.1002/jmv.27996-
dc.contributor.localIdA02142-
dc.relation.journalcodeJ01587-
dc.identifier.eissn1096-9071-
dc.identifier.pmid35831242-
dc.subject.keywordCOVID-19-
dc.subject.keywordexercise-
dc.subject.keywordmeta-analysis-
dc.subject.keywordphysical activity-
dc.contributor.alternativeNameShin, Jae Il-
dc.contributor.affiliatedAuthor신재일-
dc.citation.volume94-
dc.citation.number11-
dc.citation.startPage5112-
dc.citation.endPage5127-
dc.identifier.bibliographicCitationJOURNAL OF MEDICAL VIROLOGY, Vol.94(11) : 5112-5127, 2022-11-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers

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