title: Younger age at diagnosis of type 1 diabetes mellitus in children of immigrated families born in Italy.
abstract: The aim of this study was to evaluate the age of immigrants' children at diagnosis of Type 1 diabetes (T1DM) according to their country of birth. Immigration from developing countries to a westernised area causes rapid changes in the environmental conditions, and we investigated whether the location of birth, either inside or outside Italy, is associated with age at diagnosis of diabetes. Out of a prevalent hospital-based cohort of 5718 T1DM children cared for in 2002 in 47 Italian Pediatric Diabetes Units, we recruited 195 children (M: 97) of immigrants from developing countries--119 were born in Italy and 76 outside the European Union. Children with only one immigrant parent (no. 42) were also included. Age at diagnosis of T1DM, and other variables were compared with those of Italian children. Children of immigrated families born in Italy developed T1DM at a median age of 4.0 yr (IQR 2.2-6.9), whereas those born in developing countries and that had immigrated to Italy after birth developed T1DM at a median age of 7.9 yr (IQR 5.1-10.7, p < 0.001). Among the children born in Italy, 77 had parents who were both immigrants and the children's median age at diagnosis was 3.8 yr (IQR 2.1-6.3); 42 had only one immigrant parent and, when it was the father (no. = 23), median age was even younger (2.9 yr, IQR 2.0-8.2). Ten children had immigrated in their first yr of life and their median age was 9.1 yr (IQR 5.0-10.6). The median age of the Italian children was 6.6 yr (IQR 3.6-9.5). Results show that the outbreak of T1DM is earlier in immigrants' children born in Italy than in original countries.
authors.affiliation: Department of Pediatrics "Maggiore della Carità" Hospital Novara, University of Piemonte Orientale, Italy. francesco.cadario@maggioreosp.novara.it
authors.forename: F
authors.initials: F
authors.lastname: Cadario
authors.forename: A
authors.initials: A
authors.lastname: Vercellotti
authors.forename: M
authors.initials: M
authors.lastname: Trada
authors.forename: M
authors.initials: M
authors.lastname: Zaffaroni
authors.forename: A
authors.initials: A
authors.lastname: Rapa
authors.forename: D
authors.initials: D
authors.lastname: Iafusco
authors.forename: S
authors.initials: S
authors.lastname: Salardi
authors.forename: R
authors.initials: R
authors.lastname: Baldelli
authors.forename: G
authors.initials: G
authors.lastname: Bona
mesh_terms: D017668:Age of Onset; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology* / Q000208:ethnology*; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D012307:Risk Factors