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  • Myléus, Anna,1978-Umeå universitet,Epidemiologi och folkhälsovetenskap,Umeå University (author)

Celiac disease revealed in 3% of Swedish 12-year-olds born during an epidemic

  • Article/chapterEnglish2009

Publisher, publication year, extent ...

  • New York :Raven P,2009
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-25334
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-25334URI
  • https://doi.org/10.1097/MPG.0b013e31818c52ccDOI
  • https://lup.lub.lu.se/record/1434324URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-21259URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Objetive: Sweden experienced a marked epidemic of celiac disease between 1984 and 1996 in children younger than 2 years of age, partly explained by changes in infant feeding. The objective of this study was to determine the prevalence of celiac disease in 12-year-olds born during the epidemic (1993), including both symptomatic and screening detected cases.Patients and methods: All sixth-grade children in participating schools were invited (n = 10,041). Symptomatic and, therefore, previously diagnosed celiac disease cases were ascertained through the National Swedish Childhood Celiac Disease Register and/or medical records. All serum samples were analyzed for antihuman tissue transglutaminase (tTG)-IgA (Celikey), and serum-IgA, and some for tTG-IgG and endomysial antibodies. A small intestinal biopsy was recommended for all children with suspected undiagnosed celiac disease.Results: Participation was accepted by 7567 families (75%). Previously diagnosed celiac disease was found in 67 children; 8.9/1000 (95% confidence interval [CI] 6.7-11). In another 192 children, a small intestinal biopsy was recommended and was performed in 180. Celiac disease was verified in 145 children, 20/1000 (95% CI 17-23). The total prevalence was 29/1000 (95% CI 25-33).Conclusions: The celiac disease prevalence of 29/1000 (3%)-with two thirds of cases undiagnosed before screening-is 3-fold higher than the usually suggested prevalence of 1%. When these 12-year-olds were infants, the prevailing feeding practice was to introduce gluten abruptly, often without ongoing breast-feeding, which might have contributed to this unexpectedly high prevalence.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Ivarsson, AnneliLund University,Lunds universitet,Umeå universitet,Epidemiologi och folkhälsovetenskap,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Umeå University(Swepub:lu)med-acs (author)
  • Webb, CharlottaLund University Hospital (author)
  • Danielsson, LarsNorrtälje Hospital (author)
  • Hernell, OlleUmeå universitet,Pediatrik,Umeå University(Swepub:umu)olhe0002 (author)
  • Högberg, LottaÖstergötlands Läns Landsting,Linköpings universitet,Pediatrik,Hälsouniversitetet,Barn- och ungdomskliniken i Norrköping(Swepub:liu)lotho28 (author)
  • Karlsson, EvaVäxjö Hospital (author)
  • Lagerqvist, CarinaUmeå universitet,Pediatrik,Umeå University(Swepub:umu)cala0025 (author)
  • Norström, FredrikUmeå universitet,Epidemiologi och folkhälsovetenskap,Umeå University(Swepub:umu)frno0004 (author)
  • Rosén, AnnaUmeå universitet,Epidemiologi och folkhälsovetenskap,Umeå University(Swepub:umu)anaron95 (author)
  • Sandström, OlofUmeå universitet,Pediatrik,Umeå University(Swepub:umu)olsa0022 (author)
  • Stenhammar, LarsÖstergötlands Läns Landsting,Linköpings universitet,Pediatrik,Hälsouniversitetet,Barn- och ungdomskliniken i Linköping(Swepub:liu)larst66 (author)
  • Stenlund, HansUmeå universitet,Epidemiologi och folkhälsovetenskap,Umeå University(Swepub:umu)hast0001 (author)
  • Wall, StigUmeå universitet,Epidemiologi och folkhälsovetenskap,Umeå University(Swepub:umu)stwa0001 (author)
  • Carlsson, Annelie (author)
  • Umeå universitetEpidemiologi och folkhälsovetenskap (creator_code:org_t)

Related titles

  • In:Journal of Pediatric Gastroenterology and Nutrition - JPGNNew York : Raven P49:2, s. 170-1760277-21161536-4801

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