BACKGROUND Type 1 diabetes mellitus(T1DM)is an autoimmune disease with a multifactorial pathogenesis.Viral infections have been proposed as contributing triggers,supported by the disease’s seasonal pattern,which typi...BACKGROUND Type 1 diabetes mellitus(T1DM)is an autoimmune disease with a multifactorial pathogenesis.Viral infections have been proposed as contributing triggers,supported by the disease’s seasonal pattern,which typically shows higher incidence in autumn and winter.The coronavirus disease 2019(COVID-19)pandemic and associated lockdowns created a unique context to examine the incidence and seasonality of T1DM during a period characterized by reduced circulation of common viral infections.AIM To investigate the incidence and seasonality of T1DM before and during COVID-19 pandemic in relation to global viral infection rates.METHODS This population-based retrospective study utilized a nationwide computerized database.Extracted data included the number of new T1DM cases over the 8 years preceding and during the COVID-19 pandemic,demographic characteristics of affected individuals,and nationwide respiratory virus polymerase chain reaction data from weekly nasal wash sample collections.RESULTS A total of 2176 patients were diagnosed with new-onset T1DM during the prepandemic period,compared to 348 cases during the pandemic.In the same periods,33727 respiratory virus-positive polymerase chain reaction results from nasal wash samples were recorded pre-pandemic,compared to 2603 during the pandemic.Additionally,363399 positive COVID-19 cases were reported during the pandemic period.Seasonality analysis revealed a higher rate of new-onset T1DM cases and a weaker seasonal pattern during the pandemic.Trend analysis showed a consistent increase in T1DM incidence prior to COVID-19,with a more variable trend observed during the pandemic.Correlation analysis between T1DM incidence and respiratory viruses demonstrated a weak correlation between T1DM incidence and a few respiratory viruses.CONCLUSION The observed increase in new-onset T1DM cases and the disruption of its typical seasonal pattern during the COVID-19 pandemic suggest a potential association between respiratory virus exposure and the development of T1DM.展开更多
文摘BACKGROUND Type 1 diabetes mellitus(T1DM)is an autoimmune disease with a multifactorial pathogenesis.Viral infections have been proposed as contributing triggers,supported by the disease’s seasonal pattern,which typically shows higher incidence in autumn and winter.The coronavirus disease 2019(COVID-19)pandemic and associated lockdowns created a unique context to examine the incidence and seasonality of T1DM during a period characterized by reduced circulation of common viral infections.AIM To investigate the incidence and seasonality of T1DM before and during COVID-19 pandemic in relation to global viral infection rates.METHODS This population-based retrospective study utilized a nationwide computerized database.Extracted data included the number of new T1DM cases over the 8 years preceding and during the COVID-19 pandemic,demographic characteristics of affected individuals,and nationwide respiratory virus polymerase chain reaction data from weekly nasal wash sample collections.RESULTS A total of 2176 patients were diagnosed with new-onset T1DM during the prepandemic period,compared to 348 cases during the pandemic.In the same periods,33727 respiratory virus-positive polymerase chain reaction results from nasal wash samples were recorded pre-pandemic,compared to 2603 during the pandemic.Additionally,363399 positive COVID-19 cases were reported during the pandemic period.Seasonality analysis revealed a higher rate of new-onset T1DM cases and a weaker seasonal pattern during the pandemic.Trend analysis showed a consistent increase in T1DM incidence prior to COVID-19,with a more variable trend observed during the pandemic.Correlation analysis between T1DM incidence and respiratory viruses demonstrated a weak correlation between T1DM incidence and a few respiratory viruses.CONCLUSION The observed increase in new-onset T1DM cases and the disruption of its typical seasonal pattern during the COVID-19 pandemic suggest a potential association between respiratory virus exposure and the development of T1DM.
