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Difference in celiac disease risk between Swedish birth cohorts suggests an opportunity for primary prevention.

Difference in celiac disease risk between Swedish birth cohorts suggests an opportunity for primary prevention. Research Abstract Details 

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  • Difference in celiac disease risk between Swedish birth cohorts suggests an opportunity for primary prevention. Abstract Text:

    OBJECTIVES. Sweden experienced a unique epidemic of celiac disease in children <2 years of age. The epidemic was partly explained by changes in infant feeding over time and indicated a multifactorial pathogenesis. The main aim of this study was to analyze celiac disease risk in epidemic and postepidemic birth cohorts up to preschool age, to explore further the opportunity for primary prevention. METHODS. A population-based incidence register of celiac disease in children covering the entire nation from 1998 to 2003 and part of the country back to 1973 was analyzed. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition diagnostic criteria for celiac disease were used. The annual incidence rate for each age group and the cumulative incidence according to age for each birth cohort were calculated. RESULTS. A considerable difference in cumulative incidences of celiac disease at comparable ages was demonstrated between birth cohorts from the epidemic and postepidemic periods. The difference persisted during the preschool years, although it decreased somewhat with age. During the last years of the follow-up period, there was again a successive increase in incidence rate among children <2 years of age. CONCLUSIONS. The difference in celiac disease risk between birth cohorts at comparable ages suggests an opportunity for primary prevention. This highlights the importance of further exploring the role of infant feeding and exogenous factors besides dietary gluten that might initiate or prevent disease development. Moreover, on the basis of postepidemic incidence trends, we speculate that the Swedish epidemic might not have been as unique as thought previously, although its magnitude was striking.

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    Difference in celiac disease risk between Swedish birth cohorts suggests an opportunity for primary prevention. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Pediatrics

    VOLUME: 122

    Page Numbers: 528-34

    Journal Abbreviation: Pediatrics

    ISSN: 1098-4275

    DAY: 2

    MONTH: Sep

    YEAR: 2008

    Difference in celiac disease risk between Swedish birth cohorts suggests an opportunity for primary prevention. Information

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    LANGUAGE: eng

    NlmUniqueID: 376422

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    Grant and Affiliation Information for Difference in celiac disease risk between Swedish birth cohorts suggests an opportunity for primary prevention.

    AFFILIATION: RD, Department of Food and Nutrition, Umeå University, SE-901 87 Umeå, Sweden. cecilia.olsson@kost.umu.se.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Pediatrics

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