Time trends of chronic immune diseases by year of birth in Danish registries

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Chronic immune diseases are often reported to be on the rise and are speculated to share early life risk factors. Here, we investigated year of birth as a common denominator for time trends using the consistent data source of the Danish National Patient Registry with 35 years nationwide coverage. Observational nationwide birth cohort registry study, where persons born in Denmark since 1953 were investigated for chronic immune diseases per person years at risk. Outcomes were defined by inpatient hospitalizations in pre-chosen age bins by year of birth in 5 year bins. A population of 3.8 million persons born in Denmark since 1953 was investigated for a total sum of 68 million person years in the ages 5–34 years. We found increasing trends by year of birth for juvenile arthritis age 10–14, adult asthma age 20–24, inflammatory bowel diseases age 20–24, and multiple sclerosis age 25–29, whereas type 1 diabetes age 15–19 was declining until birth year mid 1980s followed by a subsequent increase. Childhood asthma age 5–9 inpatient hospitalizations were relatively stable over time. Nationwide introduction of measles, mumps, rubella vaccine in 1987 did not alter the trends. Hospitalization for the chronic immune diseases adult asthma, juvenile arthritis, inflammatory bowel diseases and multiple sclerosis showed a general increasing trend by birth year in recent 35 years while diabetes 1 and childhood asthma seemed stable in this period. These results were not affected by the introduction of vaccinations against the major childhood viral infections.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Epidemiology
Vol/bind36
Udgave nummer11
Sider (fra-til)1179-1185
Antal sider7
ISSN0393-2990
DOI
StatusUdgivet - 2021

Bibliografisk note

Funding Information:
All funding received by COPSAC is listed on www.copsac.com . The Lundbeck Foundation (Grant No R16-A1694); The Ministry of Health (Grant No 903516); Danish Council for Strategic Research (Grant No 0603-00280B) and The Capital Region Research Foundation have provided core support to the COPSAC research center. No funding source had any involvement in this study.

Publisher Copyright:
© 2021, Springer Nature B.V.

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