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PMID: 1473616 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Concordance for type 1 (insulin-dependent) and type 2 (non-insulin-dependent) diabetes mellitus in a population-based cohort of twins in Finland.

Diabetologia ·Vol. 35 ·No. 11 ·1992-11-00 ·Pages 1060-7

Kaprio J, Tuomilehto J, Koskenvuo M, Romanov K, Reunanen A, Eriksson J, Stengård J, Kesäniemi YA

Abstract

We studied the cumulative incidence, concordance rate and heritability for diabetes mellitus in a nationwide cohort of 13,888 Finnish twin pairs of the same sex. The twins were born before 1958 and both co-twins were alive in 1967. Data on diabetes were derived through computerized record linkage from death certificates, the National Hospital Discharge Register and the National Drug Register. Records were reviewed in order to assign a diagnostic category to the 738 diabetic patients identified. Of these patients 109 had Type 1 (insulin-dependent) diabetes, 505 Type 2 (non-insulin-dependent) diabetes, 46 gestational diabetes, 24 secondary diabetes, 38 impaired glucose tolerance and 16 remained unclassified. The cumulative incidence of diabetes was 1.4% in men and 1.3% in women aged 28-59 years and 9.3% and 7.0% in men and women aged 60 years and over, respectively. The cumulative incidence did not differ between monozygotic and dizygotic twins. The concordance rate for Type 1 diabetes was higher among monozygotic (23% probandwise and 13% pairwise) than dizygotic twins (5% probandwise and 3% pairwise). The probandwise and pairwise concordance rates for Type 2 diabetes were 34% and 20% among monozygotic twins and 16% and 9% in dizygotic twins, respectively. Heritability for Type 1 diabetes was greater than that for Type 2 where both genetic and environmental effects seemed to play a significant role.

MeSH Terms
Adult Aged Aged, 80 and over Cohort Studies Diabetes Mellitus, Type 1/epidemiology,genetics Diabetes Mellitus, Type 2/epidemiology,genetics Diseases in Twins/epidemiology,genetics Female Finland/epidemiology Humans Male Middle Aged Population Registries Twins, Dizygotic Twins, Monozygotic
Authors & Affiliations
8 authors, click to expand affiliations / ORCID
Kaprio J
Department of Public Health, University of Helsinki, Finland.
Tuomilehto J
Koskenvuo M
Romanov K
Reunanen A
Eriksson J
Stengård J
Kesäniemi Y A
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Article Info
Journal
Diabetologia
Abbr.
Diabetologia
ISSN
0012-186X
DOI
10.1007/BF02221682
Published
1992-11-00
Pages
1060-7
Language
English
Region
Germany
NLM ID
0006777
Subset
IM
Corrections
CommentIn
PMID: 8314454
External Links
PubMed source DOI: 10.1007/BF02221682 View journal details
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