Evidence map›Paper›PMID 40888596›Full record

Observational studyDiabetes/metabolism research and reviews2025

Increased Risk of Type 1 Diabetes in Boys Under the Age of 5 Years During COVID-19 Lockdowns in Finland, Sweden and Stanford, CA, USA-An Observational Multicenter Study.

Susanna Tall, Priya Prahalad, Martin Adiels, Annika Rosengren, Suvi M Virtanen, David M Maahs, Mikael Knip

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Diabetes/metabolism research and reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Susanna TallResearch Programs Unit, Faculty of Medicine, University of Helsinki, Helsinki, Finland.ORCID 0000-0002-3746-4728
Priya PrahaladDivision of Pediatric Endocrinology, Stanford University, Stanford, California, USA.
Martin AdielsDepartment of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Annika RosengrenDepartment of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Suvi M VirtanenPopulation Department, Finnish Institute for Health and Welfare, Helsinki, Finland.
David M MaahsDivision of Pediatric Endocrinology, Stanford University, Stanford, California, USA.
Mikael KnipResearch Programs Unit, Faculty of Medicine, University of Helsinki, Helsinki, Finland.

Funding

Björkqvist foundationThe Finnish Pediatric Research FoundationThe University of Helsinki Doctoral School, UHDS
6 · The paper itself

Abstract

aimsThe COVID-19 pandemic has been associated with an increased incidence of type 1 diabetes. Changes in the type 1 diabetes incidences in countries like Sweden where very mild COVID-19 pandemic related measures were applied have not been established so far. We analysed the incidence of type 1 diabetes during the COVID-19 lockdown and before the lockdown in Sweden, Finland and Stanford, CA, USA. MATERIALS AND

methodsType 1 diabetes incidence rates during the first 18 months of the SARS-CoV-2 pandemic (3/2020-8/2021) were compared to a period before the pandemic (three corresponding 18-month terms 2014-2019) in Sweden, Finland and Stanford.

resultsIn Sweden, type 1 diabetes incidence increased by 5% (IRR 1.05; 95% CI = 0.98-1.12; p = 0.18, N = 4458), in Finland by 17% (IRR 1.17; 95% CI = 1.07-1.27; p < 0.001, N = 2881) and in Stanford by 10% (IRR = 1.10; 95% CI = 0.91-1.34; p = 0.34, N = 531) during the lockdown compared to the time before lockdown. In boys under 5 years of age, the incidence increased significantly in all regions: Sweden (IRR 1.21; 95% CI = 1.00-1.46; p = 0.05, N = 521), Finland (IRR = 1.33; 95% Cl = 1.06-1.67, p = 0.02, N = 363) and Stanford CA, USA (IRR = 2.07"; 95% Cl = 1.06-4.02, p = 0.03, N = 37).

conclusionsLockdowns during the COVID-19 pandemic may have untoward consequences such as an increased risk of type 1 diabetes in young children, boys in particular. The hygiene hypothesis may explain this finding.

Indexed as

COVID-19Diabetes Mellitus, Type 1Child, PreschoolFinlandHumansIncidenceInfantMalePandemicsRisk FactorsSARS-CoV-2SwedenUnited StatesCOVID‐19 pandemicincidencelockdownSARS‐CoV‐2type 1 diabetes

Identifiers

PMID40888596
PMCPMC12400900

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.