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Incidence of Diabetes Mellitus in Insured Swedish Cats in Relation to Age, Breed and Sex

BACKGROUND: Diabetes mellitus (DM) is a common endocrinopathy in cats. Most affected cats suffer from a type of diabetes similar to type 2 diabetes in humans. An increasing prevalence has been described in cats, as in humans, related to obesity and other lifestyle factors. OBJECTIVES: To describe th...

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Published in:Journal of veterinary internal medicine 2015-09, Vol.29 (5), p.1342-1347
Main Authors: Öhlund, M., Fall, T., Ström Holst, B., Hansson‐Hamlin, H., Bonnett, B., Egenvall, A.
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container_title Journal of veterinary internal medicine
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creator Öhlund, M.
Fall, T.
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description BACKGROUND: Diabetes mellitus (DM) is a common endocrinopathy in cats. Most affected cats suffer from a type of diabetes similar to type 2 diabetes in humans. An increasing prevalence has been described in cats, as in humans, related to obesity and other lifestyle factors. OBJECTIVES: To describe the incidence of DM in insured Swedish cats and the association of DM with demographic risk factors, such as age, breed and sex. ANIMALS: A cohort of 504,688 individual cats accounting for 1,229,699 cat‐years at risk (CYAR) insured by a Swedish insurance company from 2009 to 2013. METHODS: We used reimbursed insurance claims for the diagnosis of DM. Overall incidence rates and incidence rates stratified on year, age, breed, and sex were estimated. RESULTS: The overall incidence rate of DM in the cohort was 11.6 cases (95% confidence interval [CI], 11.0–12.2) per 10,000 CYAR. Male cats had twice as high incidence rate (15.4; 95% CI, 14.4–16.4) as females (7.6; 95% CI, 6.9–8.3). Domestic cats were at higher risk compared to purebred cats. A significant association with breed was seen, with the Burmese, Russian Blue, Norwegian Forest cat, and Abyssinian breeds at a higher risk compared to other cats. No sex predisposition was found among Burmese cats. Several breeds with a lower risk of DM were identified. CONCLUSIONS AND CLINICAL IMPORTANCE: Our results verify that the Burmese breed is at increased risk of developing DM. We also identified several previously unreported breeds with increased or decreased risk of DM.
doi_str_mv 10.1111/jvim.13584
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Most affected cats suffer from a type of diabetes similar to type 2 diabetes in humans. An increasing prevalence has been described in cats, as in humans, related to obesity and other lifestyle factors. OBJECTIVES: To describe the incidence of DM in insured Swedish cats and the association of DM with demographic risk factors, such as age, breed and sex. ANIMALS: A cohort of 504,688 individual cats accounting for 1,229,699 cat‐years at risk (CYAR) insured by a Swedish insurance company from 2009 to 2013. METHODS: We used reimbursed insurance claims for the diagnosis of DM. Overall incidence rates and incidence rates stratified on year, age, breed, and sex were estimated. RESULTS: The overall incidence rate of DM in the cohort was 11.6 cases (95% confidence interval [CI], 11.0–12.2) per 10,000 CYAR. Male cats had twice as high incidence rate (15.4; 95% CI, 14.4–16.4) as females (7.6; 95% CI, 6.9–8.3). Domestic cats were at higher risk compared to purebred cats. A significant association with breed was seen, with the Burmese, Russian Blue, Norwegian Forest cat, and Abyssinian breeds at a higher risk compared to other cats. No sex predisposition was found among Burmese cats. Several breeds with a lower risk of DM were identified. CONCLUSIONS AND CLINICAL IMPORTANCE: Our results verify that the Burmese breed is at increased risk of developing DM. We also identified several previously unreported breeds with increased or decreased risk of DM.</description><identifier>ISSN: 0891-6640</identifier><identifier>ISSN: 1939-1676</identifier><identifier>EISSN: 1939-1676</identifier><identifier>DOI: 10.1111/jvim.13584</identifier><identifier>PMID: 26179258</identifier><language>eng</language><publisher>United States: J.B. 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subjects Age Factors
Animals
Burmese
Cat Diseases - epidemiology
Cat Diseases - etiology
Cats
Clinical Science
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - etiology
Diabetes Mellitus, Type 2 - veterinary
Epidemiology
Feline
Female
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Incidence
Insurance Claim Review
Klinisk vetenskap
Male
Public Health, Global Health, Social Medicine and Epidemiology
Risk Factors
Sex Factors
SMALL ANIMAL
Species Specificity
Sweden - epidemiology
Type 2 diabetes
title Incidence of Diabetes Mellitus in Insured Swedish Cats in Relation to Age, Breed and Sex
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