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Birth weight and type 1 diabetes among schoolchildren in Taiwan--A population-based case-controlled study
Jung-Nan Wei1, Hung-Yuan Li, Chia-Hsiung Chang
1Chia Nan University of Pharmacy and Science, Tainan 717, Taiwan.
Insights
Low birth weight is linked to a higher risk of developing type 1 diabetes in children. This study analyzed birth records and diabetes surveillance data in Taiwanese schoolchildren.
Area of Science:
- Pediatrics
- Endocrinology
- Epidemiology
Background:
- Type 1 diabetes is a significant health concern in children.
- Understanding risk factors for type 1 diabetes is crucial for prevention and early intervention.
Purpose of the Study:
- To investigate the association between birth weight and the incidence of type 1 diabetes in Taiwanese schoolchildren.
- To determine if low birth weight is a risk factor for type 1 diabetes.
Main Methods:
- Analysis of data from the Taiwan national birth registry and a diabetes surveillance program (1992-1997).
- Inclusion of schoolchildren aged 6-18 years, with data on birth history, diabetes type, and other potential risk factors.
- Statistical analysis using logistic regression to calculate odds ratios, adjusting for multiple covariates.
Main Results:
- Low birth weight (<= 2600g) was significantly associated with an increased risk of type 1 diabetes.
- The adjusted odds ratio for type 1 diabetes in children with low birth weight was 2.24 (95% CI: 1.11-4.50) compared to the referent group.
- The study included 277 children with type 1 diabetes and 533 controls.
Conclusions:
- Low birth weight is identified as a significant risk factor for type 1 diabetes in Taiwanese schoolchildren.
- These findings highlight the importance of considering birth weight in the context of type 1 diabetes risk assessment.
- Further research may explore underlying biological mechanisms linking low birth weight and type 1 diabetes.
Abstract:
To explore the relationship between birth weight and type 1 diabetes, data from national birth registry and national surveillance of diabetes in Taiwanese schoolchildren were analyzed. From 1992 to 1997, all schoolchildren aged 6-18 years were screened for diabetes by a mass urine survey program in Taiwan Province. This cohort consisted of 1966 children with diabetes and 1780 of randomly selected subjects with normal fasting glycemia. Questionnaires were designed for telephone interviews with students' parents or physicians to classify subjects' types of diabetes. The birth history of each participant was obtained from the Taiwan's Birth Registry. After merging the data, there were 835 subjects, including 277 of type 1 diabetes and 533 of normal fasting glycemia available for the present analyses. The odds ratio (95% CI) for type 1 diabetes, after adjusting age, sex, socioeconomic status, family history of diabetes, birth order, breast-feeding, BMI, and gestational diabetes mellitus was 2.24 (1.11-4.50) for children with low birth weight (<5th percentile, i.e., < or =2600 g) when compared with the referent group of a birth weight of 3000-3542 g (equivalent to the 25-75th percentile). In conclusion, low birth weight was associated with increased risk of type 1 diabetes in Taiwanese schoolchildren.
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