Early life disease programming during the preconception and prenatal period: making the link between stressful life events and type-1 diabetes
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Jasveer Virk1, Jiong Li, Mogens Vestergaard
1Department of Epidemiology, School of Public Health, University of California Los Angeles, Los Angeles, California, United States of America. jasvirk@ucla.edu
Insights
Maternal bereavement during pregnancy may increase a child's risk of developing type-1 diabetes, particularly for female infants. This study highlights the impact of prenatal stress on long-term health outcomes.
Area of Science:
- Perinatal epidemiology
- Endocrinology
- Psychoneuroimmunology
Background:
- Maternal bereavement during pregnancy or the year prior may impact child health.
- Understanding the link between prenatal stress and type-1 diabetes is crucial.
Purpose of the Study:
- To investigate the association between maternal bereavement and the risk of type-1 diabetes in offspring.
- To determine if prenatal or preconception exposure to loss influences type-1 diabetes development.
Main Methods:
- A large cohort study of singleton births in Denmark (1979-2004).
- Included over 1.5 million births, with nearly 40,000 exposed to maternal bereavement.
- Type-1 diabetes hospitalization was the primary outcome measure.
Main Results:
- A significant association was found between prenatal exposure to father or sibling death and type-1 diabetes.
- The risk was notably higher for girls exposed to bereavement (aIRR: 2.91).
Conclusions:
- Prenatal exposure to severe stress, such as parental or sibling loss, may increase type-1 diabetes risk.
- Female fetuses appear particularly vulnerable to the effects of prenatal stress on type-1 diabetes development.
Background:
To assess the risk of developing Type-1 diabetes among children who were exposed to maternal bereavement during the prenatal or 1-year preconception period.
Methods:
We identified N = 1,548,746 singleton births born in Denmark between January 1(st) 1979 through December 31(st) 2004, and their next of kin. Altogether, 39,857 children were exposed to bereavement during their prenatal life. The main outcome of interest was hospitalization for type-1 diabetes (ICD 8: 249; ICD 10: E10).
Results:
We found the strongest association for type-1 diabetes among children exposed to traumatic father or sibling deaths (aIRR: 2.03, 1.22-3.38); the association was mainly seen for girls (aIRR: 2.91, 1.61-5.26).
Conclusions:
We found evidence to suggest that female fetuses exposed to severe prenatal stress are at increased risk for developing type-1 diabetes.
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