Association between childhood obesity and subsequent Type 1 diabetes: a systematic review and meta-analysis

K C Verbeeten1, C E Elks, D Daneman

  • 1Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.

Insights

Childhood obesity is linked to a higher risk of developing Type 1 diabetes. Preventing obesity may help reduce Type 1 diabetes incidence.

Area of Science:

  • Endocrinology
  • Pediatrics
  • Epidemiology

Background:

  • Childhood obesity is a growing public health concern.
  • Type 1 diabetes is a chronic autoimmune condition affecting children.
  • The relationship between childhood obesity and Type 1 diabetes risk requires further investigation.

Purpose of the Study:

  • To systematically review and synthesize existing research on the association between childhood obesity and the risk of developing Type 1 diabetes.
  • To evaluate the strength and consistency of evidence linking childhood obesity to subsequent Type 1 diabetes.

Main Methods:

  • A systematic search of the PubMed database was conducted.
  • Studies included used childhood obesity metrics (BMI, %weight-for-height) as exposure and Type 1 diabetes as outcome.
  • Inclusion criteria required obesity assessment to precede Type 1 diabetes diagnosis.

Main Results:

  • Nine studies (8 case-control, 1 cohort) involving 2658 cases were analyzed.
  • Seven studies found a significant association between childhood obesity and increased Type 1 diabetes risk.
  • Meta-analyses indicated a pooled odds ratio of 2.03 for categorical obesity and 1.25 per standard deviation increase in BMI for Type 1 diabetes risk.

Conclusions:

  • Evidence supports an association between childhood obesity and an elevated risk of subsequent Type 1 diabetes.
  • Potential causal mechanisms linking obesity and Type 1 diabetes are being explored.
  • Preventing childhood obesity may offer an additional benefit of reducing Type 1 diabetes incidence.
Abstract

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