Risk of diabetes among young adults born preterm in Sweden

Casey Crump1, Marilyn A Winkleby, Kristina Sundquist

  • 1Department of Medicine, Stanford University, Palo Alto, California, USA. kccrump@stanford.edu

Diabetes Care
|March 18, 2011
PubMed

Insights

Preterm birth, including late preterm birth, is linked to a slightly higher risk of needing diabetes medication in young adulthood. This association highlights public health concerns due to rising preterm births and diabetes prevalence.

Area of Science:

  • Public Health
  • Endocrinology
  • Perinatal Medicine

Background:

  • Previous research suggests a link between preterm birth and later-life diabetes, but results for late preterm births are inconsistent.
  • Existing studies often have limitations, such as excluding outpatient data or failing to assess risk across all gestational ages.

Purpose of the Study:

  • To investigate the association between preterm birth and subsequent diabetes medication prescription in a large national cohort of young adults.
  • To specifically examine the risk associated with late preterm birth (gestational age 35-36 weeks).

Main Methods:

  • A national cohort study included 630,090 infants born in Sweden between 1973-1979.
  • Follow-up for diabetes medication prescription occurred from 2005-2009, covering ages 25.5-37.0 years.
  • Comprehensive medication data were sourced from all Swedish outpatient and inpatient pharmacies.

Main Results:

  • Individuals born preterm had modestly increased odds of receiving diabetes medication compared to those born full term (adjusted OR 1.13).
  • This increased risk was also observed for late preterm births (gestational age 35-36 weeks).
  • Specific medication use showed 1.5% of preterm births received insulin and/or oral diabetes medications versus 1.2% of full-term births.

Conclusions:

  • Preterm birth, encompassing late preterm birth, is associated with a modestly elevated risk of developing diabetes in young Swedish adults.
  • These findings are significant given the rising rates of preterm birth and the substantial burden of diabetes, especially when diagnosed early in life.
  • The study underscores the importance of long-term health monitoring for individuals born preterm.
Abstract

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