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Published on: July 5, 2022
Demographic, breast-feeding, and nutritional trends among children with type 1 diabetes mellitus
Manash P Baruah1, Ariachery C Ammini, Madan L Khurana
1Department of Endocrinology, Excel center, Ulubari, Guwahati, Assam-781 007, India.
Insights
This study found no significant differences in demographic or environmental factors, including breastfeeding, between children with recent-onset type 1 diabetes mellitus and controls. Further research with larger sample sizes is recommended.
Area of Science:
- Pediatrics
- Endocrinology
- Immunology
Background:
- Type 1 diabetes mellitus (T1DM) pathogenesis involves genetic susceptibility and environmental triggers.
- Progressive loss of pancreatic beta cells is a hallmark of T1DM.
- Understanding T1DM etiology is crucial for prevention and treatment strategies.
Purpose of the Study:
- To compare the impact of demographic and environmental factors on children with recent-onset T1DM.
- To investigate the role of breastfeeding in T1DM development.
- To identify potential risk factors in children under 18 years old.
Main Methods:
- A hospital-based case-control study was conducted.
- 43 consecutive patients with recent-onset T1DM (≤1 year) were included.
- Matched controls without diabetes or dysglycemia were used for comparison.
Main Results:
- A peak incidence of T1DM was observed in early adolescence, with seasonal variation in winter months.
- No significant differences were found between patients and controls regarding birth order, delivery mode, parental factors, diet, breastfeeding, or family migration.
- Growth characteristics and nutritional status were similar between groups.
Conclusions:
- Demographic and common environmental factors studied did not show significant differences between T1DM cases and controls.
- Breastfeeding does not appear to be a differentiating factor in this cohort.
- Larger population studies are needed to further investigate T1DM etiology.
Background:
The pathogenesis of type 1 diabetes mellitus (T1DM) requires a genetic predisposition to particular environmental triggers that may activate mechanisms leading to progressive loss of pancreatic beta cells.
Aims:
We tried to compare the impact of some demographic and environmental factors and breast-feeding on children (aged < 18 years) with recent onset diabetes mellitus (≤1 year) with that on age, sex, and socioeconomic status-matched controls.
Material And Methods:
A total of 43 consecutive patients (male, 24, mean age ± SD = 12.58 ± 9.6 years) and equal number of controls without diabetes mellitus or dysglycemia were included in this hospital-based case-control study.
Results And Conclusions:
A distinct peak in the incidence noted in the early adolescence with segregation in the winter months. Our patients did not differ significantly from the controls with regard to birth order, mode of delivery, parental age, parental education, dietary practices, breast-feeding, and migration in the family. Growth characteristics and nutritional status were also similar. A population study with more power will be better equipped to answer such queries.
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