早期婴儿养和患1型糖尿病相关自身抗体的风险
Anette-G Ziegler1, Sandra Schmid, Doris Huber
1Diabetes Research Institute and Hospital München-Schwabing, Munich, Germany. anziegler@lrz.uni-muenchen.de
JAMA
|October 2, 2003
概括
在婴儿3个月前早期引入质可能会显著增加岛屿自身抗体的风险,这是1型糖尿病 (DM) 的前体. 遵守婴儿养指南可能有助于减轻这种风险.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 免疫学 免疫学 免疫学
- 营养科学 营养科学
背景情况:
- 1型糖尿病 (DM) 的发展是复杂的,饮食因素可能会影响小岛自身免疫力.
- 早期婴儿养习惯在触发小岛自身免疫的作用尚不清楚.
研究的目的:
- 调查母乳养时间,食补充剂和谷蛋白引入年龄对岛屿自身抗体发育的影响.
- 确定可修改的婴儿养因素,这些因素可能会影响1型糖尿病风险.
主要方法:
- 一项前性队列研究 (BABYDIAB) 对1610名在德国出生于患有1型DM的父母的儿童进行了研究.
- 通过问卷和采访收集关于母乳养,补充食品和谷蛋白引入的数据.
- 通过连续取血样,监测岛屿自身抗体 (胰岛素,GAD,IA-2) 的发展,直到8岁.
主要成果:
- 在5岁时观察到小岛自身抗体的发病率为5.8%.
- 在3个月前引入含质食物显著增加了岛屿自身抗体风险 (aHR=4.0).
- 在母乳养时间或较晚引入质 (6个月后) 与自身抗体发育之间没有发现显著的关联.
结论:
- 在3个月前早期引入谷蛋白是遗传敏感婴儿岛屿自身抗体发育的重要风险因素.
- 遵守当前的婴儿养指南,延迟谷蛋白的引入,可能是降低1型糖尿病自身抗体风险的策略.
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