Month of birth and the risk of developing type 1 diabetes among children in the Swedish national Better Diabetes Diagnosis Study
Aim Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population‐based data, including almost all newly diagnosed children with type 1 diabetes in Sweden, we tested whether month of birth influences the risk of type 1 diabetes. Methods For 8...
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| Vydáno v: | Acta Paediatrica Ročník 111; číslo 12; s. 2378 - 2383 |
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| Hlavní autoři: | , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Norway
Wiley Subscription Services, Inc
01.12.2022
John Wiley and Sons Inc |
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| ISSN: | 0803-5253, 1651-2227, 1651-2227 |
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| Abstract | Aim
Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population‐based data, including almost all newly diagnosed children with type 1 diabetes in Sweden, we tested whether month of birth influences the risk of type 1 diabetes.
Methods
For 8761 children diagnosed with type 1 diabetes between May 2005 and December 2016 in the Better Diabetes Diagnosis study, month of birth, sex and age were compared. Human leucocyte antigen (HLA) genotype and autoantibodies at diagnosis were analysed for a subset of the cohort (n = 3647). Comparisons with the general population used data from Statistics Sweden.
Results
We found no association between month of birth or season and the incidence of type 1 diabetes in the cohort as a whole. However, boys diagnosed before 5 years were more often born in May (p = 0.004). We found no correlation between month of birth and HLA or antibodies.
Conclusion
In this large nationwide study, the impact of month of birth on type 1 diabetes diagnosis was weak, except for boys diagnosed before 5 years of age, who were more likely born in May. This may suggest different triggers for different subgroups of patients with type 1 diabetes. |
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| AbstractList | Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population-based data, including almost all newly diagnosed children with type 1 diabetes in Sweden, we tested whether month of birth influences the risk of type 1 diabetes.AIMPrevious studies have reported an association between month of birth and incidence of type 1 diabetes. Using population-based data, including almost all newly diagnosed children with type 1 diabetes in Sweden, we tested whether month of birth influences the risk of type 1 diabetes.For 8761 children diagnosed with type 1 diabetes between May 2005 and December 2016 in the Better Diabetes Diagnosis study, month of birth, sex and age were compared. Human leucocyte antigen (HLA) genotype and autoantibodies at diagnosis were analysed for a subset of the cohort (n = 3647). Comparisons with the general population used data from Statistics Sweden.METHODSFor 8761 children diagnosed with type 1 diabetes between May 2005 and December 2016 in the Better Diabetes Diagnosis study, month of birth, sex and age were compared. Human leucocyte antigen (HLA) genotype and autoantibodies at diagnosis were analysed for a subset of the cohort (n = 3647). Comparisons with the general population used data from Statistics Sweden.We found no association between month of birth or season and the incidence of type 1 diabetes in the cohort as a whole. However, boys diagnosed before 5 years were more often born in May (p = 0.004). We found no correlation between month of birth and HLA or antibodies.RESULTSWe found no association between month of birth or season and the incidence of type 1 diabetes in the cohort as a whole. However, boys diagnosed before 5 years were more often born in May (p = 0.004). We found no correlation between month of birth and HLA or antibodies.In this large nationwide study, the impact of month of birth on type 1 diabetes diagnosis was weak, except for boys diagnosed before 5 years of age, who were more likely born in May. This may suggest different triggers for different subgroups of patients with type 1 diabetes.CONCLUSIONIn this large nationwide study, the impact of month of birth on type 1 diabetes diagnosis was weak, except for boys diagnosed before 5 years of age, who were more likely born in May. This may suggest different triggers for different subgroups of patients with type 1 diabetes. Aim Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population-based data, including almost all newly diagnosed children with type 1 diabetes in Sweden, we tested whether month of birth influences the risk of type 1 diabetes. Methods For 8761 children diagnosed with type 1 diabetes between May 2005 and December 2016 in the Better Diabetes Diagnosis study, month of birth, sex and age were compared. Human leucocyte antigen (HLA) genotype and autoantibodies at diagnosis were analysed for a subset of the cohort ( n = 3647). Comparisons with the general population used data from Statistics Sweden. Results We found no association between month of birth or season and the incidence of type 1 diabetes in the cohort as a whole. However, boys diagnosed before 5 years were more often born in May ( p = 0.004). We found no correlation between month of birth and HLA or antibodies. Conclusion In this large nationwide study, the impact of month of birth on type 1 diabetes diagnosis was weak, except for boys diagnosed before 5 years of age, who were more likely born in May. This may suggest different triggers for different subgroups of patients with type 1 diabetes. AimPrevious studies have reported an association between month of birth and incidence of type 1 diabetes. Using population‐based data, including almost all newly diagnosed children with type 1 diabetes in Sweden, we tested whether month of birth influences the risk of type 1 diabetes.MethodsFor 8761 children diagnosed with type 1 diabetes between May 2005 and December 2016 in the Better Diabetes Diagnosis study, month of birth, sex and age were compared. Human leucocyte antigen (HLA) genotype and autoantibodies at diagnosis were analysed for a subset of the cohort (n = 3647). Comparisons with the general population used data from Statistics Sweden.ResultsWe found no association between month of birth or season and the incidence of type 1 diabetes in the cohort as a whole. However, boys diagnosed before 5 years were more often born in May (p = 0.004). We found no correlation between month of birth and HLA or antibodies.ConclusionIn this large nationwide study, the impact of month of birth on type 1 diabetes diagnosis was weak, except for boys diagnosed before 5 years of age, who were more likely born in May. This may suggest different triggers for different subgroups of patients with type 1 diabetes. Aim: Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population-based data, including almost all newly diagnosed children with type 1 diabetes in Sweden, we tested whether month of birth influences the risk of type 1 diabetes. Methods: For 8761 children diagnosed with type 1 diabetes between May 2005 and December 2016 in the Better Diabetes Diagnosis study, month of birth, sex and age were compared. Human leucocyte antigen (HLA) genotype and autoantibodies at diagnosis were analysed for a subset of the cohort (n = 3647). Comparisons with the general population used data from Statistics Sweden. Results: We found no association between month of birth or season and the incidence of type 1 diabetes in the cohort as a whole. However, boys diagnosed before 5 years were more often born in May (p = 0.004). We found no correlation between month of birth and HLA or antibodies. Conclusion: In this large nationwide study, the impact of month of birth on type 1 diabetes diagnosis was weak, except for boys diagnosed before 5 years of age, who were more likely born in May. This may suggest different triggers for different subgroups of patients with type 1 diabetes. Aim Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population‐based data, including almost all newly diagnosed children with type 1 diabetes in Sweden, we tested whether month of birth influences the risk of type 1 diabetes. Methods For 8761 children diagnosed with type 1 diabetes between May 2005 and December 2016 in the Better Diabetes Diagnosis study, month of birth, sex and age were compared. Human leucocyte antigen (HLA) genotype and autoantibodies at diagnosis were analysed for a subset of the cohort (n = 3647). Comparisons with the general population used data from Statistics Sweden. Results We found no association between month of birth or season and the incidence of type 1 diabetes in the cohort as a whole. However, boys diagnosed before 5 years were more often born in May (p = 0.004). We found no correlation between month of birth and HLA or antibodies. Conclusion In this large nationwide study, the impact of month of birth on type 1 diabetes diagnosis was weak, except for boys diagnosed before 5 years of age, who were more likely born in May. This may suggest different triggers for different subgroups of patients with type 1 diabetes. Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population-based data, including almost all newly diagnosed children with type 1 diabetes in Sweden, we tested whether month of birth influences the risk of type 1 diabetes. For 8761 children diagnosed with type 1 diabetes between May 2005 and December 2016 in the Better Diabetes Diagnosis study, month of birth, sex and age were compared. Human leucocyte antigen (HLA) genotype and autoantibodies at diagnosis were analysed for a subset of the cohort (n = 3647). Comparisons with the general population used data from Statistics Sweden. We found no association between month of birth or season and the incidence of type 1 diabetes in the cohort as a whole. However, boys diagnosed before 5 years were more often born in May (p = 0.004). We found no correlation between month of birth and HLA or antibodies. In this large nationwide study, the impact of month of birth on type 1 diabetes diagnosis was weak, except for boys diagnosed before 5 years of age, who were more likely born in May. This may suggest different triggers for different subgroups of patients with type 1 diabetes. |
| Author | Persson, Martina Marcus, Claude Ludvigsson, Johnny Forsander, Gun Hedlund, Emma Elding Larsson, Helena Samuelsson, Ulf Carlsson, Annelie Ivarsson, Sten |
| AuthorAffiliation | 2 Department of Paediatrics Kristianstad Central Hospital Kristianstad Sweden 3 Crown Princess Victoria Children's Hospital Linköping University Hospital Linköping Sweden 6 Skåne University Hospital Malmö Sweden 7 The Queen Silvia Children's Hospital Sahlgrenska University Hospital Gothenburg Sweden 8 Institute of Clinical Sciences University of Gothenburg Gothenburg Sweden 9 Division of Pediatrics, Department of Clinical Science Intervention and Technology Karolinska Institute Stockholm Sweden 1 Department of Clinical Sciences Lund Lund University Lund Sweden 5 Department of Clinical Sciences, Malmö Lund University, CRC Malmö Sweden 4 Division of Pediatrics, Department of Biomedical and Clinical Sciences (BKV), Medical Faculty Linköping University Linköping Sweden 11 Department of Clinical Science and Education Karolinska Institute, Södersjukhuset Stockholm Sweden 10 Department of Medicine, Clinical Epidemiology Karolinska Institute Stockholm Sweden |
| AuthorAffiliation_xml | – name: 5 Department of Clinical Sciences, Malmö Lund University, CRC Malmö Sweden – name: 2 Department of Paediatrics Kristianstad Central Hospital Kristianstad Sweden – name: 3 Crown Princess Victoria Children's Hospital Linköping University Hospital Linköping Sweden – name: 10 Department of Medicine, Clinical Epidemiology Karolinska Institute Stockholm Sweden – name: 11 Department of Clinical Science and Education Karolinska Institute, Södersjukhuset Stockholm Sweden – name: 9 Division of Pediatrics, Department of Clinical Science Intervention and Technology Karolinska Institute Stockholm Sweden – name: 1 Department of Clinical Sciences Lund Lund University Lund Sweden – name: 8 Institute of Clinical Sciences University of Gothenburg Gothenburg Sweden – name: 4 Division of Pediatrics, Department of Biomedical and Clinical Sciences (BKV), Medical Faculty Linköping University Linköping Sweden – name: 6 Skåne University Hospital Malmö Sweden – name: 7 The Queen Silvia Children's Hospital Sahlgrenska University Hospital Gothenburg Sweden |
| Author_xml | – sequence: 1 givenname: Emma orcidid: 0000-0001-7707-4540 surname: Hedlund fullname: Hedlund, Emma email: emma.hedlund@med.lu.se organization: Kristianstad Central Hospital – sequence: 2 givenname: Johnny orcidid: 0000-0003-1695-5234 surname: Ludvigsson fullname: Ludvigsson, Johnny organization: Linköping University – sequence: 3 givenname: Helena surname: Elding Larsson fullname: Elding Larsson, Helena organization: Skåne University Hospital – sequence: 4 givenname: Gun surname: Forsander fullname: Forsander, Gun organization: University of Gothenburg – sequence: 5 givenname: Sten surname: Ivarsson fullname: Ivarsson, Sten organization: Lund University, CRC – sequence: 6 givenname: Claude surname: Marcus fullname: Marcus, Claude organization: Karolinska Institute – sequence: 7 givenname: Ulf surname: Samuelsson fullname: Samuelsson, Ulf organization: Linköping University – sequence: 8 givenname: Martina surname: Persson fullname: Persson, Martina organization: Karolinska Institute, Södersjukhuset – sequence: 9 givenname: Annelie orcidid: 0000-0002-5608-3437 surname: Carlsson fullname: Carlsson, Annelie organization: Skåne University Hospital |
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| Cites_doi | 10.1016/s0140-6736(16)30507-4 10.1136/adc.81.2.143 10.1111/j.1463-1326.2008.01008.x 10.2337/dc09-S062 10.1111/pedi.13075 10.2337/dc11-2389 10.1111/pedi.12545 10.1007/s00125-017-4365-5 10.1093/oxfordjournals.aje.a008726 10.1016/j.diabres.2018.03.057 10.1099/jmm.0.46015-0 10.1111/j.1399-5448.2007.00265.x 10.2337/db13-0300 10.1111/pedi.12093 10.1046/j.1464-5491.2000.00205.x 10.2337/diabetes.51.12.3353 10.2337/dc19-0747 10.1046/j.1365-2249.1999.00863.x 10.1111/pedi.12597 10.2337/dc09-0891 10.1080/08035250410026680 10.1089/vim.2012.0022 10.1016/j.jri.2018.02.004 10.1515/jpem.2001.14.6.781 10.1007/s11892-018-1113-2 10.1515/jpem.1998.11.3.461 10.1016/j.immuni.2010.04.001 10.1210/jc.2019-01069 10.1111/j.1365-2249.2011.04555.x |
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| Copyright | 2022 The Authors. published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. 2022 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. 2022. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| CorporateAuthor | Pediatrik, Lund Section V Institutionen för kliniska vetenskaper, Lund Lunds universitet Profile areas and other strong research environments Department of Clinical Sciences, Malmö Lund University Sektion V Pediatric Autoimmunity Celiac Disease and Diabetes Unit Department of Clinical Sciences, Lund Strategiska forskningsområden (SFO) EXODIAB: Excellence of Diabetes Research in Sweden Faculty of Medicine Celiaki och diabetes Strategic research areas (SRA) Paediatrics (Lund) Medicinska fakulteten Profilområden och andra starka forskningsmiljöer Pediatrisk endokrinologi Pediatrisk autoimmunitet Institutionen för kliniska vetenskaper, Malmö Paediatric Endocrinology |
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| Keywords | birth pattern type 1 diabetes autoantibodies seasonality HLA-DQ alleles |
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Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population‐based data, including almost all... Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population-based data, including almost all newly... AimPrevious studies have reported an association between month of birth and incidence of type 1 diabetes. Using population‐based data, including almost all... Aim Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population-based data, including almost all... Aim: Previous studies have reported an association between month of birth and incidence of type 1 diabetes. Using population-based data, including almost all... |
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| SubjectTerms | Autoantibodies autoimmunity Birth birth pattern Child Children Clinical Medicine Diabetes Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 - diagnosis Diabetes Mellitus, Type 1 - epidemiology Diagnosis differs Endocrinology and Diabetes Endokrinologi och diabetes enterovirus infection Female Genotype Genotypes Histocompatibility antigen HLA HLA-DQ alleles HLA-DQ Antigens - genetics Humans Klinisk medicin Male Medical and Health Sciences Medicin och hälsovetenskap mellitus onset Original Original & Brief Reports Pediatrics Pediatrik seasonality seroconversion Sweden - epidemiology type 1 type 1 diabetes |
| Title | Month of birth and the risk of developing type 1 diabetes among children in the Swedish national Better Diabetes Diagnosis Study |
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