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Month of birth and the risk of developing type 1 diabetes among children in the Swedish national Better Diabetes Diagnosis Study
Lund Univ, Sweden; Kristianstad Cent Hosp, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Children's and Women's Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus.ORCID iD: 0000-0003-1695-5234
Lund Univ, Sweden; Skåne Univ Hosp, Sweden.
Sahlgrens Univ Hosp, Sweden; Univ Gothenburg, Sweden.
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2022 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 111, no 12, p. 2378-2383Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Chichester, United Kingdom: Wiley-Blackwell, 2022. Vol. 111, no 12, p. 2378-2383
Keywords [en]
autoantibodies; birth pattern; HLA-DQ alleles; seasonality; type 1 diabetes
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:liu:diva-186138DOI: 10.1111/apa.16426ISI: 000809323000001PubMedID: 35615774Scopus ID: 2-s2.0-85131510831OAI: oai:DiVA.org:liu-186138DiVA, id: diva2:1673752
Note

Funding Agencies: Barndiabetesfonden (Swedish Child Diabetes Foundation); Region Skånes research and development fund

Available from: 2022-06-21 Created: 2022-06-21 Last updated: 2023-03-10Bibliographically approved

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Ludvigsson, JohnnySamuelsson, Ulf

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Division of Children's and Women's HealthFaculty of Medicine and Health SciencesH.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus
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