Vitamin D fortification and seasonality of birth in type 1 diabetic cases: D-tect study

2015 ◽  
Vol 7 (1) ◽  
pp. 114-119 ◽  
Author(s):  
R. Jacobsen ◽  
M. Moldovan ◽  
A. A. Vaag ◽  
E. Hypponen ◽  
B. L. Heitmann

Fortification of margarine with vitamin D was mandatory in Denmark during 1961–1985. The aim of the study was to assess whether gestational and early infancy exposure to margarine fortification was associated with seasonality of birth in Danish type 1 diabetes (T1D) patients. The risks of T1D in Danes born during various exposure periods around margarine fortification termination in 1985 were analyzed. As expected, the T1D hazards in males unexposed to margarine fortification and born in spring were higher than in males born in autumn: relevant hazard ratios (95% confidence intervals) in various exposure groups ranged from 1.74 (1.112/2.708) to 37.43 (1.804/776.558). There were no indications of seasonality of birth in males exposed to fortification, nor in both exposed and unexposed females. The study suggests that early life exposure to low-dose vitamin D from fortified food eliminates seasonality of birth in T1D male patients. Further studies are required to investigate the identified gender differences.

Diabetologia ◽  
2004 ◽  
Vol 47 (3) ◽  
pp. 451-462 ◽  
Author(s):  
A. Giulietti ◽  
C. Gysemans ◽  
K. Stoffels ◽  
E. van Etten ◽  
B. Decallonne ◽  
...  

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 734 ◽  
Author(s):  
Steffen Thorsen ◽  
Thorhallur Halldorsson ◽  
Anne Bjerregaard ◽  
Sjurdur Olsen ◽  
Jannet Svensson

Background: Iron overload has been associated with diabetes. Studies on iron exposure during pregnancy and in early life and risk of childhood type 1 diabetes (T1D) are sparse. We investigated whether iron supplementation during pregnancy and early in life were associated with risk of childhood T1D. Methods: In a case-cohort design, we identified up to 257 children with T1D (prevalence 0.37%) from the Danish National Birth Cohort through linkage with the Danish Childhood Diabetes Register. The primary exposure was maternal pure iron supplementation (yes/no) during pregnancy as reported in interview two at 30 weeks of gestation (n = 68,497 with iron supplement data). We estimated hazard ratios (HRs) using weighted Cox regression adjusting for multiple confounders. We also examined if offspring supplementation during the first 18 months of life was associated with later risk of T1D. Results: Maternal iron supplementation was not associated with later risk of T1D in the offspring HR 1.05 (95% CI: 0.76–1.45). Offspring intake of iron droplets during the first 18 months of life was inversely associated with risk of T1D HR 0.74 (95% CI: 0.55–1.00) (ptrend = 0.03). Conclusions: Our large-scale prospective study demonstrated no harmful effects of iron supplementation during pregnancy and in early life in regard to later risk of childhood T1D in the offspring.


2018 ◽  
Vol 97 (1) ◽  
pp. 97-103 ◽  
Author(s):  
Jane A Mullaney ◽  
Juliette E Stephens ◽  
Brooke E Geeling ◽  
Emma E Hamilton-Williams

PLoS ONE ◽  
2017 ◽  
Vol 12 (8) ◽  
pp. e0181964 ◽  
Author(s):  
Alessandra De Riva ◽  
Maja Wållberg ◽  
Francesca Ronchi ◽  
Richard Coulson ◽  
Andrew Sage ◽  
...  

2018 ◽  
Author(s):  
Joana Almeida ◽  
Dircea Rodrigues ◽  
Franscisco Carrilho ◽  
Joana Guimaraes ◽  
Manuel C Lemos

2019 ◽  
Author(s):  
Eleftheria Barmpa ◽  
Spyros Karamagiolis ◽  
Stelios Tigas ◽  
Georgios N Koukoulis ◽  
Alexandra Bargiota

2011 ◽  
Vol 152 (29) ◽  
pp. 1161-1166 ◽  
Author(s):  
Zsuzsanna Valkusz

Over the last decades a considerable amount of data has accumulated to indicate that metabolic and endocrine alterations of diabetes affect bone quantity and quality. These skeletal changes may increase the risk of bone fracture. There is strong evidence that in type 1 diabetes the decreased bone mass, lack of insulin and insulin-like growth factor-1, dysregulation of adipokines, and increased levels of proinflammatory cytokines are in the background of fragility fractures. In type 2 diabetes hyperinsulinemia, insulin resistance and increased body weight may result in an increase of bone mass; however, accumulation of advanced glycation end products within the bone collagen driven by glucotoxicity may increase the cortical porosity. There is a higher incidence of falls resulting from diabetes-related co-morbidities such as diabetic retinopathy, peripheral neuropathy, hypoglycemic episodes and sometimes from the medications. Vitamin D deficiency has special impact on glucose metabolism and the prevalence of diabetes. Vitamin D supplementation in childhood can decrease incidence of type 1 diabetes by 80%. The effect of thiazolidinediones, glucagon-like peptide-1 agonists and metformin, agents for treatment of diabetes open a new connection between bone, carbohydrate and fat metabolism. Orv. Hetil., 2011, 152, 1161–1166.


Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 253-LB
Author(s):  
SHEN DONG ◽  
CODY T. MOWERY ◽  
KEVAN C. HEROLD ◽  
STEPHEN E. GITELMAN ◽  
JONATHAN H. ESENSTEN ◽  
...  

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