Volume 8, Issue 1 (Feb 2023)                   JNFS 2023, 8(1): 17-26 | Back to browse issues page


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Department of Public Health, Torbat Jam, Faculty of Medical Sciences, Torbat Jam, Iran.
Abstract:   (1796 Views)
Background: Nutrition and dietary habits is one of the determinant factor on glycemic control of diabetes mellitus. This study aims to investigate the association between type 1 diabetes mellitus (T1DM) and diet in the first two years of life as well as a select group of demographic variables. Methods: This case-control study was conducted on 76 children with T1DM and 209 non-diabetic children selected through convenience sampling from the population of people visiting the community health centers of the city of Jahrom, Iran. The required data were collected by a questionnaire of diet and demographic information completed by the mothers of the children. The data were analyzed using logistic regression and adjusted odds ratio. Results: Finally, the results of multiple backward logistic regression showed that the studied factors had a significant association with T1DM (P < 0.05), including body mass index (BMI) less than 18 kg/m2 for mothers before pregnancy (OR: 4.4, 95% CI: 1.61 to 11.97), mothers without a history of diabetes (OR: 0.02, 95% CI: 0.001 to 0.60), mother’s weight before pregnancy (OR: 0.88, 95% CI: 0.84 to 0.91), mother’s excess weight during pregnancy (OR: 0.83, 95% CI: 0.75 to 0.93), exclusive breastfeeding for more than six months (OR: 0.19, 95% CI: 0.03 to 0.96), low weight gain in the first two years of life (OR: 6.98, 95% CI: 2.16 to 22.5), and the breastfeeding less than 12 months  (OR: 10.52, 95% CI: 1.62 to 66.64). Conclusion: BMI less than 18 kg/m2 for mothers before pregnancy, low weight gain in the first two years of life, and breastfeeding less than 12 months increased the risk of developing T1DM in children.
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Type of article: orginal article | Subject: public specific
Received: 2021/06/25 | Published: 2023/02/21 | ePublished: 2023/02/21

References
1. Baden MY, et al. 2019. Characteristics and clinical course of type 1 diabetes mellitus related to anti-programmed cell death-1 therapy. Diabetology international. 10 (1): 58-66.
2. Cetisli NE, Arkan G & Top ED 2018. Maternal attachment and breastfeeding behaviors according to type of delivery in the immediate postpartum period. Revista da associação médica brasileira. 64 (2): 164-169.
3. Chmiel R, et al. 2015. Early infant feeding and risk of developing islet autoimmunity and type 1 diabetes. Acta diabetologica. 52 (3): 621-624.
4. DiMeglio LA, Evans-Molina C & Oram RA 2018. Type 1 diabetes. Lancet (London, England). 391 (10138): 2449-2462.
5. Erkkola M, et al. 2005. Infant feeding patterns in the Finnish type I diabetes prediction and prevention nutrition study cohort. European journal of clinical nutrition. 59 (1): 107-113.
6. Green A, Patterson CC & Group ETS 2001. Trends in the incidence of childhood-onset diabetes in Europe 1989–1998. Diabetologia. 44 (3): B3-B8.
7. Gunderson EP 2008. Breast-feeding and diabetes: long-term impact on mothers and their infants. Current diabetes reports. 8 (4): 279-286.
8. Huber CA, Schwenkglenks M, Rapold R & Reich O 2014. Epidemiology and costs of diabetes mellitus in Switzerland: an analysis of health care claims data, 2006 and 2011. BMC endocrine disorder. 14: 44.
9. Jarosz-Chobot P, et al. 2011. Rapid increase in the incidence of type 1 diabetes in Polish children from 1989 to 2004, and predictions for 2010 to 2025. Diabetologia. 54 (3): 508-515.
10. Kähm K, et al. 2018. Health Care Costs Associated With Incident Complications in Patients With Type 2 Diabetes in Germany. Diabetes care. 41 (5): 971-978.
11. Knip M, Virtanen SM & Åkerblom HK 2010. Infant feeding and the risk of type 1 diabetes. American journal of clinical nutrition. 91 (5): 1506S-1513S.
12. Krzewska A & Ben-Skowronek I 2016. Effect of Associated Autoimmune Diseases on Type 1 Diabetes Mellitus Incidence and Metabolic Control in Children and Adolescents. BioMed research international. 2016: 6219730.
13. Lindell N, Carlsson A, Josefsson A & Samuelsson U 2018. Maternal obesity as a risk factor for early childhood type 1 diabetes: a nationwide, prospective, population-based case–control study. Diabetologia. 61 (1): 130-137.
14. Luopajärvi K, et al. 2008. Enhanced levels of cow’s milk antibodies in infancy in children who develop type 1 diabetes later in childhood. Pediatric diabetes. 9 (5): 434-441.
15. Malcova H, et al. 2006. Absence of breast-feeding is associated with the risk of type 1 diabetes: a case-control study in a population with rapidly increasing incidence. European journal of pediatrics. 165 (2): 114-119.
16. Nucci AM, et al. 2017. Regional differences in milk and complementary feeding patterns in infants participating in an international nutritional type 1 diabetes prevention trial. Maternal & child nutrition. 13 (3): e12354.
17. Örün E, et al. 2010. Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital. Turkish journal of pediatrics. 52 (1): 10.
18. Patelarou E, et al. 2012. Current evidence on the associations of breastfeeding, infant formula, and cow's milk introduction with type 1 diabetes mellitus: a systematic review. Nutrition reviews. 70 (9): 509-519.
19. Rabiei S 2011. The association of nutrition style through the first 2 years of life with type 1 diabetes mellitus and some of the other effective factors in 2-15 years old children. Iranian journal of endocrinology and metabolism. 13 (1): 9-17.
20. Rahmanian V, Sarikhani Y, Rahmanian K, Mansoorian E & Zare M 2018. Factors associated with failure to thrive among children aged 3 to 72 months in Jahrom, southern Iran. Shiraz e-medical journal. 19 (4).
21. Rak K & Bronkowska M 2018. Immunomodulatory Effect of Vitamin D and Its Potential Role in the Prevention and Treatment of Type 1 Diabetes Mellitus-A Narrative Review. Molecules (Basel, Switzerland). 24 (1): 50.
22. Rogers MA, Kim C, Banerjee T & Lee JM 2017. Fluctuations in the incidence of type 1 diabetes in the United States from 2001 to 2015: a longitudinal study. BMC medicine. 15 (1): 199.
23. Rosenbauer J, Herzig P & Giani G 2008. Early infant feeding and risk of type 1 diabetes mellitus-a nationwide population‐based case–control study in pre‐school children. Diabetes/metabolism research and reviews. 24 (3): 211-222.
24. Sanyaolu A, Okorie C, Qi X, Locke J & Rehman S 2019. Childhood and Adolescent Obesity in the United States: A Public Health Concern. Global pediatric health. 6: 2333794X19891305.
25. Savilahti E & Saarinen KM 2009. Early infant feeding and type 1 diabetes. European journal of nutrition. 48 (4): 243-249.
26. Soltesz G, Patterson C, Dahlquist G & Group ES 2007. Worldwide childhood type 1 diabetes incidence–what can we learn from epidemiology? Pediatric diabetes. 8: 6-14.
27. Sorkio S, et al. 2010. Breastfeeding patterns of mothers with type 1 diabetes: results from an infant feeding trial. Diabetes/metabolism research and reviews. 26 (3): 206-211.
28. Stene LC, Joner G & Group NCDS 2003. Use of cod liver oil during the first year of life is associated with lower risk of childhood-onset type 1 diabetes: a large, population-based, case-control study. American journal of clinical nutrition. 78 (6): 1128-1134.
29. Strotmeyer ES, et al. 2004. Infant diet and type 1 diabetes in China. Diabetes research and clinical practice. 65 (3): 283-292.
30. Stuebe A 2009. The risks of not breastfeeding for mothers and infants. Reviews in obstetrics and gynecology. 2 (4): 222.
31. Turtinen M, Härkönen T, Parkkola A, Ilonen J & Knip M 2019. Characteristics of familial type 1 diabetes: effects of the relationship to the affected family member on phenotype and genotype at diagnosis. Diabetologia. 62 (11): 2025-2039.
32. Vaiserman A, et al. 2007. Seasonality of birth in children and young adults (0–29 years) with type 1 diabetes in Ukraine. Diabetologia. 50 (1): 32-35.
33. Zipitis CS & Akobeng AK 2008. Vitamin D supplementation in early childhood and risk of type 1 diabetes: a systematic review and meta-analysis. Archives of disease in childhood. 93 (6): 512-517.

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