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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

Hedlund, Emma LU ; Ludvigsson, Johnny ; Elding Larsson, Helena LU ; Forsander, Gun ; Ivarsson, Sten LU ; Marcus, Claude ; Samuelsson, Ulf ; Persson, Martina and Carlsson, Annelie LU orcid (2022) In Acta Paediatrica, International Journal of Paediatrics 111(12). p.2378-2383
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... (More)

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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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
autoantibodies, birth pattern, HLA-DQ alleles, seasonality, type 1 diabetes
in
Acta Paediatrica, International Journal of Paediatrics
volume
111
issue
12
pages
2378 - 2383
publisher
Wiley-Blackwell
external identifiers
  • pmid:35615774
  • scopus:85131510831
ISSN
0803-5253
DOI
10.1111/apa.16426
project
Better Diabetes Diagnosis (BDD)
language
English
LU publication?
yes
id
79a4583c-a3a9-4cf9-9821-96ef9b76afbd
date added to LUP
2022-08-22 12:05:47
date last changed
2024-06-13 18:23:10
@article{79a4583c-a3a9-4cf9-9821-96ef9b76afbd,
  abstract     = {{<p>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.</p>}},
  author       = {{Hedlund, Emma and Ludvigsson, Johnny and Elding Larsson, Helena and Forsander, Gun and Ivarsson, Sten and Marcus, Claude and Samuelsson, Ulf and Persson, Martina and Carlsson, Annelie}},
  issn         = {{0803-5253}},
  keywords     = {{autoantibodies; birth pattern; HLA-DQ alleles; seasonality; type 1 diabetes}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{2378--2383}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Paediatrica, International Journal of Paediatrics}},
  title        = {{Month of birth and the risk of developing type 1 diabetes among children in the Swedish national Better Diabetes Diagnosis Study}},
  url          = {{http://dx.doi.org/10.1111/apa.16426}},
  doi          = {{10.1111/apa.16426}},
  volume       = {{111}},
  year         = {{2022}},
}