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孕期母体维生素 C 和铁的摄入量与儿童胰岛自身免疫和 1 型糖尿病的风险:一项出生队列研究。

Maternal Vitamin C and Iron Intake during Pregnancy and the Risk of Islet Autoimmunity and Type 1 Diabetes in Children: A Birth Cohort Study.

机构信息

Unit of Health Sciences, Faculty of Social Sciences, Tampere University, FI-33014 Tampere, Finland.

Research, Development and Innovation Center, Tampere University Hospital, P.O. Box 2000, FI-33521 Tampere, Finland.

出版信息

Nutrients. 2021 Mar 13;13(3):928. doi: 10.3390/nu13030928.

Abstract

Our aim was to study the associations between maternal vitamin C and iron intake during pregnancy and the offspring's risk of developing islet autoimmunity and type 1 diabetes. The study was a part of the Finnish Type 1 Diabetes Prediction and Prevention (DIPP) prospective birth cohort including children genetically at risk of type 1 diabetes born between 1997-2004. The diets of 4879 mothers in late pregnancy were assessed with a validated food frequency questionnaire. The outcomes were islet autoimmunity and type 1 diabetes. Cox proportional hazards regression analysis adjusted for energy, family history of diabetes, human leukocyte antigen (HLA) genotype and sex was used for statistical analyses. Total intake of vitamin C or iron from food and supplements was not associated with the risk of islet autoimmunity (vitamin C: HR 0.91: 95% CI (0.80, 1.03), iron: 0.98 (0.87, 1.10)) or type 1 diabetes (vitamin C: 1.01 (0.87, 1.17), iron: 0.92 (0.78, 1.08)), neither was the use of vitamin C or iron supplements associated with the outcomes. In conclusion, no association was found between maternal vitamin C or iron intake during pregnancy and the risk of islet autoimmunity or type 1 diabetes in the offspring.

摘要

我们的目的是研究母亲在怀孕期间摄入维生素 C 和铁与后代发生胰岛自身免疫和 1 型糖尿病风险之间的关联。该研究是芬兰 1 型糖尿病预测和预防(DIPP)前瞻性出生队列的一部分,包括 1997-2004 年间出生的遗传上易患 1 型糖尿病的儿童。在妊娠晚期,使用经过验证的食物频率问卷评估了 4879 位母亲的饮食。结局是胰岛自身免疫和 1 型糖尿病。使用 Cox 比例风险回归分析调整了能量、糖尿病家族史、人类白细胞抗原(HLA)基因型和性别进行统计分析。来自食物和补充剂的维生素 C 或铁的总摄入量与胰岛自身免疫的风险无关(维生素 C:HR 0.91:95%CI(0.80,1.03),铁:0.98(0.87,1.10))或 1 型糖尿病(维生素 C:1.01(0.87,1.17),铁:0.92(0.78,1.08)),维生素 C 或铁补充剂的使用也与结果无关。总之,母亲在怀孕期间摄入维生素 C 或铁与后代发生胰岛自身免疫或 1 型糖尿病的风险之间没有关联。

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