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Study
Links Mother's Age
& Child's Diabetes Risk
Excerpt By Suzanne Rostler, Reuters Health Writer
NEW
YORK (Reuters Health) - A mother's age has no effect on her firstborn
child's risk of developing type 1 diabetes, but may influence
the risk that later siblings will have the disease, according
to new study findings.
Researchers
tracked the 1.4 million people born between 1974 and 1998 in Norway
and identified 1,824 cases of type 1 diabetes diagnosed between
1989 and 1998.
Among fourth-born
children, diabetes risk increased by 43% with every 5-year increase
in a mother's age, Dr. Lars C. Stene from Aker and Ulleval University
Hospitals in Oslo, Norway, and colleagues report. They also found
an association between a mother's age and diabetes risk among
second and other later-born children, but not among oldest siblings.
Both environmental
and biologic factors may explain the findings, Stene's team notes
in the August 18th issue of the British Medical Journal. Biologically,
the interaction between the fetal and maternal immune systems
may change with each pregnancy in a way that influences diabetes
risk. Type 1 diabetes is an autoimmune disorder in which the body
attacks the insulin-producing cells of the pancreas.
But infant
feeding practices, newborn care and exposure to infections can
vary with a mother's age and the number of children she already
has, and these factors could also influence diabetes risk, the
authors suggest.
At least one
study has found that children who attend day care centers and
are assumed to be exposed to more infections have a lower risk
for type 1 diabetes, the report indicates.
``One of the
important implications of our (study) is that the risk of diabetes
seems to vary with non-genetic factors,'' Stene told Reuters Health.
``Up to now, only specific genes have convincingly been shown
to predict risk to some extent in healthy individuals.''
He cautioned
that mothers should not be concerned, however, since the overall
risk of developing type 1 diabetes before age 15 for an average
newborn, at least in Norway, is 0.4%. Further studies should investigate
possible reasons for the relationship, he added, as well as the
relationship between the timing of successive pregnancies and
immunologic factors in mothers.
In other findings,
the risk of diabetes for subsequent children decreased when the
mother was young. Second and later children born to mothers aged
20 to 24 years had an 18% lower risk of diabetes compared with
firstborn children, the investigators found.
The researchers
found no significant association between a father's age and the
risk of type 1 diabetes.
SOURCE:
British Medical Journal 2001;323:369-371.
Reference
Source 89
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