Type 1 diabetes

Environmental Determinants of Islet Autoimmunity (ENDIA) longitudinal prospective pregnancy to childhood cohort study of Australian children at risk of type 1 diabetes: parental demographics and birth information

BMJ Open Diabetes Res CarePublished Prospective cohort study

Authors' conclusion

This comprehensive profile provides the context for understanding ENDIA's scope, methodology, unique strengths and limitations. Now fully recruited, ENDIA will provide unique insights into the roles of early-life factors in the development of islet autoimmunity and T1D in the Australian environment.

Study context

Population
Unborn children or infants aged <6 months with a first-degree relative with T1D, Australia1,214 mothers
Participants
1,473 children1,453 pregnancies
Exposure
Mothers with T1D vs mothers without T1D
Outcome
Persistent islet autoimmunity
Follow-up
Followed until T1D diagnosis or 10 years of age
Methodological detailscohort profile, longitudinal, pregnancy to childhood, ongoing
  • Cohort profile
  • Longitudinal
  • Pregnancy to childhood
  • Ongoing

Main finding

As reported in the abstract

Cohort characteristics · birth

Enrolled during pregnancy

80%

T1D proband: maternal

62%

T1D proband: paternal

28%

T1D proband: sibling

11%

Observational data: associations, not effects.

Further findings

Maternal and neonatal outcomes by maternal T1D

Mothers with T1D had higher rates of pregnancy complications and perinatal intervention, and larger babies of shorter gestation

Parent demographics vs Australian population

Comparable for age, parity and obesity
More ENDIA parents Australian born, living in a major city, with higher socioeconomic advantage and education

Original publication

Environmental Determinants of Islet Autoimmunity (ENDIA) longitudinal prospective pregnancy to childhood cohort study of Australian children at risk of type 1 diabetes: parental demographics and birth information. BMJ Open Diabetes Res Care. Published 16 July 2024. doi:10.1136/bmjdrc-2024-004130

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