Type 1 diabetes

High BMI and the risk for incident type 1 Diabetes Mellitus: a systematic review and meta-analysis of aggregated cohort studies

Cardiovasc DiabetolPublished Systematic review and meta-analysis of cohort studies

Authors' conclusion

This systematic review and meta-analysis of high-quality observational cohort studies indicated an association between high BMI and the risk of type 1 diabetes, in a graded manner.

Study context

Population
Cohort studies reporting the association between overweight and/or obesity (BMI after age 2 years) and incident T1D; databases searched up to June 20227 studies with BMI categories
Participants
1,690,660 participants
Comparison
Overweight, obesity or overweight/obesity vs reference BMI
Outcome
Incident T1D
Methodological detailsrandom-effects model, 10 cohort studies met inclusion criteria; 7 classifying BMI into categories were of high quality
  • Random-effects model
  • 10 cohort studies met inclusion criteria; 7 classifying BMI into categories were of high quality

Pooled result

As reported in the abstract

Pooled relative risk (95% CI)
Overweight3 studies
1.35(0.93–1.97)
Obesity5 studies
2.17(1.75–2.69)
Overweight/obesity2 studies
1.87(1.52–2.29)
Incident T1D cases
1979

Further pooled results

OutcomeGreater risk (95% CI)
Incident T1D with positive islet autoantibodies2.55 (1.11–5.86)

Original publication

High BMI and the risk for incident type 1 Diabetes Mellitus: a systematic review and meta-analysis of aggregated cohort studies. Cardiovasc Diabetol. Published 2 November 2023. doi:10.1186/s12933-023-02007-y

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