Type 1 diabetes

HLA Genotype and Probiotics Modify the Association Between Timing of Solid Food Introduction and Islet Autoimmunity in the The Environmental Determinants of Diabetes in the Young (TEDDY) Study

Diabetes CarePublished Prospective cohort study

Authors' conclusion

Timing of solid food introduction, including rice, may be associated with IA in children with the HLA DR3/4 genotype not exposed to probiotics. The microbiome composition under these exposure combinations requires further study.

Study context

Population
Children with increased genetic risk of T1D, TEDDY studyof 8,676 followed
Participants
7,770 children
Exposure
Early (<6 months) vs later solid food introduction, by HLA genotype and probiotic exposure
Outcome
Islet autoimmunity (IA)
Methodological detailsCox proportional hazards regression adjusted for potential confounders
  • Cox proportional hazards regression adjusted for potential confounders

Main finding

As reported in the abstract

IA
  • Any solid food introduced early (<6 months) associated with increased risk of islet autoimmunity (IA) if HLA DR3/4 genotype and no probiotic exposure in 1st year of life

Observational data: associations, not effects.

Further findings

IA, rice introduction in the U.S.

Rice introduced at 4-5.9 months vs later in the U.S. associated with increased risk of IA

Original publication

HLA Genotype and Probiotics Modify the Association Between Timing of Solid Food Introduction and Islet Autoimmunity in the TEDDY Study. Diabetes Care. Published 14 August 2023. doi:10.2337/dc23-0417

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