Type 1 diabetes

Interaction Between Dietary Iron Intake and Genetically Determined Iron Overload: Risk of Islet Autoimmunity and Progression to Type 1 Diabetes in the The Environmental Determinants of Diabetes in the Young (TEDDY) Study

Diabetes CarePublished Prospective cohort study

Main finding · IA with insulin as first autoantibody, children with GRS ≥2 iron risk allelesResult — go to the resultAdjusted hazard ratio 1.71 95% CI 1.14–2.58

Authors' conclusion

Iron intake may alter the risk of IA in children with high-risk HLA haplogenotypes.

Study context

Population
Genetically high-risk children followed from birth (TEDDY study)
Participants
7,770 children
Exposure
High vs moderate energy-adjusted iron intake, by genetic risk score (GRS) for increased circulating iron
Outcome
Islet autoimmunity (IA) and progression to T1D
Methodological detailsbirth cohort, genetically high-risk children
  • Birth cohort
  • Genetically high-risk children

Main finding

As reported in the abstract

IA with insulin as first autoantibody, children with GRS ≥2 iron risk alleles

Adjusted hazard ratio

1.71

95% CI 1.14–2.58

High iron intakevs Moderate iron intake
aHR 1.71 (95% CI 1.14–2.58)

Observational data: associations, not effects.

Original publication

Interaction Between Dietary Iron Intake and Genetically Determined Iron Overload: Risk of Islet Autoimmunity and Progression to Type 1 Diabetes in the TEDDY Study. Diabetes Care. Published 3 March 2023. doi:10.2337/dc22-1359

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