Type 1 diabetes

Long-term Risk for Type 1 Diabetes and Obesity in Early Term Born Offspring: A Systematic Review and Meta-Analysis

J Clin Endocrinol MetabPublished Systematic review and meta-analysis of observational cohort studies

Pooled result · T1DResult — go to the resultRelative risk 1.19 CI 1.13–1.25

Authors' conclusion

Compared with full-term offspring, early-term delivery poses a modest risk for long-term pediatric type 1 diabetes. Our analysis supports that, whenever medically possible, elective delivery should be avoided before 39 completed weeks of gestation.

Study context

Population
Offspring up to the age of 18 years; observational cohort studies from PubMed, Medline and EMBASE11 studies
Comparison
Early-term vs full-term delivery
Outcome
Long-term risk for T1D and obesity
Follow-up
Up to age 18 years
Methodological detailstwo independent reviewers, funnel plots with Egger's regression, sensitivity analyses, All studies scored high quality (Newcastle-Ottawa Scale), Most studies adjusted for at least some confounders
  • Two independent reviewers
  • Funnel plots with Egger's regression
  • Sensitivity analyses
  • All studies scored high quality (Newcastle-Ottawa Scale)
  • Most studies adjusted for at least some confounders

Pooled result

T1D

Relative risk

1.19

CI 1.13–1.25

Early-termvs Full-term
RR 1.19 (CI 1.13–1.25)

As reported in the abstract

Further pooled results

OutcomeRR (CI)
Overweight and obesityWeaker association1.05 (0.97–1.12)

Original publication

Long-term Risk for Type 1 Diabetes and Obesity in Early Term Born Offspring: A Systematic Review and Meta-Analysis. J Clin Endocrinol Metab. Published 11 December 2023. doi:10.1210/clinem/dgad715

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