Type 1 diabetes

Maternal autoimmune disease associated with a higher risk of offspring with type 1 diabetes: A nationwide mother-child cohort study in Taiwan

Diabetes MetabPublished Nationwide mother-child cohort study

Main finding · Childhood-onset T1DResult — go to the resultAdjusted hazard ratio 1.55 95% CI 1.16–2.08

Authors' conclusion

This nationwide mother and child cohort study showed a higher risk of type 1 diabetes in the children whose mothers had autoimmune disease, including Hashimoto's thyroiditis, and inflammatory bowel diseases.

Study context

Population
Newborns from the Taiwan Maternal and Child Health Database, born 2009–2016, followed to December 31, 2019
Participants
1,288,347 newborns
Exposure
Maternal autoimmune disease vs no maternal autoimmune disease
Outcome
Childhood-onset T1D
Follow-up
To December 31, 2019
Methodological detailsmultivariable Cox regression
  • Multivariable Cox regression

Main finding

As reported in the abstract

Adjusted hazard ratio

1.55

95% CI 1.16–2.08

Maternal autoimmune diseasevs No maternal autoimmune disease
aHR 1.55 (95% CI 1.16–2.08)

Observational data: associations, not effects.

Further findings

OutcomeaHR (95% CI)
Childhood-onset T1D by maternal autoimmune disease typeMaternal T1Dvs No maternal autoimmune diseaseMultivariable model11.33 (4.62–27.77)
Childhood-onset T1D by maternal autoimmune disease typeMaternal Hashimoto's thyroiditisvs No maternal autoimmune diseaseMultivariable model3.73 (1.70–8.15)
Childhood-onset T1D by maternal autoimmune disease typeMaternal inflammatory bowel diseasesvs No maternal autoimmune diseaseMultivariable model2.00 (1.07–3.76)

Original publication

Maternal autoimmune disease associated with a higher risk of offspring with type 1 diabetes: A nationwide mother-child cohort study in Taiwan. Diabetes Metab. Published 25 March 2023. doi:10.1016/j.diabet.2023.101443

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