Type 2 & other diabetes

Nature vs nurture of glucose homeostasis trajectories in children from the Avon Longitudinal Study of Parents and Children (ALSPAC) study

DiabetologiaPublished Prospective cohort study

Authors' conclusion

Genes interact with environment to define glucose homeostasis in youth

Study context

Population
Children and young adults aged 7–24 years from the Avon Longitudinal Study of Parents and Children (ALSPAC)
Participants
8,783 children
Exposure
PRS-enhanced models vs environmental factors alone
Outcome
Prediction of glycaemic traits and gene-environment interactions
Methodological detailspolygenic risk scores, gene-environment interaction analysis, pathway-specific PRSs
  • Polygenic risk scores
  • Gene-environment interaction analysis
  • Pathway-specific PRSs

Main finding

As reported in the abstract

Prediabetes prevalence at age 24 years (up to)

24%

AUC for dysglycaemia at age 15, PRS-enhanced model (improved by 0.12 vs environmental factors alone)

0.78

Fasting glucose PRS: AUC differentiating transient from persistent prediabetes

0.70

Observational data: associations, not effects.

Original publication

Nature vs nurture of glucose homeostasis trajectories in children from the ALSPAC study. Diabetologia. Published 15 April 2026. doi:10.1007/s00125-026-06722-5

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