Primal Health Databank: Study
| Entry No: | 1026 |
| Title: | Prenatal, Obstetric and Perinatal Factors Associated with the Development of Childhood-Onset Type 2 Diabetes. |
| Author(s): | Halipchuk J, Temple B, et al |
| Reference: | Can J Diabetes. 2017 Jun 2. pii: S1499-2671(16)30811-5. doi: 10.1016/j.jcjd.2017.04.003. [Epub ahead of print] |
| Place of Study: | Canada |
| Abstract: | This retrospective, case-control study utilized administrative data housed at the Manitoba Centre for Health Policy. De-identified health records were examined from a sample of 270 children (aged 10 to 17 years at time of diagnosis) with type 2 diabetes and 1341 children without type 2 diabetes matched for age, sex and geographic location. Patients and control subjects were linked to their de-identified biological mothers' health records. Prenatal, obstetric and perinatal factors were investigated. Univariate and multivariable conditional regression analyses were conducted to identify key factors associated with the development of type 2 diabetes in children.
The mean age at diagnosis was 13.1 years, and 61% of patients were girls. The majority (71.1%) of children with type 2 diabetes resided in rural areas. Exposure to maternal pregestational diabetes increased the odds of childhood-onset type 2 diabetes nearly 6-fold, and exposure to gestational diabetes carried a 4-fold increased risk. Breastfeeding was found to be protective, decreasing the risk of childhood-onset type 2 diabetes (odds ratio = 0.52, 95% confidence interval = 0.36-0.74). Low maternal income was significantly associated with development of childhood-onset type 2 diabetes (odds ratio = 6.67, 95% confidence interval = 3.01-14.79).
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| Keyword(s): | diabetes type 2 |
| Discussion: | No discussion mentioned for this entry |
| See Also: | No related entries mentioned for this entry |
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