open access

Vol 11, No 5 (2010): Practical Diabetology
Original articles (translated)
Published online: 2011-02-16
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Maternal age at birth and childhood type 1 diabetes: a pooled analysis of 30 observational studies

Chris R. Cardwell, Lars C. Stene, Geir Joner, Max K. Bulsara, Ondrej Cinek, Joachim Rosenbauer, Johnny Ludvigsson, Mireia Jané, Jannet Svensson, Michael J. Goldacre, Thomas Waldhoer, Przemysława Jarosz-Chobot, Suely G.A. Gimeno, Lee-Ming Chuang, Roger C. Parslow, Emma J.K. Wadsworth, Amanda Chetwynd, Paolo Pozzilli, Girts Brigis, Brone Urbonaite, Sandra Šipetić, Edith Schober, Gabriele Devoti, Constantin Ionescu-Tirgoviste, Carine E. de Beaufort, Denk
Diabetologia Praktyczna 2010;11(5):181-193.

open access

Vol 11, No 5 (2010): Practical Diabetology
Original articles (translated)
Published online: 2011-02-16

Abstract

OBJECTIVE. The aim if the study was to investigate whether children born to older mothers have an increased risk of type 1 diabetes by performing a pooled analysis of previous studies using individual patient data to adjust for recognized confounders.
MATERIAL AND METHODS. Relevant studies published before June 2009 were identified from MEDLINE, Web of Science, and EMBASE. Authors of studies were contacted and asked to provide individual patient data or conduct prespecified analyses. Risk estimates of type 1 diabetes by maternal age were calculated for each study, before and after adjustment for potential confounders. Meta-analysis techniques were used to derive combined odds ratios and to investigate heterogeneity among studies.
RESULTS. Data were available for 5 cohort and 25 casecontrol studies, including 14,724 cases of type 1 diabetes. Overall, there was, on average, a 5% (95% CI 2–9) increase in childhood type 1 diabetes odds per 5-year increase in maternal age (P = 0.006), but there was heterogeneity among studies (heterogeneity I2 = 70%). In studies with a low risk of bias, there was a more marked increase in diabetes odds of 10% per 5-year increase in maternal age. Adjustments for potential confounders little altered these estimates.
CONCLUSIONS. There was evidence of a weak but significant linear increase in the risk of childhood type 1 diabetes across the range of maternal ages, but the magnitude of association varied between studies. A very small percentage of the increase in the incidence of childhood type 1 diabetes in recent years could be explained by increases in maternal age. (Diabet. Prakt. 2010; 11, 5: 181–193)

Abstract

OBJECTIVE. The aim if the study was to investigate whether children born to older mothers have an increased risk of type 1 diabetes by performing a pooled analysis of previous studies using individual patient data to adjust for recognized confounders.
MATERIAL AND METHODS. Relevant studies published before June 2009 were identified from MEDLINE, Web of Science, and EMBASE. Authors of studies were contacted and asked to provide individual patient data or conduct prespecified analyses. Risk estimates of type 1 diabetes by maternal age were calculated for each study, before and after adjustment for potential confounders. Meta-analysis techniques were used to derive combined odds ratios and to investigate heterogeneity among studies.
RESULTS. Data were available for 5 cohort and 25 casecontrol studies, including 14,724 cases of type 1 diabetes. Overall, there was, on average, a 5% (95% CI 2–9) increase in childhood type 1 diabetes odds per 5-year increase in maternal age (P = 0.006), but there was heterogeneity among studies (heterogeneity I2 = 70%). In studies with a low risk of bias, there was a more marked increase in diabetes odds of 10% per 5-year increase in maternal age. Adjustments for potential confounders little altered these estimates.
CONCLUSIONS. There was evidence of a weak but significant linear increase in the risk of childhood type 1 diabetes across the range of maternal ages, but the magnitude of association varied between studies. A very small percentage of the increase in the incidence of childhood type 1 diabetes in recent years could be explained by increases in maternal age. (Diabet. Prakt. 2010; 11, 5: 181–193)
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About this article
Title

Maternal age at birth and childhood type 1 diabetes: a pooled analysis of 30 observational studies

Journal

Clinical Diabetology

Issue

Vol 11, No 5 (2010): Practical Diabetology

Pages

181-193

Published online

2011-02-16

Bibliographic record

Diabetologia Praktyczna 2010;11(5):181-193.

Authors

Chris R. Cardwell
Lars C. Stene
Geir Joner
Max K. Bulsara
Ondrej Cinek
Joachim Rosenbauer
Johnny Ludvigsson
Mireia Jané
Jannet Svensson
Michael J. Goldacre
Thomas Waldhoer
Przemysława Jarosz-Chobot
Suely G.A. Gimeno
Lee-Ming Chuang
Roger C. Parslow
Emma J.K. Wadsworth
Amanda Chetwynd
Paolo Pozzilli
Girts Brigis
Brone Urbonaite
Sandra Šipetić
Edith Schober
Gabriele Devoti
Constantin Ionescu-Tirgoviste
Carine E. de Beaufort
Denk

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