Maternal Vitamin C and Iron Intake during Pregnancy and the Risk of Islet Autoimmunity and Type 1 Diabetes in Children: A Birth Cohort Study

Nutrients. 2021 Mar 13;13(3):928. doi: 10.3390/nu13030928.

Abstract

Our aim was to study the associations between maternal vitamin C and iron intake during pregnancy and the offspring's risk of developing islet autoimmunity and type 1 diabetes. The study was a part of the Finnish Type 1 Diabetes Prediction and Prevention (DIPP) prospective birth cohort including children genetically at risk of type 1 diabetes born between 1997-2004. The diets of 4879 mothers in late pregnancy were assessed with a validated food frequency questionnaire. The outcomes were islet autoimmunity and type 1 diabetes. Cox proportional hazards regression analysis adjusted for energy, family history of diabetes, human leukocyte antigen (HLA) genotype and sex was used for statistical analyses. Total intake of vitamin C or iron from food and supplements was not associated with the risk of islet autoimmunity (vitamin C: HR 0.91: 95% CI (0.80, 1.03), iron: 0.98 (0.87, 1.10)) or type 1 diabetes (vitamin C: 1.01 (0.87, 1.17), iron: 0.92 (0.78, 1.08)), neither was the use of vitamin C or iron supplements associated with the outcomes. In conclusion, no association was found between maternal vitamin C or iron intake during pregnancy and the risk of islet autoimmunity or type 1 diabetes in the offspring.

Keywords: ascorbic acid; birth cohort; iron; islet autoimmunity; nutrition; pregnancy; type 1 diabetes; vitamin C.

MeSH terms

  • Adult
  • Ascorbic Acid / analysis
  • Autoimmune Diseases / genetics
  • Autoimmune Diseases / immunology*
  • Child, Preschool
  • Diabetes Mellitus, Type 1 / genetics
  • Diabetes Mellitus, Type 1 / immunology*
  • Diet / adverse effects*
  • Diet / statistics & numerical data
  • Diet Surveys
  • Dietary Supplements
  • Female
  • Finland
  • Genotype
  • HLA Antigens / immunology
  • Humans
  • Infant
  • Iron, Dietary / analysis
  • Islets of Langerhans / immunology
  • Male
  • Maternal Exposure / adverse effects*
  • Maternal Nutritional Physiological Phenomena / immunology*
  • Pregnancy
  • Prenatal Exposure Delayed Effects / genetics
  • Prenatal Exposure Delayed Effects / immunology*
  • Proportional Hazards Models
  • Prospective Studies
  • Regression Analysis

Substances

  • HLA Antigens
  • Iron, Dietary
  • Ascorbic Acid

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