The Association between Nutrition Style through the First ۲ Years of Life, Maternal and Childhood Indicators with Type ۱ Diabetes Mellitus in Children: A Case-Control Study
Publish place: Journal of Nutrition and Food Security، Vol: 8، Issue: 1
Publish Year: 1401
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_JNFS-8-1_003
تاریخ نمایه سازی: 24 بهمن 1401
Abstract:
Background: Nutrition and dietary habits is one of the determinant factor on glycemic control of diabetes mellitus. This study aims to investigate the association between type ۱ diabetes mellitus (T۱DM) and diet in the first two years of life as well as a select group of demographic variables. Methods: This case-control study was conducted on ۷۶ children with T۱DM and ۲۰۹ non-diabetic children selected through convenience sampling from the population of people visiting the community health centers of the city of Jahrom, Iran. The required data were collected by a questionnaire of diet and demographic information completed by the mothers of the children. The data were analyzed using logistic regression and adjusted odds ratio. Results: Finally, the results of multiple backward logistic regression showed that the studied factors had a significant association with T۱DM (P < ۰.۰۵), including body mass index (BMI) less than ۱۸ kg/m۲ for mothers before pregnancy (OR: ۴.۴, ۹۵% CI: ۱.۶۱ to ۱۱.۹۷), mothers without a history of diabetes (OR: ۰.۰۲, ۹۵% CI: ۰.۰۰۱ to ۰.۶۰), mother’s weight before pregnancy (OR: ۰.۸۸, ۹۵% CI: ۰.۸۴ to ۰.۹۱), mother’s excess weight during pregnancy (OR: ۰.۸۳, ۹۵% CI: ۰.۷۵ to ۰.۹۳), exclusive breastfeeding for more than six months (OR: ۰.۱۹, ۹۵% CI: ۰.۰۳ to ۰.۹۶), low weight gain in the first two years of life (OR: ۶.۹۸, ۹۵% CI: ۲.۱۶ to ۲۲.۵), and the breastfeeding less than ۱۲ months (OR: ۱۰.۵۲, ۹۵% CI: ۱.۶۲ to ۶۶.۶۴). Conclusion: BMI less than ۱۸ kg/m۲ for mothers before pregnancy, low weight gain in the first two years of life, and breastfeeding less than ۱۲ months increased the risk of developing T۱DM in children.
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Authors
Marzieh Zamani
Department of Nutrition, School of Medicine, Jahrom University of Medical Science, Jahrom, Iran
Hekmatollah Khoubfekr
Iranshahr Health Services, Iranshahr University of Medical Sciences, Iranshahr, Iran
Azam Namdar
Department of Community Medicine, School of Medicine, Fasa University of Medical Science, Fasa, Iran
Samira Rezaei
Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
Vahid Rahmanian
Department of Public Health, Torbat Jam, Faculty of Medical Sciences, Torbat Jam, Iran.
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