Early Introduction of Dairy Products Associated with Increased Risk of IDDM in Finnish Children

Author:

Virtanen Suvi M1,Räsänen Leena1,Ylönen Katrina1,Aro Antti1,Clayton David1,Langholz Bryan1,Pitkäniemi Janne1,Savilahti Erkki1,Lounamaa Raisa1,Tuomilehto Jaakko1,Åkerblom Hans K1

Affiliation:

1. Division of Nutrition, Department of Applied Chemistry and Microbiology and the Children's Hospital, First and Second Departments of Pediatrics, University of Helsinki; the Departments of Nutrition and Epidemiology and Health Promotion, National Public Health Institute Helsinki, Finland MRC Biostatistics Unit Cambridge, United Kingdom School of Medicine, University of Southern California Los Angeles, California

Abstract

Associations between infant-feeding patterns and risk of IDDM were investigated in a nationwide Finnish case-control study of 690 IDDM children <15 yr of age. Each child was matched by date of birth and sex to a randomly selected population-based control child. Univariate analysis revealed that the risk of IDDM was increased by ∼1.5 in children for whom breast-feeding was terminated at <2 mo of age, doubled in those who were exclusively breast-fed for <2 mo, and doubled in those who were introduced to dairy products at <2 mo of age. In further multivariate analyses of these factors, it was found that introduction of dairy products at an early age was the most important risk factor, and the observed univariate effects of duration of breast-feeding variables were explained by their correlation with this factor. This is the first observational study to show that early introduction of dairy products is independently associated with an increased risk of IDDM. Adjustment for mother's education and age, child's birth order, or birth weight did not affect the results.

Publisher

American Diabetes Association

Subject

Endocrinology, Diabetes and Metabolism,Internal Medicine

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