Cognitive function in adult offspring of women with Type1 diabetes

Aims Maternal diabetes may affect offspring cognitive function. The objective of the study was to evaluate cognitive function and potential predictors hereof in adult offspring of women with Type1 diabetes. Methods We conducted a follow-up study of adult offspring of women with Type1 diabetes (n=158...

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Veröffentlicht in:Diabetic medicine 2011-07, Vol.28 (7), p.838-844
Hauptverfasser: Clausen, T D, Mortensen, EL, Schmidt, L, Mathiesen, E R, Hansen, T, Jensen, D M, Holm, S, Poulsen, L, From, M, Damm, P
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container_end_page 844
container_issue 7
container_start_page 838
container_title Diabetic medicine
container_volume 28
creator Clausen, T D
Mortensen, EL
Schmidt, L
Mathiesen, E R
Hansen, T
Jensen, D M
Holm, S
Poulsen, L
From, M
Damm, P
description Aims Maternal diabetes may affect offspring cognitive function. The objective of the study was to evaluate cognitive function and potential predictors hereof in adult offspring of women with Type1 diabetes. Methods We conducted a follow-up study of adult offspring of women with Type1 diabetes (n=158) and a reference group from the background population (n=118). The main outcome measure was offspring cognitive function measured by global cognitive score, derived from Raven's Progressive Matrices and three verbal subtests from the Weschler Adult Intelligence Scale. Results Offspring of women with Type1 diabetes obtained lower global cognitive scores (94.8 vs. 100.0, P=0.004) than offspring from the background population. When adjusted for confounders, the groups no longer differed significantly (difference 0.4, 95%CI -3.3 to 4.). Positive predictors of cognitive function in offspring of women with diabetes were family social class, parental educational level, maternal diabetes duration, male gender and offspring age, whereas parity greater than or equal to 1 and gestational age
doi_str_mv 10.1111/j.1464-5491.2011.03300.x
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The objective of the study was to evaluate cognitive function and potential predictors hereof in adult offspring of women with Type1 diabetes. Methods We conducted a follow-up study of adult offspring of women with Type1 diabetes (n=158) and a reference group from the background population (n=118). The main outcome measure was offspring cognitive function measured by global cognitive score, derived from Raven's Progressive Matrices and three verbal subtests from the Weschler Adult Intelligence Scale. Results Offspring of women with Type1 diabetes obtained lower global cognitive scores (94.8 vs. 100.0, P=0.004) than offspring from the background population. When adjusted for confounders, the groups no longer differed significantly (difference 0.4, 95%CI -3.3 to 4.). Positive predictors of cognitive function in offspring of women with diabetes were family social class, parental educational level, maternal diabetes duration, male gender and offspring age, whereas parity greater than or equal to 1 and gestational age &lt;34weeks were negative predictors. We found no association with maternal glycaemia during pregnancy or with neonatal hypoglycaemia. Conclusions Impaired cognitive function in adult offspring of women with Type1 diabetes compared with the background population apparently reflects differences with respect to well-known confounders. However, harmful effects of maternal hyperglycaemia may be mediated through delivery at &lt;34weeks.Original Abstract: Diabet. 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The objective of the study was to evaluate cognitive function and potential predictors hereof in adult offspring of women with Type1 diabetes. Methods We conducted a follow-up study of adult offspring of women with Type1 diabetes (n=158) and a reference group from the background population (n=118). The main outcome measure was offspring cognitive function measured by global cognitive score, derived from Raven's Progressive Matrices and three verbal subtests from the Weschler Adult Intelligence Scale. Results Offspring of women with Type1 diabetes obtained lower global cognitive scores (94.8 vs. 100.0, P=0.004) than offspring from the background population. When adjusted for confounders, the groups no longer differed significantly (difference 0.4, 95%CI -3.3 to 4.). Positive predictors of cognitive function in offspring of women with diabetes were family social class, parental educational level, maternal diabetes duration, male gender and offspring age, whereas parity greater than or equal to 1 and gestational age &lt;34weeks were negative predictors. We found no association with maternal glycaemia during pregnancy or with neonatal hypoglycaemia. Conclusions Impaired cognitive function in adult offspring of women with Type1 diabetes compared with the background population apparently reflects differences with respect to well-known confounders. However, harmful effects of maternal hyperglycaemia may be mediated through delivery at &lt;34weeks.Original Abstract: Diabet. 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The objective of the study was to evaluate cognitive function and potential predictors hereof in adult offspring of women with Type1 diabetes. Methods We conducted a follow-up study of adult offspring of women with Type1 diabetes (n=158) and a reference group from the background population (n=118). The main outcome measure was offspring cognitive function measured by global cognitive score, derived from Raven's Progressive Matrices and three verbal subtests from the Weschler Adult Intelligence Scale. Results Offspring of women with Type1 diabetes obtained lower global cognitive scores (94.8 vs. 100.0, P=0.004) than offspring from the background population. When adjusted for confounders, the groups no longer differed significantly (difference 0.4, 95%CI -3.3 to 4.). Positive predictors of cognitive function in offspring of women with diabetes were family social class, parental educational level, maternal diabetes duration, male gender and offspring age, whereas parity greater than or equal to 1 and gestational age &lt;34weeks were negative predictors. We found no association with maternal glycaemia during pregnancy or with neonatal hypoglycaemia. Conclusions Impaired cognitive function in adult offspring of women with Type1 diabetes compared with the background population apparently reflects differences with respect to well-known confounders. However, harmful effects of maternal hyperglycaemia may be mediated through delivery at &lt;34weeks.Original Abstract: Diabet. Med. 28, 838-844 (2011)</abstract><doi>10.1111/j.1464-5491.2011.03300.x</doi><tpages>7</tpages></addata></record>
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subjects Age
Cognitive ability
Diabetes mellitus
Gestational age
Intelligence
Neonates
Parity
Pregnancy
Progeny
title Cognitive function in adult offspring of women with Type1 diabetes
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