Intake of antioxidant vitamins and trace elements during pregnancy and risk of advanced β cell autoimmunity in the child

BACKGROUND: Type 1 diabetes may have its origins in the fetal period of life. Free radicals were implicated in the cause of type 1 diabetes. It was hypothesized that antioxidant nutrients could protect against type 1 diabetes. OBJECTIVE: We assessed whether high maternal intake of selected dietary a...

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Veröffentlicht in:The American journal of clinical nutrition 2008-08, Vol.88 (2), p.458-464
Hauptverfasser: Uusitalo, Liisa, Kenward, Mike G, Virtanen, Suvi M, Uusitalo, Ulla, Nevalainen, Jaakko, Niinistö, Sari, Kronberg-Kippilä, Carina, Ovaskainen, Marja-Leena, Marjamäki, Liisa, Simell, Olli, Ilonen, Jorma, Veijola, Riitta, Knip, Mikael
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container_end_page 464
container_issue 2
container_start_page 458
container_title The American journal of clinical nutrition
container_volume 88
creator Uusitalo, Liisa
Kenward, Mike G
Virtanen, Suvi M
Uusitalo, Ulla
Nevalainen, Jaakko
Niinistö, Sari
Kronberg-Kippilä, Carina
Ovaskainen, Marja-Leena
Marjamäki, Liisa
Simell, Olli
Ilonen, Jorma
Veijola, Riitta
Knip, Mikael
description BACKGROUND: Type 1 diabetes may have its origins in the fetal period of life. Free radicals were implicated in the cause of type 1 diabetes. It was hypothesized that antioxidant nutrients could protect against type 1 diabetes. OBJECTIVE: We assessed whether high maternal intake of selected dietary antioxidants during pregnancy is associated with a reduced risk of advanced β cell autoimmunity in the child, defined as repeated positivity for islet cell antibodies plus >=1 other antibody, overt type 1 diabetes, or both. DESIGN: The study was carried out as part of the population-based birth cohort of the Type 1 Diabetes Prediction and Prevention Project. The data comprised 4297 children with increased genetic susceptibility to type 1 diabetes, born at the University Hospital of Oulu or Tampere, Finland, between October 1997 and December 2002. The children were monitored for diabetes-associated autoantibodies from samples obtained at 3-12-mo intervals. Maternal antioxidant intake during pregnancy was assessed postnatally with a self-administered food-frequency questionnaire, which contained a question about consumption of dietary supplements. RESULTS: Maternal intake of none of the studied antioxidant nutrients showed association with the risk of advanced β cell autoimmunity in the child. The hazard ratios, indicating the change in risk per a 2-fold increase in the intake of each antioxidant, were nonsignificant and close to 1. CONCLUSION: High maternal intake of retinol, β-carotene, vitamin C, vitamin E, selenium, zinc, or manganese does not protect the child from development of advanced β cell autoimmunity in early childhood.
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Free radicals were implicated in the cause of type 1 diabetes. It was hypothesized that antioxidant nutrients could protect against type 1 diabetes. OBJECTIVE: We assessed whether high maternal intake of selected dietary antioxidants during pregnancy is associated with a reduced risk of advanced β cell autoimmunity in the child, defined as repeated positivity for islet cell antibodies plus &gt;=1 other antibody, overt type 1 diabetes, or both. DESIGN: The study was carried out as part of the population-based birth cohort of the Type 1 Diabetes Prediction and Prevention Project. The data comprised 4297 children with increased genetic susceptibility to type 1 diabetes, born at the University Hospital of Oulu or Tampere, Finland, between October 1997 and December 2002. The children were monitored for diabetes-associated autoantibodies from samples obtained at 3-12-mo intervals. Maternal antioxidant intake during pregnancy was assessed postnatally with a self-administered food-frequency questionnaire, which contained a question about consumption of dietary supplements. RESULTS: Maternal intake of none of the studied antioxidant nutrients showed association with the risk of advanced β cell autoimmunity in the child. The hazard ratios, indicating the change in risk per a 2-fold increase in the intake of each antioxidant, were nonsignificant and close to 1. 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Psychology ; Genetic Predisposition to Disease ; HLA-DQ Antigens - genetics ; HLA-DQ beta-Chains ; Humans ; Infant ; insulin-dependent diabetes mellitus ; islets of Langerhans ; Islets of Langerhans - immunology ; maternal nutrition ; Maternal Nutritional Physiological Phenomena - physiology ; nutrient intake ; Pregnancy ; Prenatal Exposure Delayed Effects ; Prenatal Nutritional Physiological Phenomena - physiology ; Prospective Studies ; Risk Assessment ; Risk Factors ; trace elements ; Trace Elements - administration &amp; dosage ; Trace Elements - blood ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; vitamins ; Vitamins - administration &amp; dosage ; Vitamins - blood</subject><ispartof>The American journal of clinical nutrition, 2008-08, Vol.88 (2), p.458-464</ispartof><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-1938fe72b03ea3e81c11397c971354af932e19e5c3559787e35b721b3546e1fb3</citedby><cites>FETCH-LOGICAL-c415t-1938fe72b03ea3e81c11397c971354af932e19e5c3559787e35b721b3546e1fb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20590870$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18689383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Uusitalo, Liisa</creatorcontrib><creatorcontrib>Kenward, Mike G</creatorcontrib><creatorcontrib>Virtanen, Suvi M</creatorcontrib><creatorcontrib>Uusitalo, Ulla</creatorcontrib><creatorcontrib>Nevalainen, Jaakko</creatorcontrib><creatorcontrib>Niinistö, Sari</creatorcontrib><creatorcontrib>Kronberg-Kippilä, Carina</creatorcontrib><creatorcontrib>Ovaskainen, Marja-Leena</creatorcontrib><creatorcontrib>Marjamäki, Liisa</creatorcontrib><creatorcontrib>Simell, Olli</creatorcontrib><creatorcontrib>Ilonen, Jorma</creatorcontrib><creatorcontrib>Veijola, Riitta</creatorcontrib><creatorcontrib>Knip, Mikael</creatorcontrib><title>Intake of antioxidant vitamins and trace elements during pregnancy and risk of advanced β cell autoimmunity in the child</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description>BACKGROUND: Type 1 diabetes may have its origins in the fetal period of life. Free radicals were implicated in the cause of type 1 diabetes. It was hypothesized that antioxidant nutrients could protect against type 1 diabetes. OBJECTIVE: We assessed whether high maternal intake of selected dietary antioxidants during pregnancy is associated with a reduced risk of advanced β cell autoimmunity in the child, defined as repeated positivity for islet cell antibodies plus &gt;=1 other antibody, overt type 1 diabetes, or both. DESIGN: The study was carried out as part of the population-based birth cohort of the Type 1 Diabetes Prediction and Prevention Project. The data comprised 4297 children with increased genetic susceptibility to type 1 diabetes, born at the University Hospital of Oulu or Tampere, Finland, between October 1997 and December 2002. The children were monitored for diabetes-associated autoantibodies from samples obtained at 3-12-mo intervals. Maternal antioxidant intake during pregnancy was assessed postnatally with a self-administered food-frequency questionnaire, which contained a question about consumption of dietary supplements. RESULTS: Maternal intake of none of the studied antioxidant nutrients showed association with the risk of advanced β cell autoimmunity in the child. The hazard ratios, indicating the change in risk per a 2-fold increase in the intake of each antioxidant, were nonsignificant and close to 1. CONCLUSION: High maternal intake of retinol, β-carotene, vitamin C, vitamin E, selenium, zinc, or manganese does not protect the child from development of advanced β cell autoimmunity in early childhood.</description><subject>Adult</subject><subject>antioxidants</subject><subject>Antioxidants - administration &amp; dosage</subject><subject>Antioxidants - metabolism</subject><subject>Autoantibodies - blood</subject><subject>autoimmunity</subject><subject>B-lymphocytes</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>child nutrition</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Cohort Studies</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetes Mellitus, Type 1 - genetics</subject><subject>Diabetes Mellitus, Type 1 - prevention &amp; control</subject><subject>Feeding. 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Psychology</topic><topic>Genetic Predisposition to Disease</topic><topic>HLA-DQ Antigens - genetics</topic><topic>HLA-DQ beta-Chains</topic><topic>Humans</topic><topic>Infant</topic><topic>insulin-dependent diabetes mellitus</topic><topic>islets of Langerhans</topic><topic>Islets of Langerhans - immunology</topic><topic>maternal nutrition</topic><topic>Maternal Nutritional Physiological Phenomena - physiology</topic><topic>nutrient intake</topic><topic>Pregnancy</topic><topic>Prenatal Exposure Delayed Effects</topic><topic>Prenatal Nutritional Physiological Phenomena - physiology</topic><topic>Prospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>trace elements</topic><topic>Trace Elements - administration &amp; dosage</topic><topic>Trace Elements - blood</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>vitamins</topic><topic>Vitamins - administration &amp; dosage</topic><topic>Vitamins - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Uusitalo, Liisa</creatorcontrib><creatorcontrib>Kenward, Mike G</creatorcontrib><creatorcontrib>Virtanen, Suvi M</creatorcontrib><creatorcontrib>Uusitalo, Ulla</creatorcontrib><creatorcontrib>Nevalainen, Jaakko</creatorcontrib><creatorcontrib>Niinistö, Sari</creatorcontrib><creatorcontrib>Kronberg-Kippilä, Carina</creatorcontrib><creatorcontrib>Ovaskainen, Marja-Leena</creatorcontrib><creatorcontrib>Marjamäki, Liisa</creatorcontrib><creatorcontrib>Simell, Olli</creatorcontrib><creatorcontrib>Ilonen, Jorma</creatorcontrib><creatorcontrib>Veijola, Riitta</creatorcontrib><creatorcontrib>Knip, Mikael</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Uusitalo, Liisa</au><au>Kenward, Mike G</au><au>Virtanen, Suvi M</au><au>Uusitalo, Ulla</au><au>Nevalainen, Jaakko</au><au>Niinistö, Sari</au><au>Kronberg-Kippilä, Carina</au><au>Ovaskainen, Marja-Leena</au><au>Marjamäki, Liisa</au><au>Simell, Olli</au><au>Ilonen, Jorma</au><au>Veijola, Riitta</au><au>Knip, Mikael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intake of antioxidant vitamins and trace elements during pregnancy and risk of advanced β cell autoimmunity in the child</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2008-08-01</date><risdate>2008</risdate><volume>88</volume><issue>2</issue><spage>458</spage><epage>464</epage><pages>458-464</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>BACKGROUND: Type 1 diabetes may have its origins in the fetal period of life. Free radicals were implicated in the cause of type 1 diabetes. It was hypothesized that antioxidant nutrients could protect against type 1 diabetes. OBJECTIVE: We assessed whether high maternal intake of selected dietary antioxidants during pregnancy is associated with a reduced risk of advanced β cell autoimmunity in the child, defined as repeated positivity for islet cell antibodies plus &gt;=1 other antibody, overt type 1 diabetes, or both. DESIGN: The study was carried out as part of the population-based birth cohort of the Type 1 Diabetes Prediction and Prevention Project. The data comprised 4297 children with increased genetic susceptibility to type 1 diabetes, born at the University Hospital of Oulu or Tampere, Finland, between October 1997 and December 2002. The children were monitored for diabetes-associated autoantibodies from samples obtained at 3-12-mo intervals. Maternal antioxidant intake during pregnancy was assessed postnatally with a self-administered food-frequency questionnaire, which contained a question about consumption of dietary supplements. RESULTS: Maternal intake of none of the studied antioxidant nutrients showed association with the risk of advanced β cell autoimmunity in the child. The hazard ratios, indicating the change in risk per a 2-fold increase in the intake of each antioxidant, were nonsignificant and close to 1. CONCLUSION: High maternal intake of retinol, β-carotene, vitamin C, vitamin E, selenium, zinc, or manganese does not protect the child from development of advanced β cell autoimmunity in early childhood.</abstract><cop>Bethesda, MD</cop><pub>American Society for Nutrition</pub><pmid>18689383</pmid><doi>10.1093/ajcn/88.2.458</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
antioxidants
Antioxidants - administration & dosage
Antioxidants - metabolism
Autoantibodies - blood
autoimmunity
B-lymphocytes
Biological and medical sciences
Child
child nutrition
Child, Preschool
children
Cohort Studies
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - genetics
Diabetes Mellitus, Type 1 - prevention & control
Feeding. Feeding behavior
Female
fetal development
Finland - epidemiology
Fundamental and applied biological sciences. Psychology
Genetic Predisposition to Disease
HLA-DQ Antigens - genetics
HLA-DQ beta-Chains
Humans
Infant
insulin-dependent diabetes mellitus
islets of Langerhans
Islets of Langerhans - immunology
maternal nutrition
Maternal Nutritional Physiological Phenomena - physiology
nutrient intake
Pregnancy
Prenatal Exposure Delayed Effects
Prenatal Nutritional Physiological Phenomena - physiology
Prospective Studies
Risk Assessment
Risk Factors
trace elements
Trace Elements - administration & dosage
Trace Elements - blood
Vertebrates: anatomy and physiology, studies on body, several organs or systems
vitamins
Vitamins - administration & dosage
Vitamins - blood
title Intake of antioxidant vitamins and trace elements during pregnancy and risk of advanced β cell autoimmunity in the child
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