1. Vitamin D fortification and seasonality of birth in type 1 diabetic cases:D-tect study
- Author
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Elina Hyppönen, Berit L. Heitmann, Allan Vaag, Max Moldovan, Ramune Jacobsen, Jacobsen, R., Moldovan, M., Vaag, A. A., Hypponen, E., and Heitmann, B. L.
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Adolescent ,type 1 diabetes ,Denmark ,Fortification ,fortification ,Medicine (miscellaneous) ,030209 endocrinology & metabolism ,vitamin D ,vitamin D deficiency ,Cohort Studies ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,medicine ,Vitamin D and neurology ,Humans ,030212 general & internal medicine ,Vitamin D ,Child ,Type 1 diabetes ,business.industry ,Hazard ratio ,medicine.disease ,Vitamin D Deficiency ,Margarine ,Confidence interval ,Diabetes Mellitus, Type 1 ,Food, Fortified ,Gestation ,seasonality of birth ,Female ,Seasons ,business ,Cohort study - Abstract
Fortification of margarine with vitamin D was mandatory in Denmark during 1961-1985. The aim of the study was to assess whether gestational and early infancy exposure to margarine fortification was associated with seasonality of birth in Danish type 1 diabetes (T1D) patients. The risks of T1D in Danes born during various exposure periods around margarine fortification termination in 1985 were analyzed. As expected, the T1D hazards in males unexposed to margarine fortification and born in spring were higher than in males born in autumn: relevant hazard ratios (95% confidence intervals) in various exposure groups ranged from 1.74 (1.112/2.708) to 37.43 (1.804/776.558). There were no indications of seasonality of birth in males exposed to fortification, nor in both exposed and unexposed females. The study suggests that early life exposure to low-dose vitamin D from fortified food eliminates seasonality of birth in T1D male patients. Further studies are required to investigate the identified gender differences. © Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2015.
- Published
- 2016
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