Low birth weight and high birth weight infants are both at an increased risk to have type 2 diabetes among schoolchildren in Taiwan
Resource
Diabetes Care 26 (2): 343-348
Journal
Diabetes Care
Journal Volume
26
Journal Issue
2
Pages
343-348
Date Issued
2003
Date
2003
Author(s)
Wei, Jung-Nan
Sung, Fung-Chang
Li, Chung-Yi
Ruey-Shiung Lin
Chau-Ching Lin
Chuan-Chi Chiang
Abstract
OBJECTIVE - To study the effect of birth weight on risk of type 2 diabetes in the school-children in Taiwan. RESEARCH DESIGN AND METHODS - From 1992 to 1997, all schoolchildren aged 6-18 years were screened for diabetes in Taiwan Province. This cohort consisted of 1,966 patients with diabetes and 1,780 randomly selected subjects with normal fasting glycemia (NFG). Questionnaire interviewing was designed to classify diabetes. The birth weight was obtained from the Taiwan's Birth Registry. After merging the data, there were 978 subjects, including 429 with type 2 diabetes and 549 with of NFG enrolled in the present analyses. RESULTS - The odds ratios (95% CI) for type 2 diabetes, after adjusting age, sex, BMI, family history of diabetes, and socioeconomic status, were 2.91 (1.25-6.76) for children with low birth weight (<2,500 g) and 1.78 (1.04-3.06) for those with high birth weight (?4,000 g) when compared with the referent group (birth weight 3,000-3,499 g). The risk of diabetes was still 64% higher in the high birth weight group [odds ratio (OR) 1.64 (95% CI 0.91-2.96)], even after adjustment for gestational diabetes mellitus (GDM). Patients with type 2 diabetes who were born with high birth weight were more likely to have a higher BMI and diastolic blood pressure as well as a higher family history of diabetes compared with those with low birth weight. CONCLUSIONS - A U-shaped relationship between birth weight and risk of type 2 diabetes was found in the schoolchildren aged 6-18 years in Taiwan. Schoolchildren with type 2 diabetes who were born with low birth weight had different metabolic phenotypes compared with those born with high birth weight.
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Other Subjects
adolescent; adult; article; cohort analysis; diastolic blood pressure; environmental factor; female; fetus growth; glucose blood level; high birth weight; human; infection risk; insulin sensitivity; intrauterine growth retardation; low birth weight; major clinical study; male; non insulin dependent diabetes mellitus; nutritional status; pancreas islet beta cell; risk assessment; school child; socioeconomics; Taiwan; birth weight; blood; blood pressure; body mass; case control study; child; diastole; diet restriction; genetics; glucose blood level; low birth weight; multivariate analysis; newborn; non insulin dependent diabetes mellitus; risk; Adolescent; Birth Weight; Blood Glucose; Blood Pressure; Body Mass Index; Case-Control Studies; Child; Cohort Studies; Diabetes Mellitus, Type 2; Diastole; Fasting; Female; Humans; Infant, Low Birth Weight; Infant, Newborn; Male; Multivariate Analysis; Odds Ratio; Risk Assessment; Taiwan
Type
journal article
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