PMID- 21129139 OWN - NLM STAT- MEDLINE DCOM- 20111209 LR - 20110728 IS - 1399-5448 (Electronic) IS - 1399-543X (Linking) VI - 12 IP - 5 DP - 2011 Aug TI - Relationship of maternal weight status and weight gain rate during pregnancy to the development of advanced beta cell autoimmunity in the offspring: a prospective birth cohort study. PG - 478-84 LID - 10.1111/j.1399-5448.2010.00703.x [doi] AB - OBJECTIVE: This study set out to examine how maternal initial body mass index (BMI) and weight gain during pregnancy associate with advanced beta cell autoimmunity in the offspring. SUBJECTS: A population-based birth cohort of 4093 children with increased human leukocyte antigen (HLA)-conferred susceptibility to type 1 diabetes (T1D) and their mothers were recruited between 1997 and 2002 in two university hospital regions in Finland. METHODS: The children were monitored for T1D-associated autoantibodies at 3- to 12-month intervals. Advanced beta cell autoimmunity was defined as repeated positivity for islet cell antibodies and at least one of the other three autoantibodies (antibodies to insulin, glutamate decarboxylase and islet antigen 2). Mothers were asked to record the results of the weight measurements during their first and last visits to the antenatal clinic. The initial BMI and weight gain rate were calculated for each woman. RESULTS: Altogether, 175 children developed advanced beta cell autoimmunity or T1D during the follow-up. Maternal BMI before pregnancy or weight gain during pregnancy was not associated with the end-point. Maternal vocational education was associated with child's smaller risk of developing advanced beta cell autoimmunity. CI - (c) 2010 John Wiley & Sons A/S. FAU - Arkkola, Tuula AU - Arkkola T AD - Department of Pediatrics, University of Oulu, FI-90014 Oulu, Finland. tuula.arkkola@oulu.fi FAU - Kautiainen, Susanna AU - Kautiainen S FAU - Takkinen, Hanna-Mari AU - Takkinen HM FAU - Kenward, Mike G AU - Kenward MG FAU - Nevalainen, Jaakko AU - Nevalainen J FAU - Uusitalo, Ulla AU - Uusitalo U FAU - Simell, Olli AU - Simell O FAU - Ilonen, Jorma AU - Ilonen J FAU - Knip, Mikael AU - Knip M FAU - Veijola, Riitta AU - Veijola R FAU - Virtanen, Suvi M AU - Virtanen SM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101205 PL - Denmark TA - Pediatr Diabetes JT - Pediatric diabetes JID - 100939345 SB - IM MH - Adult MH - Autoimmunity/*immunology MH - Body Mass Index MH - Body Weight MH - Cohort Studies MH - Diabetes Mellitus, Type 1/immunology MH - Female MH - Finland MH - Humans MH - Infant, Newborn MH - Insulin-Secreting Cells/*immunology MH - Male MH - Pregnancy/*physiology MH - Prospective Studies MH - Weight Gain/*physiology EDAT- 2010/12/07 06:00 MHDA- 2011/12/14 06:00 CRDT- 2010/12/07 06:00 PHST- 2010/12/07 06:00 [entrez] PHST- 2010/12/07 06:00 [pubmed] PHST- 2011/12/14 06:00 [medline] AID - 10.1111/j.1399-5448.2010.00703.x [doi] PST - ppublish SO - Pediatr Diabetes. 2011 Aug;12(5):478-84. doi: 10.1111/j.1399-5448.2010.00703.x. Epub 2010 Dec 5.