Table 3.
Association between maternal gluten intake and offspring type 1 diabetes (n=67 565)
Maternal gluten intake, by percentile* | No (%) of cases of type 1 diabetes in offspring/total | Hazard ratio (95% CI) of type 1 diabetes diagnosis in offspring | ||
---|---|---|---|---|
Unadjusted model | Adjusted model 1 | Adjusted model 2 | ||
Continuous intake, per 10 g/day increase | — | 1.28 (1.03 to 1.58) | 1.31 (1.002 to 1.72) | 1.31 (1.001 to 1.72) |
10% | 20 (0.30)/6761 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
10-20% | 20 (0.30)/6769 | 0.99 (0.53 to 1.84) | 1.07 (0.57 to 1.99) | 1.06 (0.57 to 1.99) |
20-50% | 69 (0.34)/20 289 | 1.13 (0.69 to 1.86) | 1.32 (0.75 to 2.30) | 1.31 (0.75 to 2.30) |
50-80% | 73 (0.36)/20 268 | 1.19 (0.73 to 1.96) | 1.46 (0.82 to 2.61) | 1.46 (0.82 to 2.60) |
80-90% | 30 (0.44)/6750 | 1.47 (0.84 to 2.59) | 1.82 (0.93 to 3.53) | 1.81 (0.93 to 3.53) |
≥90% | 35 (0.52)/6728 | 1.72 (0.99 to 2.97) | 2.03 (1.02 to 4.01) | 2.00 (1.02 to 4.00) |
Ptrend | — | 0.013 | 0.016 | 0.016 |
Adjusted model 1=adjusted for maternal body mass index before pregnancy, age, parity, smoking status, parental socioeconomic status, total energy intake, breastfeeding duration, caesarean section, and offspring sex; adjusted model 2=same as model 1 but also adjusted for pre-existing maternal type 2 diabetes and suspected gestational diabetes mellitus.
Median intake of gluten in the <10%, 10-20%, 20-50%, 50-80%, and ≥90% percentile categories were 5, 8, 11, 15, 18, and 22 g/day, respectively.