A SYSTEMATIC REVIEW OF RISK OF DEVELOPING TYPE 1 DIABETES IN EARLY INFANT FEEDING

M. Hadi
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Abstract

Aim : The primary goal of this study consists of looking at nutritional risk factors, particularly breastfeeding early in infancy, that may be linked to the development of type 1 diabetes and to identify the relationship between these variables and the disease's progression. Methods: Prior as long as July 2015, the Cochrane Library, MEDLINE, EMBASE, Web of Science, and CINAHL were searched for research on any kind of design. In March 2016, MEDLINE and EMBASE were also searched. T1D or T1D-associated autoimmunity (T1DA) development was the major outcome measure. Results: There were nine publications found. Breastfeeding at the moment of gluten administration did not lessen the likelihood of developing T1DA or T1D when compared to gluten administration following weaned. Except for gluten introduction at 3 months or younger vs gluten introduction at later than 3 months, which raised the risk of T1DA in children at high risk of developing T1D, the age of gluten introduction in babies had no influence on the risk of developing T1D. Conclusion: Recent data, primarily from observational studies, disagrees with the idea that early infant feeding habits, such as breastfeeding at gluten administration or infant age at gluten introduction, may reduce the chance of developing T1D. More strong results from randomized controlled trials are required.
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早期婴儿喂养中发生1型糖尿病风险的系统回顾
目的:本研究的主要目标包括观察营养风险因素,特别是婴儿早期母乳喂养,这可能与1型糖尿病的发展有关,并确定这些变量与疾病进展之间的关系。方法:早在2015年7月,检索Cochrane Library、MEDLINE、EMBASE、Web of Science和CINAHL,检索任何类型设计的研究。2016年3月还检索了MEDLINE和EMBASE。T1D或T1D相关自身免疫(T1DA)发展是主要的结局指标。结果:共找到文献9篇。与断奶后给予谷蛋白相比,在给予谷蛋白时进行母乳喂养并没有减少发生T1DA或T1D的可能性。除了在3个月或更小的时候引入谷蛋白与在3个月之后引入谷蛋白会增加患T1D高风险儿童的T1DA风险外,婴儿引入谷蛋白的年龄对患T1D的风险没有影响。结论:最近的数据,主要来自观察性研究,不同意早期婴儿喂养习惯,如在使用谷蛋白时母乳喂养或在引入谷蛋白时婴儿年龄,可能会减少发生T1D的机会。需要更多的随机对照试验的有力结果。
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