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Diabetes Metab Res Rev. 2019 Jul;35(5):e3144. doi: 10.1002/dmrr.3144. Epub 2019 Mar 7.

Birth weight and risk of type 2 diabetes: A dose-response meta-analysis of cohort studies.

Author information

1
Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou, People's Republic of China.
2
The Affiliated Luohu Hospital of Shenzhen University Health Science Center, Shenzhen, People's Republic of China.
3
Department of Preventive Medicine, Shenzhen University Health Science Center, Shenzhen, People's Republic of China.

Abstract

The association between birth weight and type 2 diabetes mellitus has been debated for several decades. The objective of this systematic review and meta-analysis was to quantitatively clarify the association between birth weight and risk of type 2 diabetes mellitus based on cohort studies. We searched PubMed, Web of Science, and Embase databases for cohort study articles on the association between birth weight and risk of type 2 diabetes mellitus published up to 1 March 2018. Random effects of generalized least square regression models were used to estimate relative risk (RR). Restricted cubic splines were conducted to model the dose-response relationship. We included 21 studies (19 articles) involving 1 041 879 individuals and 35 699 cases of type 2 diabetes mellitus, with follow-up ranged from 6 to 47 years. We identified significant decreasing trend for the highest versus lowest category of birth weight for the association with type 2 diabetes mellitus risk: The risk was reduced by 35% (RR, 0.65; 95% confidence interval [CI], 0.53-0.81) and by 12% (RR 0.88; 95% CI, 0.85-0.91) per 500-g increment in birth weight. Our results showed a dose-response relationship between birth weight and diabetes risk, which was nonlinear (Pnonlinearity  < 0.001) and L-shaped. With increasing birth weight (<5000 g), the risk of type 2 diabetes mellitus decreased substantially. The association between birth weight and type 2 diabetes mellitus was curvilinear and L-shaped.

KEYWORDS:

birth weight; cohort studies; dose-response meta-analysis; type 2 diabetes mellitus

PMID:
30786122
DOI:
10.1002/dmrr.3144

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