4.3 Review

Dietary factors in the development of type 1 diabetes

Journal

PEDIATRIC DIABETES
Volume 17, Issue -, Pages 49-55

Publisher

WILEY
DOI: 10.1111/pedi.12341

Keywords

children; diet; infant feeding; islet autoimmunity; nutrition; type 1 diabetes

Funding

  1. European Foundation for the Study of Diabetes (EFSD)
  2. Academy of Finland [63672, 79685, 79686, 80846, 201988, 210632]
  3. Juho Vainio Foundation
  4. Medical Research Fund of Tampere University Hospital
  5. Academy of Finland (AKA) [80846, 210632, 201988, 80846, 210632, 201988] Funding Source: Academy of Finland (AKA)

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There are several indicators concerning the putative importance of dietary factors during the fetal period lactation, infancy and childhood in the etiology of type 1 diabetes. Among foods, cow's milk consumption has been associated with an increased risk of preclinical and/or clinical type 1 diabetes and sugars with a progression from preclinical to clinical disease. Breast milk, on the other hand, may be protective. Processed foods may be related to a greater risk of type 1 diabetes because they contain higher amounts of advanced glycation end-products. Nitrites or N-nitroso compounds in processed meat products could increase the risk of this disease. Among nutrients, n-3 fatty acids, vitamins D and E, and zinc may protect from preclinical and/or clinical type 1 diabetes. The microbial composition of foods or food's other effects on gut microbiota are receiving increasing attention, also due to their putative role in the development of type 1 diabetes. Still the number of prospective studies in this research field is limited and most of the findings remain to be replicated.

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