Evidence map›Paper›PMID 18682514›Full record

ArticleThe Journal of clinical endocrinology and metabolism2008

Dietary glycemic index, development of islet autoimmunity, and subsequent progression to type 1 diabetes in young children.

Molly M Lamb, Xiang Yin, Katherine Barriga, Michelle R Hoffman, Anna E Barón, George S Eisenbarth, Marian Rewers, Jill M Norris

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  18. Type 1 diabetes-early life origins and changing epidemiology.The lancet. Diabetes & endocrinology · 2020
    Review
  19. Article
  20. Environmental risk factors for type 1 diabetes.Lancet (London, England) · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Molly M LambUniversity of Colorado, Denver, Colorado 80262, USA.
Xiang Yin
Katherine Barriga
Michelle R Hoffman
Anna E Barón
George S Eisenbarth
Marian Rewers
Jill M Norris
University of Colorado Denver · US

Funding

UCHSC DIABETES ENDOCRINOLOGY RESEARCH CENTERP30DK057516 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HUTTON, JOHN C · 2000 to 2010
$14.0M
Natural History of Pre-Diabetic Autoimmunity (DAISY)R01DK032493 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI REWERS, MARIAN J · 1986 to 2024
$9.3M
Natural History of Pre-diabetic Autoimmunity (DAISY)R37DK032493 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI REWERS, MARIAN J · 2001 to 2010
$8.0M
NUTRITIONAL ETIOLOGY OF PREDIABETIC AUTOIMMUNITYR01DK049654 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI NORRIS, JILL M · 1997 to 2011
$5.8M
NIDDK NIH HHS DK32493NIDDK NIH HHS P30 DK057516NIDDK NIH HHS P30 DK 57516NIDDK NIH HHS R01 DK032493NIDDK NIH HHS R01 DK049654NIDDK NIH HHS R01-DK49654NIDDK NIH HHS R37 DK032493
6 · The paper itself

Abstract

contextDietary factors may trigger or exacerbate the autoimmune disease process.

objectiveOur objective was to examine dietary glycemic index (GI) and glycemic load (GL) for association with islet autoimmunity (IA) development, and progression from IA to type 1 diabetes.

designThe Diabetes Autoimmunity Study in the Young follows children at increased genetic type 1 diabetes risk. Diet is collected prospectively via a parent-reported food frequency questionnaire.

settingThis was an observational study of children in the Denver area. PATIENTS: A total of 1776 Diabetes Autoimmunity Study in the Young children younger than 11.5 yr was included in the study.

interventionsThere were no interventions.

main outcome measuresIA, defined as the presence of autoantibodies to insulin, glutamic acid decarboxylase, or protein tyrosine phosphatase at two consecutive visits, or the presence of autoantibodies at one visit and diabetic on the next consecutive visit was determined. Type 1 diabetes was diagnosed by a physician. A total of 89 subjects developed IA, and 17 subsequently developed type 1 diabetes during follow-up. Our hypothesis was formulated after data collection.

resultsGI and GL were not associated with IA development. More rapid progression to type 1 diabetes in children with IA was associated with higher dietary GI (hazard ratio: 2.20; 95% confidence interval: 1.17-4.15) and marginally associated with GL (hazard ratio: 1.59; 95% confidence interval: 0.96-2.64) at the first IA-positive visit.

conclusionsHigher dietary GI and GL are not associated with IA development, but higher GI is associated with more rapid progression to type 1 diabetes in children with IA, perhaps due to increased demand on the beta-cell to release insulin. Further study is needed to confirm this finding and identify the underlying biological mechanism.

Indexed as

AutoimmunityBlood GlucoseChildChild, PreschoolCohort StudiesDiabetes Mellitus, Type 1DietDisease ProgressionEnergy IntakeFamily HealthFemaleFollow-Up StudiesGlycemic IndexHumansInfantInfant, NewbornBlood Glucose

Identifiers

PMID18682514
PMCPMC2579644
OpenAlexW2019191724

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.