Evidence map›Paper›PMID 28590451›Full record

ArticleInternational journal of environmental research and public health2017

Environmental Factors Associated with Type 1 Diabetes Development: A Case Control Study in Egypt.

Nabil J Awadalla, Amal A Hegazy, Manal Abd El-Salam, Marwa Elhady

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

4 authors.

Nabil J AwadallaDepartment of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia. njgirgis@yahoo.co.uk.
Amal A HegazyDepartment of Family and Community Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi Arabia. renalahmed@gmail.com.
Manal Abd El-SalamDepartment of Pediatrics, Faculty of Medicine (for girls), Al-Azhar University, Cairo 11651, Egypt. manal24969@gmail.com.
Marwa ElhadyDepartment of Pediatrics, Faculty of Medicine (for girls), Al-Azhar University, Cairo 11651, Egypt. marwaelhady93@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uncertainty still exists regarding the role of some environmental risk in the development of type 1 diabetes mellitus (T1DM) both globally and in Egypt. The objective here was to explore the potential environmental risk factors associated with the development of T1DM among children in Egypt. A case-controlled study of 204 T1DM children and an equal number of age and sex-matched controls was conducted in Assiut, Egypt. Data regarding the parental, gestational, neonatal, and childhood possible risk factors for T1DM were evaluated. The final sex adjusted multivariable logistic regression model revealed that the risk for T1DM was significantly higher among rural residents (aOR = 2.03, 95% CI: 1.30-4.25), those with parental history of T1DM (aOR = 9.03, 95% CI: 1.02-83.32), birth through cesarean section (aOR = 2.13, 95% CI: 1.09-5.03), and having history of early introduction of cow milk in the first year of life (aOR = 19.49, 95% CI: 8.73-45.53). On the other hand, a protective effect was observed between at least six months' breastfeeding, vitamin D supplementation in the first year of life, high physical activity, and the development of T1DM. Educational programs should be adopted to improve awareness and knowledge of the parents to avoid the increased risk factors and encourage protective practices.

Indexed as

Health Knowledge, Attitudes, PracticeSocioeconomic FactorsAdolescentCase-Control StudiesChildDiabetes Mellitus, Type 1EgyptFemaleHumansIncidenceMaleParentsRisk FactorschildrenEgyptenvironmentrisk factorstype 1 diabetes

Identifiers

PMID28590451
PMCPMC5486301

What OpenQuestion holds

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Registered trials

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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.