Abstract
Background/Objectives:
N-3 (omega-3) fatty acids have been reported to decrease the risk for development of β-cell autoimmunity and clinical type I diabetes. We set out to examine whether different serum fatty acids are associated with the development of advanced β-cell autoimmunity in children carrying human leukocyte antigen DQ β-1 (HLA-DQB1)-conferred susceptibility to type I diabetes.
Subjects/Methods:
Within a cohort, serum total fatty acid composition of 108 children with advanced β-cell autoimmunity and of 216 matched persistently autoantibody-negative controls was analyzed using gas chromatography. Non-fasting serum samples were obtained annually at the ages of 1–6 years. Conditional logistic regression was applied to analyze the associations between advanced β-cell autoimmunity and serum fatty acids.
Results:
The serum fatty acid profile of myristic acid (odds ratio (OR) 1.48, 95% confidence interval (CI) 1.09–2.00, P=0.011), pentadecanoic acid (OR 1.65, 95% CI 1.19–2.28, P=0.003), palmitoleic acid isomers 16:1 n-7 (omega-7) (OR 1.41, 95% CI 1.03–1.92, P=0.030) and 16:1 n-9 (omega-9) (OR 1.45, 95% CI 1.05–2.01, P=0.026) and conjugated linoleic acid (OR 1.67, 95% CI 1.16–2.41, P=0.006) closest to the time of the appearance of multiple autoantibodies were positively associated with the risk of advanced β-cell autoimmunity after adjustment for potential confounding factors. Serum linoleic acid showed inverse, marginal association with the end point.
Conclusions:
Serum biomarkers of milk and ruminant meat fat consumption are directly associated and linoleic acid is inversely associated with advanced β-cell autoimmunity in children with HLA-conferred susceptibility to type I diabetes.
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Acknowledgements
We thank the DIPP research staff and laboratory staff for excellent collaboration. We are grateful to Carina Kronberg-Kippilä, Tommi Korhonen, Tiina Keippilä, Minna Pekkala, Hanna Haponen and Harri Sinkko for their skilful assistance. We also thank the children and parents who participated. We are grateful to Antti Aro for constructive comments on the paper. The study was supported by the European Foundation for the Study of Diabetes (EFSD), Doctoral Programs in Public Health, the Academy of Finland (Grants 63672, 79685, 79686, 80846, 201988, 210632 and 129492), the Finnish Diabetes Research Foundation, the Juho Vainio Foundation, the Yrjö Jahnsson Foundation, Competitive Research Funding of the Pirkanmaa Hospital District, Tampere University Hospital, Medical Research Funds, Turku, Oulu and Tampere University Hospitals, JDRF (Grants 197032, 4–1998–274, 4–1999–731, and 4–2001–435), Novo Nordisk Foundation and the EU Biomed 2 Program (BMH4-CT98–3314).
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Virtanen, S., Niinistö, S., Nevalainen, J. et al. Serum fatty acids and risk of advanced β-cell autoimmunity: a nested case–control study among children with HLA-conferred susceptibility to type I diabetes. Eur J Clin Nutr 64, 792–799 (2010). https://doi.org/10.1038/ejcn.2010.75
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DOI: https://doi.org/10.1038/ejcn.2010.75
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