Résumé :
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[BDSP. Notice produite par INIST-CNRS hOEdR0x9. Diffusion soumise à autorisation]. Background : To investigate the association between low birthweight and diabetes in a population-based Swedish twin sample. Method : A cohort of 11 162 same-sexed Swedish twins born between 1906 and 1958 was used in order to investigate the risk of developing Type 2 diabetes between and within twin pairs by utilizing random effects linear models. Results : Between pairs there was a significant increase in risk of developing Type 2 diabetes for a 1-kg increase in their mean birthweight (odds ratio [OR]=2.13 ; P<0.01), adjusted for age, sex, body mass index (BMI), and smoking status. The corresponding risk within pair was 2.03 (P=0.07) for monozygotic twins and 1.15 (P=0.7I) for dizygotic twins. The test of the heterogeneity of the within and between effects showed no significant difference between the estimates. Conclusions : The study suggests that reduced fetal growth increase the risk of Type 2 diabetes due to an in utero programming effect possibly caused by intrauterine malnutrition, However, it does not exclude the possibility of a common genetic mechanism.
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