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Infant feeding and the risk of type 1 diabetes
Open accessAbstract
Type 1 diabetes is generally considered to be a chronic, immune-mediated disease with a subclinical prodrome during which beta cell autoimmunity becomes overt disease at a variable rate in genetically susceptible individuals. Accumulated evidence supports a critical role of environmental factors in its development. Prospective birth cohort studies show that the first signs of beta cell autoimmunity may be initiated during the first year of life. This implies that risk factors for beta cell autoimmunity and type 1 diabetes must be operative in infancy. Early nutrition provides essential exogenous exposures in that period. This article discusses the role of factors related to infant nutrition in the development of beta cell autoimmunity and type 1 diabetes and the potential mechanistic pathways involved. So far, no specific dietary factor has been shown to be an unequivocal risk factor for beta cell autoimmunity or type 1 diabetes, and there are a number of contradictory observations with regard to the effect of various foods. This may reflect geographic and cultural differences in infant-feeding practices. Most studies suggest that the early introduction of complex foreign proteins may be a risk factor for beta cell autoimmunity, and a pilot intervention trial has implied that weaning to a highly hydrolyzed formula may decrease the risk of beta cell autoimmunity. Lack of vitamin D supplementation and accelerated growth might increase the risk of type 1 diabetes. Additional wor…
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“A plethora of environmental influences have been purported to affect the epidemiology of type 1 diabetes,25 with infant and adolescent diets,26 vitamin D and vitamin D pathway constituents,27–29 and viruses receiving the most focus.30,31”
From Type 1 diabetes (2014) · cites this paper as [26]
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“of Type 1 diabetes and other autoimmune diseases [5].”
BackgroundGyürüs, É., Patterson, C. C., Soltész, G., & the Hungarian Childhood Diabetes Epidemiology Group (2011) · Pediatric Diabetes · doi:10.1111/j.1399-5448.2011.00826.x · Cited by 46
Questions Persist: Environmental Factors in Autoimmune Disease
Schmidt, C. (2011) · Environmental Health Perspectives · doi:10.1289/ehp.119-a248 · Cited by 45
“Retrospective studies conducted mainly in Finland and other countries took that view one step further, showing associations with cow’s milk specifically.(20) But more recent prospective investigations(21,22,23,24)—which Norris says aren’t biased by the recall problems that sometimes characterize retro spective designs…”
ResultGrieco, G. E., Fignani, D., Formichi, C., Nigi, L., Licata, G., Maccora, C., Brusco, N., Sebastiani, G., & Dotta, F. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.682948 · Cited by 46
Fungal Dysbiosis and Intestinal Inflammation in Children With Beta-Cell Autoimmunity
Honkanen, J. K., Vuorela, A., Muthas, D., Orivuori, L., Luopajärvi, K., Tejesvi, M. V., Lavrinienko, A., Pirttilä, A. M., Fogarty, C. L., Härkönen, T., et al. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.00468 · Cited by 51
Self-citationPark, C. Y., Shin, S., & Han, S. N. (2024) · Nutrients · doi:10.3390/nu16183185 · Cited by 49
“In early childhood, vitamin D supplementation was related to a lower risk of T1DM development [53,54,69], whereas a lack of supplementation was associated with a higher risk [70].”
BackgroundNew and future immunomodulatory therapy in type 1 diabetes
Tooley, J., Waldron-Lynch, F., & Herold, K. C. (2012) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2012.01.001 · Cited by 44
“Dietary exposure to complex proteins, including cow’s milk albumin, has been implicated in the development of β cell autoimmunity and increased levels of antibodies to cow’s milk protein have been found in children newly diagnosed with T1D [42].”
BackgroundBreastfeeding Protects Against Type 1 Diabetes Mellitus: A Case–Sibling Study
Alves, J. G., Figueiroa, J., Meneses, J., & Alves, G. V. (2012) · Breastfeeding Medicine · doi:10.1089/bfm.2011.0009 · Cited by 40
“The protective effect of breastfeeding against T1DM may be explained by other factors such as the antiinfectious properties of human milk deriving from the presence of secretory immunoglobulin A antibodies and activated T and B lymphocytes as well as the delayed exposure to foreign food antigens.(5) Dietary interventi…”
Paternal and maternal obesity but not gestational weight gain is associated with type 1 diabetes
Magnus, M., Olsen, S., Granstrøm, C., Lund-Blix, N. A., Svensson, J., Johannesen, J., Fraser, A., Skrivarhaug, T., Joner, G., Njølstad, P., et al. (2018) · International Journal of Epidemiology · doi:10.1093/ije/dyx266 · Cited by 38
“Some aspects of maternal diet during pregnancy and infant diet are proposed to play a role in development of type 1 diabetes.(32,33) For example, maternal vitamin D and n-3 fatty acid levels during pregnancy are inversely associated with type 1 diabetes, but their causal role remains speculative.”
Backgroundde Oliveira, L. D., Giugliani, E., Santo, L. C., & Nunes, L. (2012) · Early Human Development · doi:10.1016/j.earlhumdev.2011.09.010 · Cited by 38
“Evidence suggests that its consumption before 4 months of age is associated with greater mortality [16], hospitalizations due to respiratory illnesses [17], incidence of otitis media [18], asthma [18], atopic dermatitis [18,19], type 1 diabetes [18,20], and type 2 diabetes [18].”
BackgroundRisk Factors and Primary Prevention Trials for Type 1 Diabetes
Wu, Y., Ding, Y., Gao, J. J., Tanaka, Y., & Zhang, W. (2013) · International Journal of Biological Sciences · doi:10.7150/ijbs.6610 · Cited by 50
“So far, none of the specific dietary factors has been shown to be an unequivocal risk factor for β-cell-targeted autoimmune diseases or T1DM, and their effects have still been contradictory [102].”
BackgroundVitamin D deficiency: Evidence, safety, and recommendations for the Swiss population
Lötscher, K. C. Q., l’Allemand, D., Bischoff-Ferrari, H. A., & Burckhardt, P. (2012) · Zurich Open Repository and Archive (University of Zurich) · doi:10.5167/uzh-73029 · Cited by 33
“Other diseases: Weaker data of a beneficial effect of vitamin D exists for other diseases, including upper respiratory tract infections [82], multiple sclerosis [83], tuberculosis [84], insulin resistance [85, 86], other cancers [87-90], osteoarthritis [91, 92] and prevalent hypertension [93-95].”
BackgroundEndesfelder, D., Hagen, M., Winkler, C., Haupt, F., Zillmer, S., Knopff, A., Bonifacio, E. E., Ziegler, A., zu Castell, W., & Achenbach, P. (2016) · Diabetologia · doi:10.1007/s00125-016-4050-0 · Cited by 43
“Although the aetiology of the disease is still uncertain [3], an interplay of genetic predisposition, causing a defective immune regulation, and environmental influences, such as infant diet [4], viruses [5] and/or other still poorly defined factors [6], is thought to contribute to the initiation and continuation of a…”
BackgroundÅkeson, P. K., Lind, T., Hernell, O., Silfverdal, S., & Öhlund, I. (2016) · Journal of Pediatric Gastroenterology and Nutrition - JPGN · doi:10.1097/mpg.0000000000001028 · Cited by 34
Chase, H. P., Boulware, D. C., Rodriguez, H., DONALDSON, D. L., Chritton, S., Rafkin‐Mervis, L., Krischer, J. P., Skyler, J. S., Clare-Salzler, M. J., & The Type 1 Diabetes TrialNet Nutritional Intervention to Prevent (NIP) Type 1 Diabetes Study Group (2014) · Pediatric Diabetes · doi:10.1111/pedi.12170 · Cited by 43
“The majority of children who present with overt T1D before the age of 10 seroconvert to autoantibody positivity by age 2 (4).”
BackgroundInfant and Childhood Diet and Type 1 Diabetes Risk: Recent Advances and Prospects
Norris, J. (2010) · Current Diabetes Reports · doi:10.1007/s11892-010-0131-5 · Cited by 34
Maternal Vitamin D During Pregnancy and Its Relation to Immune-Mediated Diseases in the Offspring
Erkkola, M., Nwaru, B. I., & Viljakainen, H. T. (2011) · Vitamins and hormones · doi:10.1016/b978-0-12-386960-9.00010-1 · Cited by 31
Early life origin of type 1 diabetes
Knip, M., Luopajärvi, K., & Härkönen, T. (2017) · Seminars in Immunopathology · doi:10.1007/s00281-017-0665-6 · Cited by 29
Self-citationRisk Factors for Type 1 Diabetes Mellitus among Children and Adolescents in Basrah.
Majeed, A., & Hassan, K. (2011) · Oman Medical Journal · doi:10.5001/omj.2011.46 · Cited by 33
Contribution of the Intestinal Microbiota to Human Health: From Birth to 100 Years of Age
Cheng, J., Palva, A., de Vos, W. M., & Satokari, R. M. (2011) · Current topics in microbiology and immunology · doi:10.1007/82_2011_189 · Cited by 101
Altered Immune Regulation in Type 1 Diabetes
Zóka, A., Műzes, G., Somogyi, A., Varga, T., Szémán, B., Al-Aissa, Z., Hadarits, O., & Firneisz, G. (2013) · Clinical and Developmental Immunology · doi:10.1155/2013/254874 · Cited by 31
Cord-Blood Lipidome in Progression to Islet Autoimmunity and Type 1 Diabetes
Lamichhane, S., Ahonen, L. L., Dyrlund, T. S., Dickens, A. M., Siljander, H., Hyöty, H., Ilonen, J., Toppari, J., Veijola, R., Hyötyläinen, T., et al. (2019) · Biomolecules · doi:10.3390/biom9010033 · Cited by 30
“Several lines of evidence suggest that environmental factors, such as viruses, diet, and gut microbes, may be associated with the initiation of islet autoimmunity and T1D progression [4,5].”
BackgroundSelf-citationNiinistö, S., Takkinen, H., Uusitalo, L., Rautanen, J., Nevalainen, J., Kenward, M. G., Lumia, M., Simell, O., Veijola, R., Ilonen, J., et al. (2013) · British Journal Of Nutrition · doi:10.1017/s0007114513003073 · Cited by 25
“Several other case–control and cohort studies as well as randomised trial findings also support the hypothesis that cows’ milk is associated with the development of type 1 diabetes, although there are conflicting results also((23,24)).”
ResultSelf-citationEarly Nutrition and Risk of Type 1 Diabetes: The Role of Gut Microbiota
Verduci, E., Mameli, C., Amatruda, M., Petitti, A., Vizzuso, S., Assadi, F. E., Zuccotti, G., Alabduljabbar, S., & Terranegra, A. (2020) · Frontiers in Nutrition · doi:10.3389/fnut.2020.612377 · Cited by 32
“The potential role of environmental factors is suggested by many facts: the increasing incidence of T1D in industrialized countries and in young children (13, 14); the low concordance among homozygotic twins (15); and the evidence that moving from a low incidence to a high incidence region increases the risk of the di…”
BackgroundInfluentialFormula Supplementation of Breastfed Infants
Walker, M. (2015) · ICAN Infant Child & Adolescent Nutrition · doi:10.1177/1941406415591208 · Cited by 26
Aronsson, C., Uusitalo, U., Vehik, K., Yang, J.-M., Silvis, K., Hummel, S., Virtanen, S., & Norris, J. (2013) · Maternal and Child Nutrition · doi:10.1111/mcn.12084 · Cited by 26
“…increased risk for islet autoimmunity and the development of type 1 diabetes (T1D) in children (Knip et al. 2010), but studies on the relationship between timing of introduction to complementary foods and the risk for islet autoim- munity and T1D yielded inconsistent results (Knip et al. 2010).”
BackgroundResultInfluentialSelf-citationFrørup, C., Mirza, A., Yarani, R., Nielsen, L., Mathiesen, E., Damm, P., Svare, J., Engelbrekt, C., Størling, J., Johannesen, J., et al. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.744509 · Cited by 25
The Changing Landscape of Type 1 Diabetes: Recent Developments and Future Frontiers
Vehik, K., Ajami, N. J., Hadley, D., Petrosino, J. F., & Burkhardt, B. R. (2013) · Current Diabetes Reports · doi:10.1007/s11892-013-0406-8 · Cited by 27
“Since 2009 early life environmental exposures, such as, early life diet [27, 28], vitamin D levels [29–31], mode of delivery [32•, 33], and enteroviral infection [34, 35] have been receiving increasing attention.”
BackgroundGillespie, K., Aitken, R. J., Wilson, I. V., Williams, A., & Bingley, P. (2014) · Diabetes · doi:10.2337/db13-0994 · Cited by 24
“strategies to assign risk that depend on the potential toxicity of the planned intervention (6,7).”
BackgroundGut microbiome in type 1 diabetes: the immunological perspective
Rampanelli, E., & Nieuwdorp, M. (2022) · Expert Review of Clinical Immunology · doi:10.1080/1744666x.2023.2150612 · Cited by 29
Metabolomic Insights into the Effects of Breast Milk Versus Formula Milk Feeding in Infants
Phan, M., Momin, S., Senn, M., & Wood, A. C. (2019) · Current nutrition reports · doi:10.1007/s13668-019-00284-2 · Cited by 23
Infant Feeding and Timing of Complementary Foods in the Development of Type 1 Diabetes
Nucci, A. M., Virtanen, S. M., & BECKER, D. J. (2015) · Current Diabetes Reports · doi:10.1007/s11892-015-0628-z · Cited by 27
Self-citationUpdate on human health concerns of recombinant bovine somatotropin use in dairy cows.
Collier, R. J., & Bauman, D. E. (2014) · Journal of Animal Science · doi:10.2527/jas.2013-7383 · Cited by 22
Liu, X., Zhang, Y., Wu, H., Zhu, P., Mo, X., Ma, X., & Ying, J. (2018) · European Journal of Clinical Nutrition · doi:10.1038/s41430-018-0185-z · Cited by 34
“And furthermore the confounding effect of breastfeeding was also not analyzed since breastfeeding could protect T1D was put forward more than 3 decades ago [38], although the reason why human milk might protect T1D remains uncertain.”
BackgroundCastro, P. D., Kearney, J., & Layte, R. (2014) · Public Health Nutrition · doi:10.1017/s1368980014000329 · Cited by 21
“Early introduction to solids has been associated with an increased risk of being overweight or obese later in life and the development of chronic diseases((5,7,9,28,29)).”
BackgroundDiabetes mellitus: The pathophysiology as a canvas for management elucidation and strategies
Iheagwam, F. N., & Iheagwam, O. T. (2025) · Medicine in Novel Technology and Devices · doi:10.1016/j.medntd.2025.100351 · Cited by 24
Type 1 Diabetes: Management in Women From Preconception to Postpartum
Buschur, E., & Polsky, S. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaa931 · Cited by 32
The influence of natural feeding on human health: short- and long-term perspectives
Grzelak, T., Woźniak, U., & Czyżewska, K. (2014) · Gastroenterology Review · doi:10.5114/pg.2014.40843 · Cited by 18
“Breastfeeding has some protective effect against the development of type 1 diabetes [6, 7, 26, 33].”
BackgroundNygren, M., Ludvigsson, J., Carstensen, J., & Frostell, A. S. (2013) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2013.03.016 · Cited by 18
“016 Environmental factors such as viral infections [2], dietary factors in infancy [3,4], caesarean section [5], high maternal age at delivery [6], and birth weight [7] have all been discussed as risk-factors.”
BackgroundPieścik‐Lech, M., Chmielewska, A., Shamir, R., & Szajewska, H. (2016) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000001293 · Cited by 27
“In addition to genetic background, a number of environmental factors have been claimed to influence the T1D epidemiology, including infant diet (9).”
Kamal-Alanani, N. M., & Alsulaimani, A. (2013) · TheScientificWorldJournal · doi:10.1155/2013/421569 · Cited by 17
RetractedNiinistö, S., Takkinen, H.-M., Uusitalo, L., Rautanen, J., Vainio, N., Ahonen, S., Nevalainen, J., Kenward, M. G., Lumia, M., Simell, O., et al. (2015) · Acta Diabetologica · doi:10.1007/s00592-014-0673-0 · Cited by 16
“The accumulated evidence on the association of breastfeeding with type 1 diabetes is controversial [14].”
BackgroundSelf-citationReproductive Immunology: a Focus on the Role of Female Sex Hormones and Other Gender-Related Factors
Peeva, E. (2011) · Clinical reviews in allergy and immunology · doi:10.1007/s12016-010-8209-z · Cited by 16
Development of a harmonized food grouping system for between-country comparisons in the TEDDY Study
Joslowski, G., Yang, J.-M., Aronsson, C., Ahonen, S., Butterworth, M. D., Rautanen, J., Norris, J., Virtanen, S., & Uusitalo, U. (2017) · Journal of Food Composition and Analysis · doi:10.1016/j.jfca.2017.07.037 · Cited by 15
“One of the aims of the TEDDY study is to examine the quantitative exposure to foods such as cow's milk, root vegetables and gluten-containing cereals which have been associated with increased risk of islet autoimmunity, type 1 diabetes and/or celiac disease in infancy and later in childhood (Knip et al., 2010; Virtane…”
BackgroundSelf-citationFranciscus, M., Nucci, A., Bradley, B. J., Suomalainen, H. A., Greenberg, E., Laforte, D., Kleemola, P., Hyytinen, M., Salonen, M., Martin, M.-J., et al. (2013) · Clinical Trials · doi:10.1177/1740774513510070 · Cited by 14
“The environmental or lifestyle triggers believed to influence the expression of the disease include viruses such as Coxsackie B, mumps, and congenital rubella; growth parameters; and early introduction of foreign dietary proteins during infancy or childhood [3,4].”
BackgroundFang, C., Huang, Y., Pei, Y., Zhang, H., Chen, X., Guo, H., Li, S., Ji, X., & Hu, J. (2017) · Acta Diabetologica · doi:10.1007/s00592-017-1005-y · Cited by 22
Immunotherapies in Diabetes Mellitus Type 1
Gupta, S. (2012) · Medical Clinics of North America · doi:10.1016/j.mcna.2012.04.008 · Cited by 14
Childhood Bereavement and Type 1 Diabetes: a Danish National Register Study
Virk, J., Ritz, B., Li, J., Obel, C., & Olsen, J. (2016) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12247 · Cited by 12
Exposures in early life: associations with DNA promoter methylation in breast tumors
Tao, M.-H., Marian, C., Shields, P. G., Potischman, N., Nie, J., Krishnan, S. S., Berry, D., Kallakury, B., Ambrosone, C., Edge, S. B., et al. (2012) · Journal of Developmental Origins of Health and Disease · doi:10.1017/s2040174412000694 · Cited by 12
“Early introduction of cow milk proteins (complementary feeding) has been proposed to induce intestinal mucosa inflammation and increase gut permeability.(36) Inflammation has been found to alter the DNA promoter methylation pattern and critical gene regulation in several studies.”
BackgroundVasilev, G., Kokudeva, M., Siliogka, E., Padilla, N., Shumnalieva, R., Della‐Morte, D., Ricordi, C., Mihova, A., Infante, M., & Velikova, T. V. (2025) · World Journal of Diabetes · doi:10.4239/wjd.v16.i4.99936 · Cited by 11
Wang, H., Zhang, Z., Liu, Y., Yang, J.-Q., Zhang, J.-H., Clark, C. C. T., Rodriguez, D., Amirthalingam, P., & Guo, Y.-W. (2020) · Journal of Gynecology Obstetrics and Human Reproduction · doi:10.1016/j.jogoh.2020.101921 · Cited by 9
Lamb, M. M., Simpson, M. D., Seifert, J. A., Scott, F. W., Rewers, M., & Norris, J. M. (2013) · PLoS ONE · doi:10.1371/journal.pone.0057936 · Cited by 9
“Likewise, a link between cow’s milk consumption and T1D risk has not been firmly established [11].”
Background“Always up or peaks and highlands?” Incidence of childhood type 1 diabetes in Hungary (1989–2009)
Gyürüs, É., Patterson, C. C., & Soltész, G. (2011) · Orvosi Hetilap · doi:10.1556/oh.2011.29210 · Cited by 9
Type 1 Diabetes Incidence Among Youth in Utah: A Geographical Analysis
McCullough, M. L., Wan, N., Pezzolesi, M., Collins, T. W., Grineski, S., Wei, D., Lázaro-Guevara, J., Frodsham, S. G., VanDerslice, J., Holmen, J., et al. (2021) · Social Science & Medicine (1967) · doi:10.1016/j.socscimed.2021.113952 · Cited by 8
Formula Supplementation of the Breastfed Infant: Assault on the Gut Microbiome
Walker, M. (2014) · Clinical Lactation · doi:10.1891/2158-0782.5.4.128 · Cited by 8
The roles of vitamin D and cathelicidin in type 1 diabetes susceptibility
Cristelo, C., Machado, A., Sarmento, B. F. C. C., & Gama, M. (2020) · Endocrine Connections · doi:10.1530/ec-20-0484 · Cited by 10
“Additionally, environmental factors such as the seasonal environment at birth (3), infant diet (10), viral infections (11) and the gut microbiome (12) have also been suggested to play a role on type 1 diabetes development.”
BackgroundWeber, K. S., Raab, J., Haupt, F., Aschemeier, B., Wosch, A., Ried, C., Kordonouri, O., Ziegler, A., & Winkler, C. (2014) · Public Health Nutrition · doi:10.1017/s1368980013003406 · Cited by 9
“The role of vitamin D in the development of T1D is conversely discussed, but there is no clear evidence that vitamin D intake is associated with T1D risk((1,8)).”
Virtanen, S., Bärlund, S., Salonen, M., Savilahti, E., Reunanen, A., Paronen, J., Hämäläinen, A., Ilonen, J., Teramo, K., Erkkola, M., et al. (2011) · Acta paediatrica · doi:10.1111/j.1651-2227.2010.02107.x · Cited by 6
“INTRODUCTION Environmental factors such as diet may play an important role in the development of type 1 diabetes (1).”
BackgroundSelf-citationA1 milk and beta-casomorphin-7
Andiç, S., Ayaz, R. M., & Oğuz, Ş. (2021) · Food and Health · doi:10.3153/fh21014 · Cited by 10
McClorry, S., Slupsky, C., Lind, T., Åkeson, P. K., Hernell, O., & Öhlund, I. (2019) · Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2019.108251 · Cited by 5
Metadata
- Authors
- Knip, M., Virtanen, S. M., & Åkerblom, H. K.
- Affiliations
- University of Helsinki (FI)
- Corresponding author
- Knip, Mikael
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 91
- Issue
- 5
- Pages
- 1506S-1513S
- ISSN
- 0002-9165 (ISSN-L)
- PMC
- PMC6443298
- OpenAlex
- W2138015526
- Cited by
- 156
- References
- 0
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 7 · 2022: 5 · 2021: 9 · 2020: 8 · 2019: 6 · 2018: 5 · 2017: 12 · 2016: 10 · 2015: 15 · 2014: 16 · 2013: 19 · 2012: 15
- FWCI
- 9.90
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Funders
- NIH
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 1 diabetes, infant feeding, islet autoimmunity, infant nutrition, hydrolyzed formula, weaning, vitamin D supplementation, infant growth, environmental risk factors, dietary risk factors
- MeSH terms
- Breast Feeding, Cell Membrane Permeability, Diabetes Mellitus, Type 1, Female, Finland, Humans, Infant, Infant Food, Infant Nutritional Physiological Phenomena, Intestinal Absorption, Polymorphism, Genetic, Rickets, Risk Factors, Vitamin D, Vitamin D Deficiency, Incidence, Receptors, Calcitriol, Developed Countries, Dietary Supplements, Insulin-Secreting Cells
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