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The incidence of childhood diabetes continues to increase across
Europe. The trend for women to have their first baby later could be a
factor in this. Bingley et al (p 420) studied probands with
diabetes and their siblings in 1375 families. Maternal age at delivery
was strongly related to risk of diabetes in the offspring, such that
risk increased by 25% for every five year increment in maternal age. A
mother aged 45 years or more at delivery was 3.1 times more likely to
have a child with diabetes than a mother aged less than 20 years.
Paternal age was also associated but less strongly. Multivariate
analysis showed that adjusted risk of diabetes was greatest in
firstborn children and decreased progressively with increasing birth
order. According to this model, changes in maternal age at first
delivery could account for an 11% increase in the incidence of
diabetes in children born since 1970. Since the observed increase is
much greater than this, other factors must also be involved.