Cow Milk Fruit Juice Intake May Advance Beta Cell Autoimmunity
Cow Milk Fruit Juice Intake May Advance Beta Cell Autoimmunity – OBJECTIVE: To assess prospectively whether longitudinal food intakes during childhood, especially the intake of cow milk– based infant formulas, other cow-milk products, cereals, meat products, fish products, dietary fats, vegetables, roots and potatoes, fruit, and sweets, are associated with risk of emergence of diabetes-associated autoantibodies in a population-based cohort of young children with HLA-DQB1–conferred susceptibility to type 1 diabetes.
Children with advanced beta cell autoimmunity (n = 232) (ie, with repeated positivity for antibodies against islet cells) together with positivity for at least one of the other 3 antibodies analyzed or clinical type 1 diabetes were identified from a prospective birth cohort of 6069 infants with HLA-DQB1-conferred susceptibility to type 1 diabetes who were born in 1996-2004, with the longest follow-up to the age of 11 y. Repeated 3-d food records were completed by the families and daycare personnel. Diabetes-associated autoantibodies and diets were measured at 3-12-mo intervals. Four control subjects, who were matched for birth date, sex, area, and genetic risk, were randomly selected for each case.
In the main food groups, only intakes of cow-milk products and fruit and berry juices were significantly, although marginally, associated with advanced beta cell autoimmunity. The consumption of fresh milk products and cow milk-based infant formulas was related to the endpoint, whereas no evidence was shown for consumption of sour milk products and cheese. The intake of fat from all milk products and protein from fresh milk products was associated with risk of advanced beta cell autoimmunity.
Intakes of cow milk and fruit and berry juices could be related to the development of advanced beta cell autoimmunity.
The strength of this longitudinal prospective study is that these type 1 diabetic subjects were followed for years. This gives more power to any associations uncovered. For cow’s milk we have known about the antibody association, and it was once again shown in this study. It would be nice to learn which fruits and berries they used for this study. However, when the intake of fruit and berry juices was adjusted for the total amount of beverages and liquid milk products, it was no longer significantly associated with advanced beta cell autoimmunity. In other words, the milk products are the strongest association. It is possible that the observed association between cow-milk intake and advanced beta cell autoimmunity reflected a causal relation. The current findings did not clarify whether protein or fat or some other component in cow’s milk could explain this association.
There is increasing evidence that the early introduction of cow’s milk proteins may induce mucosal inflammation and increased gut permeability. Enhanced humoral immune responses to cow-milk proteins have been observed in children with newly diagnosed type 1 diabetes and in infants who progressed to overt type 1 diabetes later in childhood. This effect may be due to increased consumption of cow milk, enhanced immunological reactivity, or increased intestinal permeability in children who develop type 1 diabetes.
Studies such as these must be done repeatedly in order to corroborate findings and build a body of solid evidence. Until then, the Roman Diet and Health-e-Solutions lifestyle are on pretty solid ground for eliminating dairy products and minimizing higher-glycemic fruits and berries, only including those that are very low glycemic, low in insulin demand, and and alkalizing.
Until #CuringType1Diabetes is a reality within our reach, put your body in a position of strength to #MasterDiabetes the healthiest way possible. Lifestyle innovations as a priority over drug therapies may be the solution. Poor health feeds poor health in a vicious cycle, or negative feedback loop that is increasingly difficult to break the longer it continues. Promoting, supporting and creating health set in motion a positive feedback loop instead.
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