TY - JOUR
T1 - Parental rheumatoid arthritis and long-term child morbidity
T2 - A nationwide cohort study
AU - Rom, Ane Lilleøre
AU - Wu, Chun Sen
AU - Olsen, Jørn
AU - Jawaheer, Damini
AU - Hetland, Merete Lund
AU - Ottesen, Bent
AU - Mørch, Lina Steinrud
N1 - Funding Information:
Funding This study was supported by the National Institutes of Health (grant number 5R21AR059931-02), The Danish Council for Independent Research and The Augustinus Foundation. None of the funding sources had a role in the design or conduct of the study; the management, analysis or interpretation of the data nor in preparation, review and approval of the manuscript or decision to submit the manuscript for publication.
Funding Information:
This study was supported by the National Institutes of Health grant number 5R21AR059931-02), The Danish Council for Independent Research and The Augustinus Foundation. None of the funding sources had a role in the design or conduct of the study; the management, analysis or interpretation of the data nor in preparation, review and approval of the manuscript or decision to submit the manuscript for publication.
PY - 2015/12/23
Y1 - 2015/12/23
N2 - Objective To estimate the influence of parental rheumatoid arthritis (RA) on child morbidity. Design Nationwide cohort study. Setting Individual linkage to nationwide Danish registries. Participants All singletons born in Denmark during 1977-2008 (n=1 917 723) were followed for an average of 16 years. Main outcome measures Adjusted HRs for child morbidity; that is, 11 main diagnostic groups and specific autoimmune diseases within the International Classification of Diseases 8th and 10th versions. Results Compared with unexposed children, children exposed to maternal RA ('clinical' and 'preclinical') (n=13 566) had up to 26% higher morbidity in 8 of 11 main diagnostic groups. Similar tendencies were found in children exposed to paternal RA ('clinical' and 'preclinical') (n=6330), with statistically significantly higher morbidity in 6 of 11 diagnostic groups. HRs were highest for autoimmune diseases with up to three times increased risk of juvenile idiopathic arthritis (HR, 95% CI 3.30, 2.71 to 4.03 and 2.97, 2.20 to 4.01) and increased risk of up to 40% of diabetes mellitus type 1 (HR, 95% CI 1.37, 1.12 to 1.66 and 1.44, 1.09 to 1.90) and up to 30% increased HR of asthma (HR, 95% CI 1.28, 1.20 to 1.36 and 1.15, 1.04 to 1.26). Conclusions were roughly similar for children exposed to maternal clinical RA and for children only followed up to 16 years of age. Conclusion Children of parents with RA had consistent excess morbidity. If the associations reflect biological mechanisms, genetic factors seem to play an important role. These findings call for attention given to children of parents with RA.
AB - Objective To estimate the influence of parental rheumatoid arthritis (RA) on child morbidity. Design Nationwide cohort study. Setting Individual linkage to nationwide Danish registries. Participants All singletons born in Denmark during 1977-2008 (n=1 917 723) were followed for an average of 16 years. Main outcome measures Adjusted HRs for child morbidity; that is, 11 main diagnostic groups and specific autoimmune diseases within the International Classification of Diseases 8th and 10th versions. Results Compared with unexposed children, children exposed to maternal RA ('clinical' and 'preclinical') (n=13 566) had up to 26% higher morbidity in 8 of 11 main diagnostic groups. Similar tendencies were found in children exposed to paternal RA ('clinical' and 'preclinical') (n=6330), with statistically significantly higher morbidity in 6 of 11 diagnostic groups. HRs were highest for autoimmune diseases with up to three times increased risk of juvenile idiopathic arthritis (HR, 95% CI 3.30, 2.71 to 4.03 and 2.97, 2.20 to 4.01) and increased risk of up to 40% of diabetes mellitus type 1 (HR, 95% CI 1.37, 1.12 to 1.66 and 1.44, 1.09 to 1.90) and up to 30% increased HR of asthma (HR, 95% CI 1.28, 1.20 to 1.36 and 1.15, 1.04 to 1.26). Conclusions were roughly similar for children exposed to maternal clinical RA and for children only followed up to 16 years of age. Conclusion Children of parents with RA had consistent excess morbidity. If the associations reflect biological mechanisms, genetic factors seem to play an important role. These findings call for attention given to children of parents with RA.
UR - http://www.scopus.com/inward/record.url?scp=84954306070&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84954306070&partnerID=8YFLogxK
U2 - 10.1136/annrheumdis-2015-208072
DO - 10.1136/annrheumdis-2015-208072
M3 - Article
C2 - 26698849
AN - SCOPUS:84954306070
SN - 0003-4967
VL - 75
SP - 1831
EP - 1837
JO - Annals of the Rheumatic Diseases
JF - Annals of the Rheumatic Diseases
IS - 10
ER -