Family history of diabetes and risk of SARS-COV-2 in UK Biobank: a prospective cohort study

Jani, B. D. et al. (2021) Family history of diabetes and risk of SARS-COV-2 in UK Biobank: a prospective cohort study. Endocrinology, Diabetes and Metabolism, (doi: 10.1002/edm2.283) (Early Online Publication)

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Abstract

Introduction: The aim of this study was to determine risk of being SARS-CoV-2 positive and severe infection (associated with hospitalization/mortality) in those with family history of diabetes. Methods: We used UK Biobank, an observational cohort recruited between 2006 and 2010. We compared the risk of being SARS-CoV-2 positive and severe infection for those with family history of diabetes (mother/father/sibling) against those without. Results: Of 401,268 participants in total, 13,331 tested positive for SARS-CoV-2 and 2282 had severe infection by end of January 2021. In unadjusted models, participants with ≥2 family members with diabetes were more likely to be SARS-CoV-2 positive (risk ratio-RR 1.35; 95% confidence interval-CI 1.24–1.47) and severe infection (RR 1.30; 95% CI 1.04–1.59), compared to those without. The excess risk of being tested positive for SARS-CoV-2 was attenuated but significant after adjusting for demographics, lifestyle factors, multimorbidity and presence of cardiometabolic conditions. The excess risk for severe infection was no longer significant after adjusting for demographics, lifestyle factors, multimorbidity and presence of cardiometabolic conditions, and was absent when excluding incident diabetes. Conclusion: The totality of the results suggests that good lifestyle and not developing incident diabetes may lessen risks of severe infections in people with a strong family of diabetes.

Item Type:Articles
Keywords:Diabetes, family history, lifestyle, SARS-CoV-2.
Status:Early Online Publication
Refereed:Yes
Glasgow Author(s) Enlighten ID:Hastie, Dr Claire and Jani, Dr Bhautesh and Ho, Dr Frederick and Gill, Professor Jason and Welsh, Dr Paul and Anderson, Dr Jana and Foster, Dr Hamish and Bailey, Dr Mark and Mair, Professor Frances and Nicholl, Dr Barbara and Celis, Dr Carlos and Gray, Dr Stuart and Pell, Professor Jill and Hanlon, Dr Peter and Sattar, Professor Naveed and Lyall, Dr Donald
Authors: Jani, B. D., Nicholl, B. I., Hanlon, P., Mair, F. S., Gill, J. M.R., Gray, S. R., Celis-Morales, C. A., Ho, F. K., Lyall, D. M., Anderson, J. J., Hastie, C. E., Bailey, M. E.S., Foster, H., Pell, J. P., Welsh, P., and Sattar, N.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Public Health
College of Medical Veterinary and Life Sciences > School of Life Sciences
Journal Name:Endocrinology, Diabetes and Metabolism
Publisher:Wiley
ISSN:2398-9238
ISSN (Online):2398-9238
Published Online:11 July 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in Endocrinology, Diabetes and Metabolism 2021
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
303944BHF Centre of ExcellenceRhian TouyzBritish Heart Foundation (BHF)RE/18/6/34217CAMS - Cardiovascular Science