Antibiotic Exposure in Early Life and Risk of Type 1 Diabetes: A Meta‐Analysis

This meta-analysis suggests that early-life antibiotic use is associated with an increased risk of T1D, particularly with repeated courses and broad-spectrum agents. However, confidence in these findings is constrained by variability in study design and exposure definitions, as well as the potential for confounding by indication. While the observed associations are modest, they highlight the importance of judicious antibiotic prescribing in early life. Further large, well-designed prospective cohort studies are needed to clarify causality and better disentangle the effects of antibiotics from those of underlying infections.

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Publication Details

Journal
Diabetes Obesity and Metabolism
Published
2026-03-11
DOI
https://doi.org/10.1111/dom.70636
Primary Topic
Diabetes and associated disorders
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article
Field-Weighted Citation Impact
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article

Antibiotic Exposure in Early Life and Risk of Type 1 Diabetes: A Meta‐Analysis

Amanda Eng, Marine Corbin, Andrea ’t Mannetje, Sharan Ram et al.
Diabetes Obesity and Metabolism
Diabetes and associated disorders
article

Antibiotic Exposure in Early Life and Risk of Type 1 Diabetes: A Meta‐Analysis

Amanda Eng, Marine Corbin, Andrea ’t Mannetje, Sharan Ram, Amanda Kvalsvig, Jeroen Douwes
article en

Abstract

This meta-analysis suggests that early-life antibiotic use is associated with an increased risk of T1D, particularly with repeated courses and broad-spectrum agents. However, confidence in these findings is constrained by variability in study design and exposure definitions, as well as the potential for confounding by indication. While the observed associations are modest, they highlight the importance of judicious antibiotic prescribing in early life. Further large, well-designed prospective cohort studies are needed to clarify causality and better disentangle the effects of antibiotics from those of underlying infections.

Diabetes Obesity and Metabolism
Massey University (NZ), University of Otago (NZ)
Openalex Percentile: Top 27%
Diabetes and associated disorders
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