Across rheumatic diseases

Parental autoimmunity and offspring risks of rheumatic diseases: a nationwide population-based study

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

This study demonstrated broadly how autoimmune diseases pass from parents to infants of both genders and separately quantified the maternal and paternal contributions to disease.

Study context

Population
Offspring in the Maternal and Child Health Database and Taiwan National Health Insurance Research Data (NHIRD), 2004 to 2019
Exposure
Offspring of a father or mother with an autoimmune disease vs offspring with no parental autoimmune diseases
Outcome
Presence of an autoimmune disease in the offspring
Methodological detailsnationwide population-based, inverse probability of treatment-weighted Cox models
  • Nationwide population-based
  • Inverse probability of treatment-weighted Cox models

Main finding

As reported in the abstract

Autoimmune disease in offspring

Paternal autoimmunity vs no parental autoimmunity: risk of autoimmune disease

1.22 times

Maternal autoimmunity vs no parental autoimmunity: risk of autoimmune disease

1.38 times

Both parents: risk of autoimmune disease

1.39-fold

Observational data: associations, not effects.

Further findings

OutcomeaHR (95% CI)
SLE in offspring, maternal autoimmunityMaternal autoimmunityvs No parental autoimmunity5.46 (5.28–5.66)
JIA in offspring, paternal autoimmunityPaternal autoimmunityvs No parental autoimmunity1.76 (1.71–1.81)
Type 1 diabetes mellitus in offspring, paternal autoimmunityPaternal autoimmunityvs No parental autoimmunity1.59 (1.39–1.81)
SLE in boys (subgroup), maternal autoimmunityMaternal autoimmunityvs No parental autoimmunity8.55 (8.10–9.02)
Inflammatory myopathy in boys (subgroup), maternal autoimmunityMaternal autoimmunityvs No parental autoimmunity2.08 (1.72–2.51)

Maternal contribution by preterm vs full-term birth (subgroup)

The maternal contribution effect was stronger for preterm births than for full-term births

Original publication

Parental autoimmunity and offspring risks of rheumatic diseases: a nationwide population-based study. Rheumatology (Oxford). Published 25 October 2023. doi:10.1093/rheumatology/kead562

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