Gestational diabetes & diabetes in pregnancy

Apolipoprotein Profile in Early Pregnancy and the Link to Gestational Diabetes Mellitus: Insights From Odense Child Cohort

Endocr PractPublished Prospective cohort study

Authors' conclusion

High levels of ApoB and low levels of ApoD in early pregnancy were independently associated with an increased risk of GDM, insulin resistance, and large-for-gestational-age infants (low ApoD only), suggesting potential roles for future management of pregnancy outcomes.

Study context

Population
Pregnant women in the population-based Odense Child Cohort, followed from inclusion until childbirth; 12 apolipoproteins measured by targeted proteomics (LC-MS) on late first trimester serum; Gestational diabetes mellitus (GDM) by WHO 2013 criteria415 (41.9%) with GDM
Participants
991 women
Exposure
Early-pregnancy serum apolipoprotein levels vs risk of GDM
Outcome
GDM
Methodological detailsobservational, population-based
  • Observational
  • Population-based

Main finding

As reported in the abstract

Adjusted odds ratio

1.26

P = 0.002

Increasing ApoB

Adjusted odds ratio

0.84

P = 0.021

Increasing ApoD

Observational data: associations, not effects.

Further findings

OutcomeaORP value
Large-for-gestational-age infants0.78P = 0.041

Correlation of early-pregnancy ApoB and ApoD with third-trimester insulin resistance and beta-cell function

ApoB vs insulin resistance, r
0.22, P < .001
ApoB vs beta-cell function, r
0.20, P < .001
ApoD vs insulin resistance, r
−0.14, P < .001
ApoD vs beta-cell function, r
−0.12, P < .001

Original publication

Apolipoprotein Profile in Early Pregnancy and the Link to Gestational Diabetes Mellitus: Insights From Odense Child Cohort. Endocr Pract. Published 17 February 2025. doi:10.1016/j.eprac.2025.02.009

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