Gestational diabetes & diabetes in pregnancy

Association between obesity at age 20 and postpartum glucose tolerance in women with a history of gestational diabetes mellitus

Diabetes Res Clin PractPublished Retrospective cohort study

Main finding · Onset of postpartum IGT and DMResult — go to the resultAdjusted relative risk 1.726 95 % CI 1.217–2.446

Authors' conclusion

Japanese women need to maintain a normal weight from age 20 to prevent the onset of DM.

Study context

Population
Women with gestational diabetes mellitus (GDM) who underwent prenatal glycemic control and a 75-g OGTT 6 to 12 weeks after delivery
Participants
433 women
Exposure
Obesity at age 20 vs no obesity at age 20
Outcome
Postpartum glucose tolerance (onset of postpartum impaired glucose tolerance (IGT) and diabetes mellitus (DM); postpartum insulin resistance)
Follow-up
6 to 12 weeks after delivery
Methodological detailsmultivariable Poisson regression with robust variance
  • Multivariable Poisson regression with robust variance

Main finding

Onset of postpartum IGT and DM

Adjusted relative risk

1.726

95 % CI 1.217–2.446

Obesity at age 20vs No obesity at age 20
aRR 1.726 (95 % CI 1.217–2.446)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeaRR (95 % CI)
Postpartum insulin resistance · 6 to 12 weeks after deliveryIndependent predictor1.532 (1.085–2.164)
Onset of postpartum IGT and DM: obesity at age 20, pre-pregnancy and postpartumvs no history of obesity · 6 to 12 weeks after delivery2.104 (1.390–3.185)

Postpartum insulin resistance by weight gain from age 20 to pregnancy · 6 to 12 weeks after delivery

Weight gain from age 20 to pregnancy, adjusted risk ratios (aRR)
1.050 (95 % CI 1.024-1.077)
  • Independent predictor

Original publication

Association between obesity at age 20 and postpartum glucose tolerance in women with a history of gestational diabetes mellitus. Diabetes Res Clin Pract. Published 3 October 2025. doi:10.1016/j.diabres.2025.112930

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.