Gestational diabetes & diabetes in pregnancy

Association of maternal overweight and gestational diabetes mellitus with offspring adiposity trajectory: from birth to early adolescence

DiabetologiaPublished Prospective cohort study

Main finding · Rapidly increasing skinfold thickness trajectoryResult — go to the resultFold increased risk 6.90 95% CI 1.89–33.32

Authors' conclusion

Maternal overweight and GDM are independently and jointly associated with rapidly increasing adiposity trajectories from birth to early adolescence. The findings underscore the importance of considering both maternal metabolic conditions when evaluating offspring adiposity risk.

Study context

Population
Mother-child dyads from the Hyperglycemia and Adverse Pregnancy Outcome study Hong Kong field centre; offspring followed from birth to age 9–14 years
Participants
564 mother-child dyads
Exposure
Maternal overweight and/or gestational diabetes mellitus (GDM) vs neither
Outcome
Offspring adiposity trajectory, primarily assessed by sum of skinfold thickness
Follow-up
Birth to median ages of 7 and 10 years
Methodological detailslinear mixed-effect models, group-based trajectory modelling
  • Linear mixed-effect models
  • Group-based trajectory modelling

Main finding

Rapidly increasing skinfold thickness trajectory · birth to early adolescence

Fold increased risk

6.90

95% CI 1.89–33.32

P = 0.006

As reported in the abstract

Skinfold thickness trajectories varied significantly by maternal overweight and GDM
P < 0.05
Slow increase trajectory group
52.1%
Rapid increase trajectory group
47.9%

Observational data: associations, not effects.

Further findings

Outcomeβ (95% CI)P value
Offspring skinfold thickness trajectory (linear mixed-effect model) · birth to early adolescenceHighest trajectory; reference group not stated1.62 (0.69–2.54)P = 0.001

Offspring skinfold thickness trajectory (linear mixed-effect model) · birth to early adolescence

Greater increases in skinfold thickness among offspring of mothers with either condition

Original publication

Association of maternal overweight and gestational diabetes mellitus with offspring adiposity trajectory: from birth to early adolescence. Diabetologia. Published 17 June 2025. doi:10.1007/s00125-025-06468-6

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