Gestational diabetes & diabetes in pregnancy

Associations among prenatal exposure to gestational diabetes mellitus, brain structure, and child adiposity markers

Obesity (Silver Spring)Published Cross-sectional study

Authors' conclusion

The results identify brain markers of prenatal GDM exposure and suggest that low cortical GMV may explain increased obesity risk for offspring prenatally exposed to GDM.

Study context

Population
Children aged 9–10 years and siblings across the US, baseline assessment of the Adolescent Brain Cognitive Development (ABCD) Study7% gestational diabetes mellitus (GDM)-exposed
Participants
8,521 children
Exposure
Prenatal GDM exposure vs no exposure
Outcome
Brain structure (MRI) and its mediating role
Methodological detailssibling-discordance analysis, mediation analysis
  • Sibling-discordance analysis
  • Mediation analysis

Main finding

As reported in the abstract

  • GDM exposure associated with lower global and regional cortical gray matter volume (GMV) in bilateral rostral middle frontal gyrus and superior temporal gyrus
  • Global cortical GMV partially mediated associations between prenatal GDM exposure and child adiposity markers

Observational data: associations, not effects.

Further findings

GDM-exposed siblings had lower global cortical GMV than unexposed siblings
  • 28 sibling pairs discordant for GDM exposure

Original publication

Associations among prenatal exposure to gestational diabetes mellitus, brain structure, and child adiposity markers. Obesity (Silver Spring). Published 16 October 2023. doi:10.1002/oby.23901

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

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