Gestational diabetes & diabetes in pregnancy

Circulating protein biomarkers of physical fitness associated with cardiometabolic risk in women after gestational diabetes: a PONCH study

Cardiovasc DiabetolPublished Cross-sectional proteomic study

Authors' conclusion

This study identified circulating proteins linked to physical fitness and cardiometabolic health in women after GDM.

Study context

Population
Women 10 years after gestational diabetes mellitus (GDM), post-GDM PONCH-cohort
Participants
38 women
Outcome
Serum proteins associated with aerobic capacity and muscle strength
Follow-up
10 years after GDM
Methodological detailsmass spectrometry-based proteomics, FDR-corrected Spearman correlations, age- and medication-adjusted sensitivity analysis, independent training cohort
  • Mass spectrometry-based proteomics
  • FDR-corrected Spearman correlations
  • Age- and medication-adjusted sensitivity analysis
  • Independent training cohort

Main finding

As reported in the abstract

Serum proteins associated with fitness variables

Proteins associated with ≥1 fitness variable

35

Remained significant after age- and medication-adjusted sensitivity analysis

21

Proteins correlated with both VO2peak and muscle strength

9

Proteins (PON3), IGF1, CRISP3, COL6A3, C3 showed the largest, most consistent effect sizes and associations with central adiposity, blood lipids, blood pressure and insulin resistance

5 proteins

Observational data: associations, not effects.

Further findings

Markers across four fitness-level groups

IGF1, PON3 and PRG4 identified as markers of higher overall fitness

Exercise responsiveness in independent cohort of untrained men (6 weeks supervised aerobic training, n = 28)

Fitness-associated proteins changed after aerobic training without significant weight-loss
9

Original publication

Circulating protein biomarkers of physical fitness associated with cardiometabolic risk in women after gestational diabetes: a PONCH study. Cardiovasc Diabetol. Published 27 February 2026. doi:10.1186/s12933-026-03120-4

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