Gestational diabetes & diabetes in pregnancy

Gestational diabetes mellitus and size at birth modify early adiposity accretion. Evidence from the OBESO cohort

Diabetes Res Clin PractPublished Prospective cohort study

Authors' conclusion

GDM appears to program early higher adiposity accretion, independently of excessive fetal growth. SGA was associated with higher FM accretion in early infancy.

Study context

Population
Healthy pregnant women and their term babies from the OBESO cohort; Pregestational body-mass-index (preBMI) 27.4 ± 5.2 kg/m²90 to 6 M
Participants
122 women
Exposure
Maternal obesity, GDM and birth size (SGA/LGA) as predictors of infant fat-mass accretion
Outcome
Infant fat-mass accretion (ΔkgFM, air-displacement plethysmography)
Follow-up
1 M-3 M and 1 M-6 M
Methodological detailsadjusted multiple linear regression
  • Adjusted multiple linear regression

Main finding

As reported in the abstract

FM accretion

1 M-3 M: SGA predictor of higher fat-mass (FM) accretion, B

0.28 (0.14-0.43) (95% CI)

1 M-6 M: SGA, higher FM accretion, B

0.43 (0.19-0.67) (95% CI)

1 M-6 M: GDM, higher FM accretion, B

0.48 (0.06-0.89) (95% CI)

Observational data: associations, not effects.

Further findings

Cohort characteristics

GDM
9% (n = 11)
Received metformin/insulin
12.3% (n = 15)
LGA newborns
1
SGA newborns
20.7% (n = 25)

Original publication

Gestational diabetes mellitus and size at birth modify early adiposity accretion. Evidence from the OBESO cohort. Diabetes Res Clin Pract. Published 25 August 2023. doi:10.1016/j.diabres.2023.110889

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