Gestational diabetes & diabetes in pregnancy

Gestational diabetes risk associated with early pregnancy blood pressure characteristics and trajectories: A Chinese prospective cohort study

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

Poor early pregnancy BP characteristics and unfavourable BP trajectories are associated with an elevated risk of GDM. These findings suggest that monitoring BP throughout early pregnancy could serve as an essential strategy for identifying women at higher risk for GDM, potentially enabling timely preventative measures.

Study context

Population
Pregnant women, Shenzhen Maternity and Child Healthcare Hospital, China; Blood pressure (BP) at initial prenatal visit, systolic blood pressure (SBP) trajectories up to 20 weeks' gestation
Participants
16,020 women
Exposure
Early pregnancy BP characteristics and SBP trajectories vs reference categories
Outcome
GDM

Main finding

As reported in the abstract

GDM risk
Each group vs low-stableOdds ratio (95% CI)
Moderate BP
1.24(1.14–1.35)
Isolated moderate SBP
1.27(1.16–1.38)
Early pregnancy hypertension
1.32(1.02–1.71)
Medium-stable
OR 1.31; all p < 0.01
Medium-high stable
OR 1.61; all p < 0.01
Peak pattern
OR 1.98; all p < 0.01
Developed gestational diabetes mellitus (GDM)
23.91% (3830/16 020)
SBP, each 10 mmHg increase: OR
1.14 (1.10-1.18) (95% CI)
Diastolic blood pressure (DBP), each 5 mmHg: OR
1.07 (1.05-1.09)
Pulse pressure (PP), each 5 mmHg: OR
1.04 (1.02-1.07)
Highest vs lowest PP tertile: OR
1.20 (1.09-1.32)

Observational data: associations, not effects.

Original publication

Gestational diabetes risk associated with early pregnancy blood pressure characteristics and trajectories: A Chinese prospective cohort study. Diabetes Obes Metab. Published 19 June 2025. doi:10.1111/dom.16555

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

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