Gestational diabetes & diabetes in pregnancy

Gestational Glucose Intolerance and Risk of Obesity in Childhood and Adolescence

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

Older children and adolescents exposed to GGI-1 and GDM in utero have a higher risk of obesity than those born to NGT pregnancies, even after accounting for maternal BMI.

Study context

Population
Children and adolescents aged 2–18 years exposed in utero to varying degrees of maternal glycemia
Participants
27,876 children
Exposure
In utero exposure to gestational glucose intolerance (GGI) or GDM vs normal glucose tolerance (NGT)
  • NGTn = 23,334reference
  • GGIn = 3,413
  • GDMn = 1,129
Outcome
Obesity (BMI ≥95th percentile)
Follow-up
Ages 2–5, 6–10 and 11–18 years

Main finding

As reported in the abstract

Obesity, adjusted additionally for maternal first-trimester BMI
Each group vs NGTOdds ratio (95% CI)
GDMage 6–10 years
1.21(1.01–1.46)
GGI-1age 11–18 years
1.44(1.14–1.81)
GDMage 11–18 years
1.28(1.03–1.59)

Observational data: associations, not effects.

Further findings

Prevalence of obesity

Age 2 to 5
13.5%
Age 6 to 10
20.3%
Age 11 to 18
23.4%

Original publication

Gestational Glucose Intolerance and Risk of Obesity in Childhood and Adolescence. J Clin Endocrinol Metab. Published 13 June 2025. doi:10.1210/clinem/dgaf345

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