Maternal Fasting Plasma Glucose Level in Early Gestation and Developmental Delay in 2-year-old Children

J Clin Endocrinol MetabPublished Prospective cohort study

Main finding · Developmental delay across the 5 domainsResult — go to the resultAdjusted odds ratio 0.464 95% CI 0.229–0.943

Authors' conclusion

mFPG level in early gestation was not associated with an increased risk of any developmental delays in 2-year-old children.

Study context

Population
Mother-child pairs in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study; Maternal fasting plasma glucose (mFPG) measured before 24 gestational weeks
Participants
1,541 mother-child pairs
Exposure
Maternal FPG level in early gestation
Outcome
Developmental delay in children (Ages and Stages Questionnaire, third edition, assessed by mothers)
Follow-up
2 years old
Methodological detailsbirth cohort, multiple logistic regression
  • Birth cohort
  • Multiple logistic regression

Main finding

Developmental delay across the 5 domains

Adjusted odds ratio

0.464

95% CI 0.229–0.943

mFPG ≤70 mg/dLvs mFPG 71 to 94 mg/dL
aOR 0.464 (95% CI 0.229–0.943)

As reported in the abstract

mFPG as a continuous variable, aOR (95% CI 0.990-1.018) for developmental delay across 5 domains; not associated
1.004

Observational data: associations, not effects.

Further findings

Prevalence of mFPG ≥95 mg/dL

Prevalence of mFPG ≥95 mg/dL
5.2%

Prevalence of developmental delay · 2 years old

Children with developmental delays
15.1%

Original publication

Maternal Fasting Plasma Glucose Level in Early Gestation and Developmental Delay in 2-year-old Children. J Clin Endocrinol Metab. Published 20 January 2025. doi:10.1210/clinem/dgae825

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