Gestational diabetes & diabetes in pregnancy

Maternal gestational diabetes and childhood adiposity risk from 6 to 8 years of age

Int J Obes (Lond)Published Longitudinal cohort study

Authors' conclusion

Maternal GDM was a risk factor of childhood overweight/obesity at both 5.9 and 8.3 years of age, which was independent from several important confounders including maternal pre-pregnancy BMI, gestational weight gain, children's birth weight and lifestyle factors. This significant and positive association became stronger with age.

Study context

Population
Mother-child pairs followed at 5.9 ± 1.2 and 8.3 ± 1.6 years postpartum912 retained at 8.3 years
Participants
1,156 pairs
Exposure
Children of mothers with gestational diabetes mellitus (GDM) vs without GDM
  • GDMn = 578
  • Non-GDMn = 578reference
Outcome
Offspring adiposity risk (BMI, waist circumference, body fat, skinfold)
Follow-up
6 to 8 years of age

Main finding

As reported in the abstract

Change in childhood adiposity indicators associated with maternal GDM · 5.9-year to 8.3-year visit
GDM
β (z score of body mass index (BMI) for age) +0.10 (95% CI 0.02–0.18)
GDM
β (waist circumference) +1.46 cm (95% CI 0.70–2.22)
GDM
β (body fat) +1.78% (95% CI 1.16%–2.40%)
GDM
β (triceps skinfold) +2.40 mm (95% CI 1.78–3.01)
GDM
β (subscapular skinfold) +1.59 mm (95% CI 1.10–2.09)
GDM
β (suprailiac skinfold) +2.03 mm (95% CI 1.35–2.71)

Observational data: associations, not effects.

Further findings

Childhood overweight/obesity, central obesity and high body fat · 5.9 and 8.3 years

OR range at 5.9 years, GDM vs non-GDM
1.41-1.57
OR range at 8.3 years, GDM vs non-GDM
1.73-2.03

Original publication

Maternal gestational diabetes and childhood adiposity risk from 6 to 8 years of age. Int J Obes (Lond). Published 20 December 2023. doi:10.1038/s41366-023-01441-y

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