Gestational diabetes & diabetes in pregnancy

Maternal Glycemic Status and Longitudinal Fetal Body Composition and Organ Volumes Based on Three-Dimensional Ultrasonography

Diabetes CarePublished Prospective cohort study

Authors' conclusion

Body composition differed in fetuses of GDM-complicated pregnancies, including larger arm and abdominal measures across the second and third trimesters. Patterns were similar in IGT-complicated pregnancies except that they occurred later in gestation and with larger magnitudes. Future research should explore how lifestyle and medication may alter fetal fat accumulation trajectories among hyperglycemic pregnancies.

Study context

Population
Diverse U.S. singleton pregnancy cohort (2015–2019); up to five 3D ultrasound scans
Participants
2,427 participants
Exposure
Gestational diabetes mellitus (GDM) or impaired glucose tolerance (IGT) vs normal glucose tolerance (NGT)
Outcome
Longitudinal 3D fetal body composition and organ volume trajectories
Methodological detailslongitudinal, singleton pregnancy cohort, linear mixed models, adjusted for covariates
  • Longitudinal
  • Singleton pregnancy cohort
  • Linear mixed models
  • Adjusted for covariates

Main finding

As reported in the abstract

GDM vs NGT: larger fractional arm and fractional fat arm volumes
26 to 35 weeks
GDM vs NGT: smaller fractional lean arm volume
17 to 22 weeks
GDM vs NGT: larger abdominal area
24 to 40 weeks

Observational data: associations, not effects.

Original publication

Maternal Glycemic Status and Longitudinal Fetal Body Composition and Organ Volumes Based on Three-Dimensional Ultrasonography. Diabetes Care. Published 16 October 2024. doi:10.2337/dc24-1068

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

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