Gestational diabetes & diabetes in pregnancy

Association of Acylcarnitines With Maternal Cardiometabolic Risk Factors Is Defined by Chain Length: The S-PRESTO Study

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

This study provides the metabolic and physiological basis of maternal carnitine homeostasis, which can be used in assessment of maternal cardiometabolic health at preconception to improve pregnancy outcomes.

Study context

Population
Mothers in the S-PRESTO cohort; plasma and urine sampled at preconception, 26–28 weeks' pregnancy and 3 months postpartum765 plasma, 702 urine samples
Outcome
Association of maternal plasma and urinary free carnitine and acylcarnitines with cardiometabolic risk factors

Main finding

As reported in the abstract

Mothers who developed GDM had higher plasma propionylcarnitine at preconception vs normal glucose metabolism

∼10%

Mothers who developed GDM had higher urine tiglylcarnitine at preconception vs normal glucose metabolism

∼18%

Observational data: associations, not effects.

Original publication

Association of Acylcarnitines With Maternal Cardiometabolic Risk Factors Is Defined by Chain Length: The S-PRESTO Study. J Clin Endocrinol Metab. Published 16 April 2024. doi:10.1210/clinem/dgae255

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