J Diabetes Investig. 2021 Mar;12(3):425-433. doi: 10.1111/jdi.13349. Epub 2020 Aug 11.
Association between neonatal birthweight and risk of maternal glucose intolerance after gestational diabetes mellitus.
Journal of diabetes investigation
Zhuyu Li, Dongyu Wang, Yunjiu Cheng, Peisong Chen, Wenjing Ding, Zilian Wang
Affiliations
Affiliations
- Department of Obstetrics and Gynaecology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
- Department of Cardiology, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
- Department of Clinical Laboratory, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
- Department of Obstetrics and Gynaecology, Faculty of Medicine, the Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
PMID: 32628808
PMCID: PMC7926240 DOI: 10.1111/jdi.13349
Abstract
AIMS/INTRODUCTION: To evaluate whether the neonatal birthweight (NBW) is associated with early postpartum glucose intolerance in women with gestational diabetes mellitus.
MATERIALS AND METHODS: A total of 1,113 women diagnosed with gestational diabetes mellitus who completed an oral glucose tolerance test at 6-9 weeks postpartum between 1 April 2014 and 8 January 2020 were included in this observational prospective cohort study. They were grouped by neonatal birthweight quartiles, and the odds ratios of postpartum glucose intolerance for different levels of neonatal birthweight were assessed.
RESULTS: A lower NBW quartile was associated with an increased maternal risk of postpartum glucose intolerance after gestational diabetes mellitus. The adjusted odds ratios for maternal glucose intolerance were 1.69 (95% confidence interval 1.13-2.51) in the lowest NBW quartile (NBW 1,980-2,930 g) when compared with the highest NBW quartile (NBW 3,410-4,610 g). The association between lower NBW and maternal glucose intolerance was significantly stronger in women who delivered a girl. Additionally, NBW ≥3,100 g appears to be associated with a lower risk of maternal glucose intolerance postpartum.
CONCLUSIONS: Our findings suggest that low NBW is a previously unrecognized risk factor for maternal glucose intolerance after gestational diabetes in early postpartum in South China.
© 2020 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd.
Keywords: Birthweight; Gestational diabetes mellitus; Glucose intolerance
References
- Endocrine. 2017 Mar;55(3):809-821 - PubMed
- Diabetes Care. 2006 Jun;29(6):1345-50 - PubMed
- Am J Physiol Endocrinol Metab. 2011 Jul;301(1):E25-30 - PubMed
- Diabetes Res Clin Pract. 2007 Dec;78(3):305-12 - PubMed
- J Clin Invest. 2005 Mar;115(3):485-91 - PubMed
- Diabetes Care. 2001 Aug;24(8):1317-8 - PubMed
- J Diabetes Investig. 2021 Mar;12(3):425-433 - PubMed
- J Clin Endocrinol Metab. 2015 Jul;100(7):2574-80 - PubMed
- Diabetes Care. 2020 Jan;43(Suppl 1):S183-S192 - PubMed
- Clin Diabetes. 2019 Jan;37(1):11-34 - PubMed
- Diabetes. 1998 Aug;47(8):1302-10 - PubMed
- J Clin Endocrinol Metab. 2012 May;97(5):1720-8 - PubMed
- Acta Endocrinol (Copenh). 1954 Aug;16(4):330-42 - PubMed
- JAMA. 2018 Sep 11;320(10):1005-1016 - PubMed
- Diabetologia. 2010 Mar;53(3):452-7 - PubMed
- Diabetes. 2002 Jul;51(7):2214-9 - PubMed
- N Engl J Med. 2008 May 8;358(19):1991-2002 - PubMed
- Diabetes Care. 2013 Jan;36 Suppl 1:S11-66 - PubMed
- Diabet Med. 2016 Nov;33(11):1599-1601 - PubMed
- Diabetes Care. 1993 Dec;16(12):1598-605 - PubMed
- Diabetes Care. 2016 Jun;39(6):1052-5 - PubMed
- Singapore Med J. 2012 Dec;53(12):814-20 - PubMed
- Chin Med J (Engl). 2008 Apr 20;121(8):696-700 - PubMed
- Endocrine. 2018 Mar;59(3):481-494 - PubMed
- Am J Obstet Gynecol. 1989 Oct;161(4):981-6 - PubMed
- Nutrition. 2011 Jul-Aug;27(7-8):782-8 - PubMed
- Jpn Clin Med. 2015 Dec 09;6:35-9 - PubMed
- Clin Exp Obstet Gynecol. 2012;39(4):512-5 - PubMed
- Ann Intern Med. 2015 Dec 15;163(12):889-98 - PubMed
- Diabetes Care. 2010 Mar;33(3):676-82 - PubMed
- Diabetes Res Clin Pract. 2014 Aug;105(2):223-30 - PubMed
- Gend Med. 2009;6 Suppl 1:109-22 - PubMed
- Clin Nutr Res. 2019 Apr 18;8(2):129-137 - PubMed
- Diabetologia. 2016 Jul;59(7):1403-1411 - PubMed
- Am J Obstet Gynecol. 2002 Apr;186(4):751-6 - PubMed
- J Diabetes Res. 2020 Apr 27;2020:3076463 - PubMed
- J Matern Fetal Neonatal Med. 2012 Aug;25(8):1348-53 - PubMed
- BMJ Open. 2016 Aug 16;6(8):e010935 - PubMed
Publication Types
Grant support