Associations Between Gestational Weight Gain, Gestational Diabetes, and Childhood Obesity Incidence
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature..
INTRODUCTION: Excessive maternal gestational weight gain (GWG) is strongly correlated with childhood obesity, yet how excess maternal weight gain and gestational diabetes mellitus (GDM) interact to affect early childhood obesity is poorly understood. The purpose of this study was to investigate whether overall and trimester-specific maternal GWG and GDM were associated with obesity in offspring by age 6 years.
METHODS: A cohort of 10,335 maternal-child dyads was established from electronic health records. Maternal weights at conception and delivery were estimated from weight trajectory fits using functional principal components analysis. Kaplan-Meier curves and Cox regression, together with generalized raking, examined time-to-childhood-obesity.
RESULTS: Obesity diagnosed prior to age 6 years was estimated at 19.7% (95% CI: 18.3, 21.1). Maternal weight gain during pregnancy was a strong predictor of early childhood obesity (p < 0.0001). The occurrence of early childhood obesity was lower among mothers with GDM compared with those without diabetes (adjusted hazard ratio = 0.58, p = 0.014). There was no interaction between maternal weight gain and GDM (p = 0.55). Higher weight gain during the first trimester was associated with lower risk of early childhood obesity (p = 0.0002) whereas higher weight gain during the second and third trimesters was associated with higher risk (p < 0.0001).
DISCUSSION: Results indicated total and trimester-specific maternal weight gain was a strong predictor of early childhood obesity, though obesity risk by age 6 was lower for children of mothers with GDM. Additional research is needed to elucidate underlying mechanisms directly related to trimester-specific weight gain and GDM that impede or protect against obesity prevalence during early childhood.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
|---|---|
| Enthalten in: |
Maternal and child health journal - 28(2024), 2 vom: 14. Feb., Seite 372-381 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Sneed, Nadia M [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Childhood obesity |
|---|
| Anmerkungen: |
Date Completed 29.02.2024 Date Revised 09.03.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1007/s10995-023-03853-8 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM364581506 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM364581506 | ||
| 003 | DE-627 | ||
| 005 | 20240309232004.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s10995-023-03853-8 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1321.xml |
| 035 | |a (DE-627)NLM364581506 | ||
| 035 | |a (NLM)37966561 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Sneed, Nadia M |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Associations Between Gestational Weight Gain, Gestational Diabetes, and Childhood Obesity Incidence |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 29.02.2024 | ||
| 500 | |a Date Revised 09.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. | ||
| 520 | |a INTRODUCTION: Excessive maternal gestational weight gain (GWG) is strongly correlated with childhood obesity, yet how excess maternal weight gain and gestational diabetes mellitus (GDM) interact to affect early childhood obesity is poorly understood. The purpose of this study was to investigate whether overall and trimester-specific maternal GWG and GDM were associated with obesity in offspring by age 6 years | ||
| 520 | |a METHODS: A cohort of 10,335 maternal-child dyads was established from electronic health records. Maternal weights at conception and delivery were estimated from weight trajectory fits using functional principal components analysis. Kaplan-Meier curves and Cox regression, together with generalized raking, examined time-to-childhood-obesity | ||
| 520 | |a RESULTS: Obesity diagnosed prior to age 6 years was estimated at 19.7% (95% CI: 18.3, 21.1). Maternal weight gain during pregnancy was a strong predictor of early childhood obesity (p < 0.0001). The occurrence of early childhood obesity was lower among mothers with GDM compared with those without diabetes (adjusted hazard ratio = 0.58, p = 0.014). There was no interaction between maternal weight gain and GDM (p = 0.55). Higher weight gain during the first trimester was associated with lower risk of early childhood obesity (p = 0.0002) whereas higher weight gain during the second and third trimesters was associated with higher risk (p < 0.0001) | ||
| 520 | |a DISCUSSION: Results indicated total and trimester-specific maternal weight gain was a strong predictor of early childhood obesity, though obesity risk by age 6 was lower for children of mothers with GDM. Additional research is needed to elucidate underlying mechanisms directly related to trimester-specific weight gain and GDM that impede or protect against obesity prevalence during early childhood | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Childhood obesity | |
| 650 | 4 | |a Gestational diabetes mellitus | |
| 650 | 4 | |a Gestational weight gain | |
| 650 | 4 | |a Pregnancy | |
| 700 | 1 | |a Heerman, William J |e verfasserin |4 aut | |
| 700 | 1 | |a Shaw, Pamela A |e verfasserin |4 aut | |
| 700 | 1 | |a Han, Kyunghee |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Tong |e verfasserin |4 aut | |
| 700 | 1 | |a Bian, Aihua |e verfasserin |4 aut | |
| 700 | 1 | |a Pugh, Shannon |e verfasserin |4 aut | |
| 700 | 1 | |a Duda, Stephany |e verfasserin |4 aut | |
| 700 | 1 | |a Lumley, Thomas |e verfasserin |4 aut | |
| 700 | 1 | |a Shepherd, Bryan E |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Maternal and child health journal |d 1997 |g 28(2024), 2 vom: 14. Feb., Seite 372-381 |w (DE-627)NLM096548819 |x 1573-6628 |7 nnns |
| 773 | 1 | 8 | |g volume:28 |g year:2024 |g number:2 |g day:14 |g month:02 |g pages:372-381 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s10995-023-03853-8 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 28 |j 2024 |e 2 |b 14 |c 02 |h 372-381 | ||