4.3 Article

Increased risk for overweight among Swedish children born to mothers with gestational diabetes mellitus

Journal

PEDIATRIC DIABETES
Volume 15, Issue 1, Pages 57-66

Publisher

WILEY
DOI: 10.1111/pedi.12059

Keywords

gestational diabetes mellitus; offspring; overweight

Funding

  1. Foundation of Region Skane

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ObjectiveInvestigate the effects of maternal gestational diabetes mellitus (GDM) on height, weight, and body mass index (BMI) in offspring compared both to their siblings and to age-specific BMI reference values in Sweden. Their parents present BMI was also investigated. MethodsThe growth of 232 offspring to 110 women with at least one pregnancy with GDM, were studied up to 12yr of age. Height and weight of children were collected from Health Care Centres and compared to age-specific reference values in Sweden. Self-reported height and weight of the parents were collected at follow-up. ResultsFor boys, weight was higher at birth and at 8-10yr of age, giving a higher BMI at 7-10yr of age. Girls had an accelerated height growth at all ages, combined with an increased weight of varying degree resulting in higher BMI at birth and at 4-12yr of age. A similar pattern was observed in siblings born after a normal pregnancy. Median BMI of mothers at follow-up was 25.4 (18.3-59.5 n=105) and 26.5 (18.6-38.1 n=90) for fathers. ConclusionsChildren born to mothers with prior GDM have a higher risk of overweight and obesity later in life. This is most likely due to life style habits rather than intrauterine factors, as the same BMI pattern was found in siblings born after a normal pregnancy. However, the design of the study could not rule out the role of genetic factors. Priority should be given to early life style intervention in these families.

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