Document Detail


Association of exposure to diabetes in utero with adiposity and fat distribution in a multiethnic population of youth: the Exploring Perinatal Outcomes among Children (EPOCH) Study.
MedLine Citation:
PMID:  20953862     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS/HYPOTHESIS: To evaluate whether exposure to maternal gestational diabetes (GDM) is associated with adiposity and fat distribution in a multiethnic population of children.
METHODS: Retrospective cohort study of 82 children exposed to maternal GDM and 379 unexposed youths 6-13 years of age with measured BMI, waist circumference, skinfold thickness, and visceral and subcutaneous abdominal fat.
RESULTS: Exposure to maternal GDM was associated with higher BMI (p = 0.02), larger waist circumference (p = 0.004), more subcutaneous abdominal fat (p = 0.01) and increased subscapular to triceps skinfold thickness ratio (p = 0.01) in models adjusted for age, sex, race/ethnicity and Tanner stage. Adjustment for socioeconomic factors, birthweight and gestational age, maternal smoking during pregnancy and current diet and physical activity did not influence associations; however, adjustment for maternal pre-pregnancy BMI attenuated all associations.
CONCLUSIONS/INTERPRETATION: Exposure to maternal GDM is associated with increased overall and abdominal adiposity, and a more central fat distribution pattern in 6- to 13-year-old youths from a multi-ethnic population, providing further support for the fetal overnutrition hypothesis.
Authors:
T L Crume; L Ogden; N A West; K S Vehik; A Scherzinger; S Daniels; R McDuffie; K Bischoff; R F Hamman; J M Norris; D Dabelea
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-10-17
Journal Detail:
Title:  Diabetologia     Volume:  54     ISSN:  1432-0428     ISO Abbreviation:  Diabetologia     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-02     Completed Date:  2011-05-11     Revised Date:  2012-01-04    
Medline Journal Info:
Nlm Unique ID:  0006777     Medline TA:  Diabetologia     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  87-92     Citation Subset:  IM    
Affiliation:
Department of Epidemiology, University of Colorado Denver, Aurora, 80045, USA.
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MeSH Terms
Descriptor/Qualifier:
Adiposity / physiology*
Adolescent
African Americans
Child
Diabetes, Gestational / epidemiology*
European Continental Ancestry Group
Female
Hispanic Americans
Humans
Male
Obesity / epidemiology*,  physiopathology*
Pregnancy
Prenatal Exposure Delayed Effects / epidemiology
Grant Support
ID/Acronym/Agency:
M01 RR00069/RR/NCRR NIH HHS; R01 DK068001/DK/NIDDK NIH HHS; R01 DK068001-05/DK/NIDDK NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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