Mild Gestational Diabetes Mellitus and Long-Term Child Health

作者：Landon Mark B^*; Rice Madeline Murguia; Varner Michael W; Casey Brian M; Reddy Uma M; Wapner Ronald J; Rouse Dwight J; Biggio Joseph R Jr; Thorp John M; Chien Edward K; Saade George; Peaceman Alan M; Blackwell Sean C; VanDorsten J Peter

来源：Diabetes Care, 2015, 38(3): 445-452.

DOI：10.2337/dc14-2159

OBJECTIVE
To evaluate whether treatment of mild gestational diabetes mellitus (GDM) confers sustained offspring health benefits, including a lower frequency of obesity.
RESEARCH DESIGN AND METHODS
Follow-up study of children (ages 5-10) of women enrolled in a multicenter trial of treatment versus no treatment of mild GDM. Height, weight, blood pressure, waist circumference, fasting glucose, fasting insulin, triglycerides, and HDL cholesterol were measured.
RESULTS
Five hundred of 905 eligible offspring (55%) were enrolled. Maternal baseline characteristics were similar between the follow-up treated and untreated groups. The frequencies of BMI >= 95th (20.8% and 22.9%) and 85th (32.6% and 38.6%) percentiles were not significantly different in treated versus untreated offspring (P = 0.69 and P = 0.26). No associations were observed for BMI z score, log waist circumference, log triglycerides, HDL cholesterol, blood pressure, or log HOMA-estimated insulin resistance (HOMA-IR). The effect of treatment was different by sex for fasting glucose and log HOMA-IR (P for interaction = 0.002 and 0.02, respectively) but not by age-group (5-6 and 7-10 years) for any outcomes. Female offspring of treated women had significantly lower fasting glucose levels.
CONCLUSIONS
Although treatment for mild GDM has been associated with neonatal benefits, no reduction in childhood obesity or metabolic dysfunction in the offspring of treated women was found. However, only female offspring of women treated for mild GDM had lower fasting glucose.

• 出版日期2015-3
• 单位西北大学