Prepregnancy body mass index and weight change on postpartum diabetes risk among gestational diabetes women: Prepregnancy BMI and Weight Change with diabetes risk
Open accessAbstract
OBJECTIVE: To evaluate the effects of prepregnancy BMI and weight change from prepregnancy to postpartum on postpartum type 2 diabetes (T2D) risk among women with gestational diabetes (GDM). METHODS: A retrospective cohort study in 1,263 GDM women at 1-5 years after delivery was performed. Cox proportional hazards regression models were used to evaluate the association of prepregnancy BMI and weight change with T2D and prediabetes risks. RESULTS: The multivariable-adjusted hazard ratios based on different levels of prepregnancy BMI (<23, 23-24.9, 25-29.9, and ≥30 kg/m(2) ) were 1.00, 1.77, 2.35, and 6.54 (Ptrend < 0.001) for incident T2D, and 1.00, 1.46, 1.87, and 1.79 (Ptrend < 0.001) for incident prediabetes, respectively. Compared with women with stable weight (±3 kg), those with weight gain ≥7 kg had an 86% and a 32% increased risk of diabetes and prediabetes, and those with weight loss ≥3 kg had a 45% decreased risk of prediabetes. The positive associations of prepregnancy BMI with incident diabetes and prediabetes risk were persistent in women with different levels of weight change (<3 kg and ≥3 kg). CONCLUSION: Prepregnancy obesity and excessive weight gain from prepregnancy to postpartum increase postpartum diabetes and prediabetes risks among GDM women.
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In a Chinese cohort, Liu et al. demonstrated that postpartum weight gain substantially increased the risk of subsequent diabetes in women with previous GDM.
“In a Chinese cohort, Liu et al. demonstrated that postpartum weight gain substantially increased the risk of subsequent diabetes in women with previous GDM”
Kaiser et al. reported a high prevalence of metabolic syndrome in women with previous GDM.
“Kaiser et al. reported a high prevalence of metabolic syndrome in this population [10,23].”
From Postpartum Body Mass Index Change Is Associated with Incident Dysglycemia in Women with a History of Gestational Diabetes Mellitus: A Prospective Cohort Study (2026) · cites this paper as [23]
The Introduction and Discussion address GDM and subsequent diabetes risk, but do not report a prevalence of metabolic syndrome among women with previous GDM. Searches for metabolic syndrome prevalence and Kaiser et al. found only an unrelated metabolic-syndrome reference and a reference to the Kaiser Permanente screening program; neither establishes the attributed claim. (LLM, conf=0.74)
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- Authors
- Liu, H., Zhang, C., Zhang, S., Wang, L., Leng, J., Liu, D., Fang, H., Li, W., Yu, Z., Yang, X., Dong, L., & Hu, G.
- Affiliations
- Tianjin Women's and Children's Health Center (CN)
- Tianjin Women's and Children's Health Center; Tianjin China
- Pennington Biomedical Research Center (US)
- Dalhousie University (CA)
- Tianjin Medical University (CN)
- Corresponding author
- Hu, Gang
- ORCID
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2014-03-06
- Volume
- 22
- Issue
- 6
- Pages
- 1560-1567
- ISSN
- 1930-7381 (ISSN-L)
- OpenAlex
- W2099124133
- Semantic Scholar
- 19c5acd906297443db908390506b6c4170c4b269
- Cited by
- 72
- References
- 30
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 7 · 2020: 9 · 2019: 8 · 2018: 11 · 2017: 10 · 2016: 5 · 2015: 8
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- European Foundation for the Study of Diabetes
- Chinese Diabetes Society
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- pre-pregnancy body mass index, gestational diabetes mellitus, prediabetes, weight gain, weight loss, pre-pregnancy obesity, postpartum weight change
- MeSH terms
- Adult, Blood Glucose, Energy Intake, China, Diabetes Mellitus, Type 2, Fasting, Female, Follow-Up Studies, Humans, Insulin, Obesity, Prediabetic State, Pregnancy, Surveys and Questionnaires, Retrospective Studies, Risk Factors, Weight Gain, Body Mass Index, Proportional Hazards Models, Diabetes, Gestational, Postpartum Period
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