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Cited by 15Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsBirth, Development, and Health

Changes in Cardiometabolic Risk Factors Before and After Gestational Diabetes: A Prospective Life‐Course Analysis in CARDIA Women

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Catov, Janet M., Sun, Baiyang, Bertolet, Marnie, Snyder, Gabrielle G., Lewis, Cora E., Allen, Norrina B., Shikany, James M., Ingram, Katherine H. +2 more·2020·Obesity
DOI 10.1002/oby.22848PMC PMC7501158
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Abstract

Objective: This study hypothesized that both preconception and postchildbearing patterns of cardiometabolic risk factors may be different for women with gestational diabetes mellitus (GDM) compared with women without GDM. Methods: Among 1,302 (51% black) women in the Coronary Artery Risk Development in Young Adults (CARDIA) study with births and followed for 30 years, this study evaluated changes in cardiometabolic factors (BMI, waist circumference [WC], lipids, blood pressure) during prechildbearing (prior to the first postbaseline birth) and postchildbearing periods (after the last birth) by GDM status using piecewise linear mixed models adjusted for sociodemographics, parity, and time‐varying covariates. Results: Compared with women who did not develop GDM, weight and WC increases in women who developed GDM (n = 152, 12%) were faster (BMI difference: +0.12 kg/m 2/y, P = 0.04; WC difference: +0.28 cm/y, P = 0.04) during the prechildbearing period, accounting for covariates. This translated to an average of 1.3 kg of excess weight gain across 4 years among women with subsequent GDM versus non‐GDM births. In contrast, slopes after childbearing did not differ by GDM status, nor were there other cardiometabolic differences. Conclusions: Women with GDM exhibited an increasing prepregnancy pattern of weight gain and central adiposity. Absolute postchildbearing weight was also higher in GDM‐affected women, but the slope of gain after GDM was not.

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  • Immediately after delivery, women with a previous history of GDM are more obese and have a higher prevalence of metabolic syndrome.

    “Immediately after delivery, women with a previous history of GDM are more obese and have a higher prevalence of metabolic syndrome [64,65].”

    From Gestational Diabetes Mellitus: Diagnostic Approaches and Maternal-Offspring Complications (2022) · cites this paper as [64]

    The Results report higher BMI and waist circumference in women with GDM at the start of the post-childbearing period. But the Methods exclude measurements taken less than six months postpartum, so the paper does not establish what was true immediately after delivery. It defines metabolic syndrome but does not report a higher post-delivery prevalence in women with GDM. The indexed passages provide section labels but no page numbers. (LLM, conf=0.88)

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  • Over time after delivery, the annual increases in BMI, blood pressure, and total cholesterol did not differ between women with and without GDM.

    “Over time after delivery, the annual increases in BMI, blood pressure, and total cholesterol did not differ between women with and without GDM.”

    From Gestational Diabetes Mellitus: Diagnostic Approaches and Maternal-Offspring Complications (2022) · cites this paper as [64]

  • Women with a previous history of GDM persistently have worse cardiometabolic risk factors than women without GDM over time.

    “Therefore, women with a previous history of GDM persistently have worse cardiometabolic risk factors than women without GDM over time [64].”

    From Gestational Diabetes Mellitus: Diagnostic Approaches and Maternal-Offspring Complications (2022) · cites this paper as [64]

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Research works printed but not linked: 1

  1. [20]Solomon CG, Willett WC, Carey VJ, A prospective study of pregravid determinants of gestational diabetes mellitus. Jama. 1997; 278(13): 1078– 1083. 9315766

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Authors
Catov, J. M., Sun, B., Bertolet, M., Snyder, G. G., Lewis, C. E., Allen, N. B., Shikany, J. M., Ingram, K. H., Appiah, D., & Gunderson, E. P.
Affiliations
  • University of Pittsburgh (US)
  • University of Alabama at Birmingham (US)
  • Northwestern University (US)
  • Kennesaw State University (US)
  • Texas Tech University (US)
  • Kaiser Permanente (US)
Corresponding author
Catov, Janet M.
ORCID
Venue
Obesity
Publisher
Wiley
Published
2020-07-06
Volume
28
Issue
8
Pages
1397-1404
ISSN
  • 1930-7381 (ISSN-L)
  • 1930-739X
DOI
10.1002/oby.22848
PMC
PMC7501158
OpenAlex
W3038419046
Cited by
15
References
22
Citations by year
2026: 2 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 1
FWCI
1.22
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Obesity (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK106201, K01 DK059944, R01 DK090047, R01 DK106201)
  • National Heart, Lung, and Blood Institute (HHSN268201800005I, HHSN268201800007I, HHSN26820180)
  • Northwestern University
  • University of Minnesota
  • Kaiser Foundation Research Institute
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 › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Keywords
gestational diabetes mellitus, cardiometabolic risk factors, postpartum weight gain, abdominal obesity, waist circumference, body mass index, blood pressure, lipids, life course epidemiology, Black women
MeSH terms
Cardiometabolic Risk Factors, Adolescent, Adult, Female, Humans, Pregnancy, Prospective Studies, Risk Factors, Diabetes, Gestational, Young Adult

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