Cited by 142Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsBirth, Development, and Health

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Maternal Weight Gain in Women Who Develop Gestational Diabetes Mellitus

Gibson, Kelly S., Waters, Thaddeus P., Catalano, Patrick M.·2012·Obstetrics & Gynecology

DOI 10.1097/aog.0b013e31824758e0

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Abstract

OBJECTIVE: To assess maternal weight gain before 24 weeks in women developing gestational diabetes mellitus (GDM) compared with controls with normal glucose tolerance. METHODS: This was a retrospective cohort study of maternal weight gain. Women developing GDM were matched to three controls by self-reported prepregnancy body mass index (BMI), maternal age, race, and parity. Women without documented pregravid or 22- to 24-week weights and multiple gestations were excluded. The primary outcome was weight gain through 24 weeks of gestation. RESULTS: Six hundred fifty-two women (163 in the GDM group and 489 controls) underwent chart review. There were no significant differences in race (36% compared with 36% African American, P=.99), age (28.7 ± 6.3 years compared with 29.4 ± 6.9 years, P=.26) or prepregnancy BMI (31.7 ± 8.2 compared with 31.8 ± 8.6, P=.88). Maternal weight gain was higher in the GDM group than in the control group (14.8 compared with 11.2 lb, P<.001). When controlling for prepregnancy BMI, overweight (18.6 compared with 12.9 lb, P<.004), and obese (12.6 compared with 8.8 lb, P<.008), GDM participants gained significantly more weight by 24 weeks. Both diet-controlled (A1) and insulin-requiring (A2) GDM had higher weight gain compared with controls (control compared with A1: 11.2 compared with 15.3 lb, P=.029; control compared with A2: 11.2 compared with 14.6 lb, P=.018. No difference was found between A1 and A2 patients (P=.942). CONCLUSION: Women who develop GDM have higher gestational weight gain through 24 weeks. Gestational weight gain is a significant risk factor for GDM in the overweight or obese patient but not in patients who were underweight or had a normal BMI before pregnancy.

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Authors: Gibson, K. S., Waters, T. P., & Catalano, P. M.
Affiliations: MetroHealth Medical Center (US)
ORCID: Gibson, Kelly S.
Catalano, Patrick M.
Venue: Obstetrics & Gynecology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2012-03
Volume: 119
Issue: 3
Pages: 560-565
ISSN: 0029-7844 (ISSN-L)
DOI: 10.1097/aog.0b013e31824758e0
OpenAlex: W1993334878
Cited by: 141
References: 28
Citations by year: 2026: 4 · 2025: 7 · 2024: 8 · 2023: 15 · 2022: 7 · 2021: 11 · 2020: 10 · 2019: 11 · 2018: 8 · 2017: 8 · 2016: 10 · 2015: 14 · 2014: 14 · 2013: 8 · 2012: 5
FWCI: 15.82
Type: journal article
Language: en
Open access: closed
Locations: Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
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, gestational weight gain, early pregnancy, pre-pregnancy body mass index, maternal obesity, maternal overweight, insulin therapy, diet-controlled diabetes, risk factors for gestational diabetes
MeSH terms: Adolescent, Adult, Black or African American, Female, Humans, Hypoglycemic Agents, Insulin, Pregnancy, Pregnancy Trimester, Second, Retrospective Studies, Risk Factors, Weight Gain, Body Mass Index, Diabetes, Gestational, Black People, White People, Young Adult

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Maternal Weight Gain in Women Who Develop Gestational Diabetes Mellitus

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