Cited by 275Birth, Development, and HealthGestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and Lipoproteins

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Association of Maternal Diabetes Mellitus in Pregnancy With Offspring Adiposity Into Early Adulthood: Sibling Study in a Prospective Cohort of 280 866 Men From 248 293 Families

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Lawlor, Debbie A., Lichtenstein, Paul, Långström, Niklas·2011·Circulation

DOI 10.1161/circulationaha.110.980169PMC PMC4440894

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Abstract

Background—: Maternal diabetes mellitus in pregnancy results in greater offspring adiposity at birth. It is unclear whether it is associated with greater adiposity into adulthood, and if so, whether this is via intrauterine mechanisms or shared familial characteristics. Methods and Results—: A record-linkage prospective cohort study of 280 866 singleton-born Swedish men from 248 293 families was used to explore the intrauterine effect of maternal diabetes mellitus on offspring body mass index (BMI) in early adulthood. Maternal diabetes mellitus during pregnancy was associated with greater mean BMI at age 18 in their sons. The difference in BMI was similar within brothers and between nonsiblings. BMI of men whose mothers had diabetes mellitus during their pregnancy was on average 0.94 kg/m 2 greater (95% confidence interval [CI], 0.35 to 1.52) than in their brothers born before their mother was diagnosed with diabetes, after adjustment for birth year, maternal age, parity and education, birth weight, gestational age, and age at assessment of BMI. Early-pregnancy BMI was positively associated with son's BMI between nonsiblings, but there was no association within brothers. Adjustment of the maternal diabetes–offspring BMI association for maternal BMI did not alter the association either within brothers or between nonsiblings. Results were also robust to sensitivity analyses restricting the within-sibling analyses to siblings born within 3 years of each other. Conclusion—: Maternal diabetes mellitus has long-term consequences for greater BMI in offspring; this association is likely to be via intrauterine mechanisms, and is independent of maternal BMI in early pregnancy.

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Authors: Lawlor, D. A., Lichtenstein, P., & Långström, N.
Affiliations: Karolinska Institutet (SE)
ORCID: Lawlor, Debbie A.
Lichtenstein, Paul
Långström, Niklas
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2011-01-25
Volume: 123
Issue: 3
Pages: 258-265
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/circulationaha.110.980169
PMC: PMC4440894
OpenAlex: W2148068387
Cited by: 273
References: 45
Citations by year: 2026: 7 · 2025: 12 · 2024: 14 · 2023: 22 · 2022: 14 · 2021: 11 · 2020: 12 · 2019: 22 · 2018: 18 · 2017: 23 · 2016: 23 · 2015: 20 · 2014: 15 · 2013: 25 · 2012: 24
FWCI: 22.15
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Bristol Research (University of Bristol) (submittedVersion)
Funders: Vetenskapsrådet
Medical Research Council
National Institute of Diabetes and Digestive and Kidney Diseases (R01DK077659)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: maternal diabetes, pregnancy, offspring adiposity, body mass index, early adulthood, intrauterine programming, paternal BMI
MeSH terms: Adolescent, Adult, Female, Humans, Male, Mothers, Obesity, Pregnancy, Prenatal Exposure Delayed Effects, Prospective Studies, Sweden, Cohort Studies, Body Mass Index, Diabetes, Gestational, Adult Children, Siblings, Young Adult

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Association of Maternal Diabetes Mellitus in Pregnancy With Offspring Adiposity Into Early Adulthood: Sibling Study in a Prospective Cohort of 280 866 Men From 248 293 Families

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