Cited by 220Gestational Diabetes Research and ManagementAdipokines, Inflammation, and Metabolic DiseasesBirth, Development, and Health

Plasma adiponectin concentrations in early pregnancy and subsequent risk of gestational diabetes mellitus

Williams, Michelle A., Qiu, Chunfang, Muy-Rivera, Martin, Vadachkoria, Surab, Song, Tara, Luthy, David A.·2004·The Journal of Clinical Endocrinology & Metabolism

Abstract

Low plasma adiponectin has been identified as a risk factor for type 2 diabetes. Our objective was to determine the extent to which low maternal plasma adiponectin is predictive of gestational diabetes mellitus (GDM), a condition that is biochemically and epidemiologically similar to type 2 diabetes. We used a prospective, nested case-control study design to compare maternal plasma adiponectin concentrations in 41 cases with 70 controls. Subjects were selected from a population of 968 women who provided blood samples in early pregnancy. Plasma adiponectin was determined using an ELISA. Adiponectin concentrations were statistically significantly lower in women with GDM than controls (4.4 vs. 8.1 micro g/ml, P < 0.001). Approximately 73% of women with GDM, compared with 33% of controls, had adiponectin concentrations less than 6.4 micro g/ml. After adjusting for confounding, women with adiponectin concentrations less than 6.4 micro g/ml experienced a 4.6-fold increased risk of GDM, as compared with those with higher concentrations (95% confidence interval, 1.8-11.6). Our findings are consistent with other reports suggesting an association between hypoadiponectemia and risk of type 2 diabetes. Our findings extend the literature to include GDM. Studies designed to examine the effect of dietary and pharmacological mediators of adiponectin concentrations in pregnant and nonpregnant subjects are warranted.

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  1. [19]19. Williams MA,MittendorfR 2000 Maternal morbidity. In: Goldman MB, Hatch M, eds. Women and health. London: Academic Press Inc.; 172-181
  2. [21]21. Rothman KJ, Greenland S 1998 Modern epidemiology. 2nd ed. Philadelphia: Lippincott-Raven Publishers; 359-432

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Authors
Williams, M. A., Qiu, C., Muy-Rivera, M., Vadachkoria, S., Song, T., & Luthy, D. A.
Affiliations
  • University of Washington (US)
  • Swedish Medical Center (US)
Corresponding author
Williams, Michelle A.
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2004-05
Volume
89
Issue
5
Pages
2306-2311
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W1971950604
Cited by
220
References
25
Citations by year
2026: 4 · 2025: 3 · 2024: 2 · 2023: 7 · 2022: 15 · 2021: 11 · 2020: 10 · 2019: 11 · 2018: 10 · 2017: 16 · 2016: 7 · 2015: 14 · 2014: 8 · 2013: 14 · 2012: 9
FWCI
12.46
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD032562, HD R01 32562)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Keywords
adiponectin, gestational diabetes mellitus, early pregnancy, type 2 diabetes risk, biomarkers of diabetes risk
MeSH terms
Adult, Enzyme-Linked Immunosorbent Assay, Female, Humans, Osmolar Concentration, Pregnancy, Pregnancy Trimester, First, Prospective Studies, Proteins, Risk Factors, Case-Control Studies, Diabetes, Gestational, Intercellular Signaling Peptides and Proteins, Adiponectin

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