Research Article

Maternal OGTT Glucose Levels at 26–30 Gestational Weeks with Offspring Growth and Development in Early Infancy

Table 1

Characteristics of 27,157 mother-infant pairs according to maternal oral glucose tolerance test (OGTT) at 26–30 gestational weeks in Tianjin, China.

TotalMaternal OGTT at 26–30 gestational weeks for differences
Normal GCT+GCT and normal OGTTIGT or IFGNew DM

Number of subjects27 15723 50822291276144
Maternal characteristics
 Maternal age before pregnancy, y28.0 (2.9)27.9 (2.9)28.2 (3.0)29.0 (3.1)29.4 (3.5) 0.001
 Gestational age at delivery, wk39.1 (1.4)39.1 (1.4)39.0 (1.4)38.9 (1.5)38.3 (1.7) 0.001
 Systolic blood pressure during third trimester, mmHg108 (10.7)108 (10.6)109 (10.9)110 (11.5)113 (10.5) 0.001
 Prepregnancy BMI, kg/m222.1 (3.4)22.0 (3.3)22.9 (3.6)23.4 (3.5)26.0 (4.0) 0.001
Prepregnancy BMI category, (%) 0.001
 Underweight2976 (11.0)2742 (11.7)171 (7.7)62 (4.9)1 (0.7)
 Normal weight17 518 (64.5)15 432 (65.6)1322 (59.2)709 (55.5)55 (38.2)
 Overweight5059 (18.6)4096 (17.4)543 (24.4)375 (29.4)45 (31.2)
 Obesity1604 (5.9)1238 (5.3)193 (8.7)130 (10.2)43 (29.9)
Gestational weight gain (IOM category), (%) 0.001
 Excessive21 466 (79.0)18 689 (79.5)1739 (78.0)928 (72.7)110 (76.4)
 Adequate4287 (15.8)3654 (15.5)366 (16.4)247 (19.4)20 (13.9)
 Inadequate1404 (5.2)1165 (5.0)124 (5.6)101 (7.9)14 (9.7)
Mother’s education, (%)0.152
 University and above13 624 (50.1)11 811 (50.2)1087 (48.8)664 (52.1)62 (43.0)
 Junior college7596 (28.0)6577 (28.0)629 (28.2)350 (27.4)40 (27.8)
 High school and under5937 (21.9)5120 (21.8)513 (23.0)262 (20.5)42 (29.2)
Family income, yuan/month*, (%)0.073
300015 878 (58.5)13 739 (58.4)1282 (57.5)784 (61.5)73 (50.7)
 2000–29996087 (22.4)5265 (22.4)501 (22.5)281 (22.0)40 (27.8)
19995192 (19.1)4504 (19.2)446 (20.0)211 (16.5)31 (21.5)
Child characteristics
 Boy, (%)14 090 (51.9)12 147 (51.7)1178 (52.8)684 (53.6)81 (56.2)0.276
Mode of infant feeding, (%)0.048
 Exclusive breastfeeding4824 (17.8)4201 (17.9)397 (17.8)209 (16.4)17 (11.8)
 Mixed breast and formula18 940 (69.7)16 400 (69.7)1560 (70.0)880 (69.0)100 (69.4)
 Weaned from breastfeeding2887 (10.6)2485 (10.6)224 (10.0)155 (12.1)23 (16.0)
 Exclusive formula feeding506 (1.9)422 (1.8)48 (2.2)32 (2.5)4 (2.8)
Weight, kg
 Birth3.39 (0.47)3.38 (0.46)3.42 (0.48)3.45 (0.51)3.50 (0.63) 0.001
 3 months6.93 (0.81)6.93 (0.81)6.95 (0.80)6.92 (0.81)6.83 (0.80)0.343
 6 months8.67 (1.02)8.67 (1.02)8.68 (1.00)8.64 (1.02)8.63 (1.04)0.711
 9 months9.69 (1.11)9.69 (1.11)9.70 (1.10)9.66 (1.11)9.73 (1.16)0.717
 12 months10.5 (1.16)10.5 (1.16)10.5 (1.13)10.5 (1.14)10.5 (1.32)0.272
Length, cm
 Birth50.1 (1.6)50.1 (1.6)50.1 (1.7)50.2 (1.6)50.2 (2.1)0.046
 3 months62.9 (2.3)63.0 (2.3)62.8 (2.3)62.8 (2.3)62.8 (2.7)0.042
 6 months69.2 (2.5)69.2 (2.5)69.1 (2.4)69.0 (2.5)69.0 (2.5)0.070
 9 months73.5 (2.6)73.5 (2.6)73.4 (2.5)73.4 (2.6)73.3 (2.5)0.058
 12 months77.1 (2.7)77.1 (2.7)76.9 (2.6)76.9 (2.6)77.0 (2.8)0.017

Data are mean (SD) or percent.
GCT: glucose challenge test; IFG: impaired fasting glucose; IGT: impaired glucose tolerance; New DM: newly diagnosed diabetes; BMI: body mass index.
Normal GCT was defined as a glucose concentration 7.8 mmol/L after the GCT; +GCT and normal OGTT were defined as failed GCT (a glucose concentration 7.8 mmol/L after the GCT) with normal glucose after a 75 g 2-hour OGTT (fasting glucose 6.1 mmol/L and 2-hour glucose 7.8 mmol/L); IGT was defined as failed GCT and fasting glucose 7.0 mmol/L and 2-hour glucose 7.8 and 11.1 mmol/L; IFG was defined as failed GCT and fasting glucose 6.1 and 7.0 mmol/L and 2-hour glucose 7.8 mmol/L; and new DM was defined as failed GCT and fasting glucose 7.0 mmol/L or 2-hour glucose 11.1 mmol/L.