Research Article

Maternal Glucose during Pregnancy and after Delivery in Women with Gestational Diabetes Mellitus on Overweight Status of Their Children

Table 1

Characteristics of 1263 gestational diabetes mellitus (GDM) mother-child pairs in Tianjin Gestational Diabetes Mellitus Prevention Program.

2-hour glucose level at 26–30 gestational weeks of OGTT for differenceMaternal glycemic status after 1–5 years of deliverya for difference
7.8–8.69 (IGT)8.7–11.09 (IGT)≥11.1 (DM)Normal glucosePrediabetesaDiabetesa

Number of subjects57658110678040083
Maternal characteristics
 Age (years)32.0 (3.3)32.6 (3.5)33.4 (4.0)<0.00132.3 (3.5)32.5 (3.5)32.7 (3.8)0.59
 Prepregnancy BMI (kg/m2)22.8 (3.2)23.2 (3.4)24.2 (3.5)<0.00122.5 (3.0)23.9 (3.4)25.6 (3.7)<0.001
 Fasting glucose at 26–30 gestational weeks (mmol/L)5.1 (0.6)5.3 (0.7)6.4 (1.3)<0.0015.2 (0.7)5.5 (0.8)6.0 (1.2)<0.001
 2-hour glucose at 26–30 gestational weeks (mmol/L)8.2 (0.3)9.6 (0.6)12.3 (1.1)<0.0018.9 (1.1)9.3 (1.3)10.5 (1.7)<0.001
 Gestational weight gain (kg)17.2 (6.1)16.7 (6.1)15.7 (5.4)0.05317.2 (6.0)16.5 (6.0)14.6 (5.9)<0.001
 Current BMI (kg/m2)24.1 (3.8)24.1 (4.0)24.9 (3.9)0.1423.2 (3.4)25.4 (4.1)27.3 (4.0)<0.001
 Current smoking (%)3.31.50.90.122.32.22.40.19
 Prepregnancy overweight (%)b32.635.345.30.04228.341.863.9<0.001
 Education (%)0.0740.046
  <13 years23.419.331.119.724.832.5
  13–16 years69.372.663.272.268.561.4
  ≥16 years7.38.15.78.16.86.0
 Family income (yuan/month)0.130.014
  <500025.928.631.125.329.241.0
  5000–800039.236.326.436.936.836.1
  ≥800034.935.142.537.834.022.9
 Married (%)99.099.198.10.6399.099.098.90.99
 Family history of diabetes (%)32.336.148.10.00731.438.557.8<0.001
Children characteristics
 Sex (boys %)
 Age at baseline survey (months)28.0 (10.6)26.8 (10.3)28.0 (10.6)0.1027.1 (10.4)27.3 (10.2)31.6 (11.4)0.001
 Age range (months)13.6–59.014.1–59.015.4–59.013.6–59.014.6–59.014.7–58.6
 Gestational age at delivery (weeks)39.1 (1.5)39.0 (1.5)38.6 (1.8)0.00839.1 (1.5)39.1 (1.4)38.5 (1.8)0.008
 Birth weight (g)3541 (501)3550 (541)3540 (559)0.953512 (491)3598 (557)3601 (635)0.018
 Birth recumbent length (cm)50.8 (1.9)50.7 (2.1)51.0 (2.3)0.2850.6 (2.0)50.9 (2.0)51.1 (2.5)0.010
 Birth weight for gestational age score0.38 (1.2)0.44 (1.2)0.57 (1.2)0.300.34 (1.1)0.52 (1.3)0.76 (1.3)0.001
 Birth weight for length for gestational age score0.33 (1.2)0.41 (1.2)0.46 (1.2)0.400.31 (1.1)0.46 (1.3)0.63 (1.2)0.014
 Preterm (%)3.64.89.40.0344.14.212.00.004
 Small for gestational age (%)5.74.56.60.514.66.54.80.38
 Large for gestational age (%)18.921.324.50.3416.525.832.5<0.001
 Breast feeding (%)0.0460.048
  Exclusive breast feeding43.938.635.841.940.033.7
  Mixed feeding41.543.240.642.642.039.8
  Weaned from breast feeding1.23.31.92.22.80
  Exclusive formula feeding13.415.021.713.315.226.5

Baseline characteristics represent mean (SD) or percentage.
aPrediabetes was defined as plasma fasting glucose 5.6–6.9 mmol/L and/or 2 h glucose 7.8–11.0 mmol/L; diabetes was defined as fasting glucose ≥7.0 mmol/L or 2 h glucose ≥11.1 mmol/L.
bOverweight was defined as body mass index more than 24 kg/m2.