Maternal Pre-Pregnancy Obesity and Gestational Diabetes Mellitus Increase the Risk of Childhood Obesity

Previous studies have shown inconsistent results regarding the effects of maternal gestational diabetes mellitus (GDM) and pre-pregnancy obesity (PPO) on childhood obesity. This study aimed to determine the risk for early childhood obesity based on maternal GDM and PPO. This nationwide study used da...

Full description

Bibliographic Details
Main Authors: Mi Jin Choi, Juyoun Yu, Jimi Choi
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/7/928
_version_ 1797440246282977280
author Mi Jin Choi
Juyoun Yu
Jimi Choi
author_facet Mi Jin Choi
Juyoun Yu
Jimi Choi
author_sort Mi Jin Choi
collection DOAJ
description Previous studies have shown inconsistent results regarding the effects of maternal gestational diabetes mellitus (GDM) and pre-pregnancy obesity (PPO) on childhood obesity. This study aimed to determine the risk for early childhood obesity based on maternal GDM and PPO. This nationwide study used data obtained from the National Health Information Database in South Korea. The participants were divided into four groups based on maternal GDM and PPO, and 1:1 matching was performed. Each group had 1319 participants. A generalized estimating equation model was used to analyze the changes in body mass index percentile of children with age, and simple and multiple conditional logistic regression models were used to compare the prevalence of childhood obesity at 5 years. Children whose mothers had both PPO and GDM, only PPO, or only GDM had a 4.46 (95% CI: 3.28–6.05, <i>p</i> < 0.001), 3.11 (95% CI: 2.27–4.26, <i>p</i> < 0.001), or 1.58 (95% CI: 1.12–2.23, <i>p</i> = 0.010) times higher risk, respectively, of developing childhood obesity than children whose mothers had neither PPO nor GDM. Maternal PPO increases the risk for childhood obesity to a higher degree than maternal GDM, and the presence of both increases the risk even further.
first_indexed 2024-03-09T12:04:25Z
format Article
id doaj.art-1cdc39dee9924ce2b5221fed9aa21c4a
institution Directory Open Access Journal
issn 2227-9067
language English
last_indexed 2024-03-09T12:04:25Z
publishDate 2022-06-01
publisher MDPI AG
record_format Article
series Children
spelling doaj.art-1cdc39dee9924ce2b5221fed9aa21c4a2023-11-30T22:59:21ZengMDPI AGChildren2227-90672022-06-019792810.3390/children9070928Maternal Pre-Pregnancy Obesity and Gestational Diabetes Mellitus Increase the Risk of Childhood ObesityMi Jin Choi0Juyoun Yu1Jimi Choi2Department of Nursing, Changwon National University, Changwon-si 51140, KoreaDepartment of Nursing, Changwon National University, Changwon-si 51140, KoreaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul 02841, KoreaPrevious studies have shown inconsistent results regarding the effects of maternal gestational diabetes mellitus (GDM) and pre-pregnancy obesity (PPO) on childhood obesity. This study aimed to determine the risk for early childhood obesity based on maternal GDM and PPO. This nationwide study used data obtained from the National Health Information Database in South Korea. The participants were divided into four groups based on maternal GDM and PPO, and 1:1 matching was performed. Each group had 1319 participants. A generalized estimating equation model was used to analyze the changes in body mass index percentile of children with age, and simple and multiple conditional logistic regression models were used to compare the prevalence of childhood obesity at 5 years. Children whose mothers had both PPO and GDM, only PPO, or only GDM had a 4.46 (95% CI: 3.28–6.05, <i>p</i> < 0.001), 3.11 (95% CI: 2.27–4.26, <i>p</i> < 0.001), or 1.58 (95% CI: 1.12–2.23, <i>p</i> = 0.010) times higher risk, respectively, of developing childhood obesity than children whose mothers had neither PPO nor GDM. Maternal PPO increases the risk for childhood obesity to a higher degree than maternal GDM, and the presence of both increases the risk even further.https://www.mdpi.com/2227-9067/9/7/928gestational diabetesmaternal obesitypediatric obesity
spellingShingle Mi Jin Choi
Juyoun Yu
Jimi Choi
Maternal Pre-Pregnancy Obesity and Gestational Diabetes Mellitus Increase the Risk of Childhood Obesity
Children
gestational diabetes
maternal obesity
pediatric obesity
title Maternal Pre-Pregnancy Obesity and Gestational Diabetes Mellitus Increase the Risk of Childhood Obesity
title_full Maternal Pre-Pregnancy Obesity and Gestational Diabetes Mellitus Increase the Risk of Childhood Obesity
title_fullStr Maternal Pre-Pregnancy Obesity and Gestational Diabetes Mellitus Increase the Risk of Childhood Obesity
title_full_unstemmed Maternal Pre-Pregnancy Obesity and Gestational Diabetes Mellitus Increase the Risk of Childhood Obesity
title_short Maternal Pre-Pregnancy Obesity and Gestational Diabetes Mellitus Increase the Risk of Childhood Obesity
title_sort maternal pre pregnancy obesity and gestational diabetes mellitus increase the risk of childhood obesity
topic gestational diabetes
maternal obesity
pediatric obesity
url https://www.mdpi.com/2227-9067/9/7/928
work_keys_str_mv AT mijinchoi maternalprepregnancyobesityandgestationaldiabetesmellitusincreasetheriskofchildhoodobesity
AT juyounyu maternalprepregnancyobesityandgestationaldiabetesmellitusincreasetheriskofchildhoodobesity
AT jimichoi maternalprepregnancyobesityandgestationaldiabetesmellitusincreasetheriskofchildhoodobesity