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ABSTRACT: Objective
To test the hypothesis that maternal gestational diabetes increases cardiovascular risk markers in Indian children.Research design and methods
Anthropometry, blood pressure, and glucose/insulin concentrations were measured in 514 children at 5 and 9.5 years of age (35 offspring of diabetic mothers [ODMs], 39 offspring of diabetic fathers [ODFs]). Children of nondiabetic parents were control subjects.Results
At age 9.5 years, female ODMs had larger skinfolds (P < 0.001), higher glucose (30 min) and insulin concentrations, and higher homeostasis model assessment (HOMA) of insulin resistance and systolic blood pressure (P < 0.05) than control subjects. Male ODMs had higher HOMA (P < 0.01). Associations were stronger than at age 5 years. Female ODFs had larger skinfolds and male ODFs had higher HOMA (P < 0.05) than control subjects; associations were weaker than for ODMs. Associations between outcomes in control subjects and parental BMI, glucose, and insulin concentrations were similar for mothers and fathers.Conclusions
The intrauterine environment experienced by ODMs increases diabetes and cardiovascular risk over genetic factors; the effects strengthen during childhood.
SUBMITTER: Krishnaveni GV
PROVIDER: S-EPMC2809291 | biostudies-literature | 2010 Feb
REPOSITORIES: biostudies-literature
Krishnaveni Ghattu V GV Veena Sargoor R SR Hill Jacqueline C JC Kehoe Sarah S Karat Samuel C SC Fall Caroline H D CH
Diabetes care 20091116 2
<h4>Objective</h4>To test the hypothesis that maternal gestational diabetes increases cardiovascular risk markers in Indian children.<h4>Research design and methods</h4>Anthropometry, blood pressure, and glucose/insulin concentrations were measured in 514 children at 5 and 9.5 years of age (35 offspring of diabetic mothers [ODMs], 39 offspring of diabetic fathers [ODFs]). Children of nondiabetic parents were control subjects.<h4>Results</h4>At age 9.5 years, female ODMs had larger skinfolds (P < ...[more]