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Newborn size and body composition as predictors of insulin resistance and diabetes in the parents: Parthenon Birth Cohort Study, Mysore, India

Newborn size and body composition as predictors of insulin resistance and diabetes in the parents: Parthenon Birth Cohort Study, Mysore, India
Newborn size and body composition as predictors of insulin resistance and diabetes in the parents: Parthenon Birth Cohort Study, Mysore, India
Objective: ee aimed to examine detailed neonatal measurements as predictors of later diabetes in both parents.

Research Design and Methods: babies (n = 617) born to nondiabetic parents in Holdsworth Memorial Hospital, Mysore, India, were measured at birth for weight; crown-to-heel length (CHL), crown-to-rump length (CRL), and leg length; skinfolds (triceps and subscapular); and circumferences (head, abdomen, and mid-upper-arm circumference [MUAC]). Nine and a half years later, glucose tolerance and fasting insulin were measured in their parents (469 mothers and 398 fathers).

Results: sixty-two (15.6%) fathers and 22 (4.7%) mothers had developed diabetes. There were linear inverse associations of the children's birth weight, CHL, CRL, MUAC, and skinfolds with paternal diabetes and insulin resistance (P < 0.05 for all). Offspring birth weight and adiposity (MUAC, abdominal circumference, and skinfolds) showed U-shaped associations with maternal diabetes (P for quadratic association <0.05 for all). These associations persisted after adjusting for the parents' current adiposity and maternal glucose concentrations and adiposity during pregnancy. Newborn adiposity was positively related to maternal insulin resistance; this association was nonsignificant after adjusting for maternal current adiposity.

Conclusions: newborn size is a window into the future health of the parents. Small newborn size (especially soft-tissue body components) predicts an increased risk of later diabetes in both parents, suggesting a genetic or epigenetic link between parents' diabetes risk and reduced fetal growth in their children. The association of higher birth weight and newborn adiposity with later maternal diabetes suggests effects on fetal adiposity of the intrauterine environment in prediabetic mothers
1935-5548
1884-1890
Veena, Sargoor R.
549cbba2-5ac1-4088-be37-4c1e656bddea
Krishnaveni, Ghattu V.
cd20fca7-d151-43b7-a7b4-d6051d6dd922
Fall, Caroline H.
7171a105-34f5-4131-89d7-1aa639893b18
Veena, Sargoor R.
549cbba2-5ac1-4088-be37-4c1e656bddea
Krishnaveni, Ghattu V.
cd20fca7-d151-43b7-a7b4-d6051d6dd922
Fall, Caroline H.
7171a105-34f5-4131-89d7-1aa639893b18

Veena, Sargoor R., Krishnaveni, Ghattu V. and Fall, Caroline H. (2012) Newborn size and body composition as predictors of insulin resistance and diabetes in the parents: Parthenon Birth Cohort Study, Mysore, India. Diabetes Care, 35 (9), 1884-1890. (doi:10.2337/dc12-0177). (PMID:22751963)

Record type: Article

Abstract

Objective: ee aimed to examine detailed neonatal measurements as predictors of later diabetes in both parents.

Research Design and Methods: babies (n = 617) born to nondiabetic parents in Holdsworth Memorial Hospital, Mysore, India, were measured at birth for weight; crown-to-heel length (CHL), crown-to-rump length (CRL), and leg length; skinfolds (triceps and subscapular); and circumferences (head, abdomen, and mid-upper-arm circumference [MUAC]). Nine and a half years later, glucose tolerance and fasting insulin were measured in their parents (469 mothers and 398 fathers).

Results: sixty-two (15.6%) fathers and 22 (4.7%) mothers had developed diabetes. There were linear inverse associations of the children's birth weight, CHL, CRL, MUAC, and skinfolds with paternal diabetes and insulin resistance (P < 0.05 for all). Offspring birth weight and adiposity (MUAC, abdominal circumference, and skinfolds) showed U-shaped associations with maternal diabetes (P for quadratic association <0.05 for all). These associations persisted after adjusting for the parents' current adiposity and maternal glucose concentrations and adiposity during pregnancy. Newborn adiposity was positively related to maternal insulin resistance; this association was nonsignificant after adjusting for maternal current adiposity.

Conclusions: newborn size is a window into the future health of the parents. Small newborn size (especially soft-tissue body components) predicts an increased risk of later diabetes in both parents, suggesting a genetic or epigenetic link between parents' diabetes risk and reduced fetal growth in their children. The association of higher birth weight and newborn adiposity with later maternal diabetes suggests effects on fetal adiposity of the intrauterine environment in prediabetic mothers

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More information

Published date: September 2012
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 347102
URI: http://eprints.soton.ac.uk/id/eprint/347102
ISSN: 1935-5548
PURE UUID: 796d7647-8c57-4a0e-80c5-0dc5be810aea
ORCID for Caroline H. Fall: ORCID iD orcid.org/0000-0003-4402-5552

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Date deposited: 17 Jan 2013 10:19
Last modified: 18 Feb 2021 16:37

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Contributors

Author: Sargoor R. Veena
Author: Ghattu V. Krishnaveni

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