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Anthropometry, glucose tolerance, and insulin concentrations in Indian children

Record type: Article

OBJECTIVE: The purpose of this study was to test the hypothesis that the environment experienced by fetuses of mothers with gestational diabetes mellitus (GDM) and mothers with higher glucose concentrations that are in the normal range causes increased adiposity and altered glucose/insulin metabolism in childhood. RESEARCH DESIGN AND METHODS: Children (n = 630) whose mothers were tested for glucose tolerance during pregnancy had detailed anthropometry performed at birth and annually thereafter. At 5 years, plasma glucose and insulin concentrations were measured in the children (2-h oral glucose tolerance test) and their fathers (fasting samples only). RESULTS: Newborns of diabetic mothers (n = 41) were larger in all body measurements than control newborns (babies with nondiabetic parents). At 1 year, these differences had diminished and were not statistically significant. At 5 years, female offspring of diabetic mothers had larger subscapular and triceps skinfold thicknesses (P = 0.01) and higher 30- and 120-min insulin concentrations (P < 0.05) than control children. Offspring of diabetic fathers (n = 41) were lighter at birth than control children (P < 0.001); they showed no differences in anthropometry at 5 years. In control children, skinfold thickness and 30-min insulin concentrations were positively related to maternal insulin area under the curve, and skinfold thicknesses were related to paternal fasting insulin concentrations independently of the parents' skinfold thickness and socioeconomic status. CONCLUSIONS: Maternal GDM is associated with adiposity and higher glucose and insulin concentrations in female offspring at 5 years. The absence of similar associations in offspring of diabetic fathers suggests a programming effect in the diabetic intrauterine environment. More research is needed to determine whether higher maternal glucose concentrations in the nondiabetic range have similar effects

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Citation

Krishnaveni, Ghattu V., Hill, Jacqueline C., Leary, Samantha D., Veena, Sargoor R., Saperia, Julia, Saroja, Anandathirtha, Karat, Samuel C. and Fall, Caroline H.D. (2005) Anthropometry, glucose tolerance, and insulin concentrations in Indian children Diabetes Care, 28, (12), pp. 2919-2925. (doi:10.2337/diacare.28.12.2919).

More information

Published date: December 2005
Keywords: adult, aging, anthropometry, birth, blood, blood glucose, body height, body weight, child, childhood, design, diabetes, embryonic development, environment, ethnology, fathers, female, glucose, glucose tolerance, glucose tolerance test, great britain, humans, hypothesis, india, insulin, insulin resistance, male, maternal age, metabolism, methods, mothers, parents, physiology, plasma, pregnancy, skinfold thickness

Identifiers

Local EPrints ID: 44179
URI: http://eprints.soton.ac.uk/id/eprint/44179
ISSN: 1935-5548
PURE UUID: 465f60b4-3cd1-4ce6-92fd-31849a3b02d3

Catalogue record

Date deposited: 20 Feb 2007
Last modified: 17 Jul 2017 15:15

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Contributors

Author: Ghattu V. Krishnaveni
Author: Jacqueline C. Hill
Author: Samantha D. Leary
Author: Sargoor R. Veena
Author: Julia Saperia
Author: Anandathirtha Saroja
Author: Samuel C. Karat

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