Evidence map›Paper›PMID 27231266›Full record

SynthesisArchives of disease in childhood. Fetal and neonatal edition2017

Diabetes in pregnancy and infant adiposity: systematic review and meta-analysis.

Karen M Logan, Chris Gale, Matthew J Hyde, Shalini Santhakumaran, Neena Modi

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Archives of disease in childhood. Fetal and neonatal edition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Beyond Deterministic Fetal Programming: Intrauterine Exposures and the Multifactorial Origins of Adiposity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  8. Metabolic health conditions in pregnancy, human milk hormone concentrations, and infant adiposity.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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  11. Observational
  12. Review
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  20. Infant of a diabetic mother: clinical presentation, diagnosis and treatment.Pediatric endocrinology, diabetes, and metabolism · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Karen M LoganSection of Neonatal Medicine, Chelsea and Westminster Hospital Campus, Imperial College London, London, UK.
Chris GaleSection of Neonatal Medicine, Chelsea and Westminster Hospital Campus, Imperial College London, London, UK.
Matthew J HydeSection of Neonatal Medicine, Chelsea and Westminster Hospital Campus, Imperial College London, London, UK.
Shalini SanthakumaranSection of Neonatal Medicine, Chelsea and Westminster Hospital Campus, Imperial College London, London, UK.
Neena ModiSection of Neonatal Medicine, Chelsea and Westminster Hospital Campus, Imperial College London, London, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveMaternal glycaemia and anthropometry-derived newborn adiposity are strongly correlated. The children of mothers with diabetes are at greater risk of adverse metabolic health, and increased adiposity is a plausible mediator. We undertook a systematic review and meta-analysis to compare adiposity in infants of diabetic mothers (IDM) and infants of mothers without diabetes (NIDM).

designWe identified observational studies reporting adiposity in IDM and NIDM. We searched references, traced forward citations and contacted authors for additional data. We considered all body composition techniques and compared fat mass, fat-free mass, body fat % and skinfold thickness. We used random effects meta-analyses and performed subgroup analyses by maternal diabetes type (type 1, type 2 and gestational) and infant sex. We examined the influence of pre-pregnancy body mass index (BMI) and conducted sensitivity analyses.

resultsWe included data from 35 papers and over 24 000 infants. IDM have greater fat mass than NIDM (mean difference (95% CI)): 83 g (49 to 117). Fat mass is greater in infants of mothers with gestational diabetes: 62 g (29 to 94) and type 1 diabetes: 268 g (139 to 397). Insufficient studies reported data for type 2 diabetes separately. Compared with NIDM, fat mass was greater in IDM boys: 87 g (30 to 145), but not significantly different in IDM girls: 42 g (-33 to 116). There was no attenuation after adjustment for maternal BMI.

conclusionsIDM have significantly greater adiposity in comparison with NIDM. These findings are justification for studies to determine whether measures to reduce infant adiposity will improve later health.

Indexed as

AdiposityBody Mass IndexBirth WeightFemaleHumansInfant, NewbornObesityPregnancyPregnancy in DiabeticsRisk FactorsEndocrinologyNeonatologyObesityOutcomes research

Identifiers

PMID27231266
PMCPMC5256410

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.