Evidence map›Paper›PMID 32219421›Full record

ArticleThe American journal of clinical nutrition2020

Maternal glycemia during pregnancy and offspring abdominal adiposity measured by MRI in the neonatal period and preschool years: The Growing Up in Singapore Towards healthy Outcomes (GUSTO) prospective mother-offspring birth cohort study.

Mya-Thway Tint, Suresh A Sadananthan, Shu-E Soh, Izzuddin M Aris, Navin Michael, Kok H Tan, Lynette P C Shek, Fabian Yap, Peter D Gluckman, Yap-Seng Chong and 7 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01174875 (Developmental Pathways to Health and Disease), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 11% of its field
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.

NCT01174875 active not recruitingnot on this map

Developmental Pathways to Health and Disease: Metabolic, Neurodevelopmental and Related Outcomes

TypeobservationalSponsorNational University Hospital, SingaporeRan2009 to 2029Enrolled1,247ConditionsMetabolic Diseases, Neurological and Mental Health Conditions, Genetic Predisposition, Skin Condition
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 23 citations in OpenAlex.

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  2. 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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 5 countries.

Mya-Thway TintDepartment of Obstetrics & Gynecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Suresh A SadananthanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (ASTAR), Singapore.
Shu-E SohSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (ASTAR), Singapore.
Izzuddin M ArisSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (ASTAR), Singapore.
Navin MichaelSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (ASTAR), Singapore.
Kok H TanDepartment of Maternal Fetal Medicine, KK Women's and Children's Hospital, Singapore.
Lynette P C ShekDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Fabian YapDepartment of Pediatric Endocrinology, KK Women's and Children's Hospital, Singapore.
Peter D GluckmanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (ASTAR), Singapore.
Yap-Seng ChongDepartment of Obstetrics & Gynecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Keith M GodfreyMedical Research Council Lifecourse Epidemiology Unit, Univeristyof Southhampton, Southampton, United Kingdom.
S Sendhil VelanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (ASTAR), Singapore.
Shiao-Yng ChanDepartment of Obstetrics & Gynecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Johan G ErikssonDepartment of Obstetrics & Gynecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Marielle V FortierDepartment of Diagnostic and Interventional Imaging, KK Women's and Children's Hospital, Singapore.
Cuilin ZhangEpidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Rockville, MD, USA.
Yung S LeeSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (ASTAR), Singapore.
Agency for Science, Technology and Research · SGNational University of Singapore · SGEunice Kennedy Shriver National Institute of Child Health and Human Development · USKK Women's and Children's Hospital · SGUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

British Heart Foundation RG/15/17/31749Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

backgroundGestational diabetes is associated with unfavorable body fat distribution in offspring. However, less is known about the effects across the range of maternal gestational glycemia on offspring abdominal adiposity (AA) in infancy and early childhood.

objectivesThis study determined the association between gestational glycemia and offspring AA measured by MRI in the neonatal period and during the preschool years.

methodsParticipants were mother-offspring pairs from the GUSTO (Growing Up in Singapore Towards healthy Outcomes) prospective cohort study. Children who underwent MRI within 2 wk postdelivery (n = 305) and/or at preschool age, 4.5 y (n = 273), and whose mothers had a 2-h 75-g oral-glucose-tolerance test (OGTT) at 26-28 weeks of gestation were included. AA measured by adipose tissue compartment volumes-abdominal superficial (sSAT), deep subcutaneous (dSAT), and internal (IAT) adipose tissue-was quantified from MRI images.

resultsAdjusting for potential confounders including maternal prepregnancy BMI, each 1-mmol/L increase in maternal fasting glucose was associated with higher SD scores for sSAT (0.66; 95% CI: 0.45, 0.86), dSAT (0.65; 95% CI: 0.44, 0.87), and IAT (0.64; 95% CI: 0.42, 0.86) in neonates. Similarly, each 1-mmol/L increase in 2-h OGTT glucose was associated with higher neonatal sSAT (0.11; 95% CI: 0.03, 0.19) and dSAT (0.09; 95% CI: 0.00, 0.17). These associations were stronger in female neonates but only persisted in girls between fasting glucose, and sSAT and dSAT at 4.5 y.

conclusionsA positive association between maternal glycemia and neonatal AA was observed across the whole range of maternal mid-gestation glucose concentrations. These findings may lend further support to efforts toward optimizing maternal hyperglycemia during pregnancy. The study also provides suggestive evidence on sex differences in the impact of maternal glycemia, which merits further confirmation in other studies.This trial was registered at clinicaltrials.gov as NCT01174875.

Indexed as

Abdominal FatAdiposityAdultBlood GlucoseChildChild, PreschoolDiabetes, GestationalFemaleGlucose Tolerance TestHumansMagnetic Resonance ImagingMaleObesity, AbdominalPregnancyPrenatal Exposure Delayed EffectsProspective StudiesBlood Glucoseearly infancymaternal glucosemid-gestationoffspring abdominal adipose tissue compartmentpediatrics

Identifiers

PMID32219421
PMCPMC7351532
OpenAlexW3013970849

What OpenQuestion holds

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Registered trials

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.