Evidence map›Paper›PMID 42713936›Full record

ArticleJournal of diabetes research2026

High Serum Polyunsaturated Fatty Acids for the Increased Risk of Gestational Diabetes Mellitus Through LPC Pathways: A Prospective Nested Case-Control Study in China.

Shumin Zhao, Qingqing Meng, Xinli Xing, Junhong Leng, Weiqin Li, Cuiping Zhang, Jinnan Liu, Wen Yang, Juliana C N Chan, Gang Hu and 3 more

Abstract read
In one paragraph

Article in Journal of diabetes research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Shumin ZhaoDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China, tijmu.edu.cn.
Qingqing MengDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China, tijmu.edu.cn.
Xinli XingDepartment of Obstetrics, Liaocheng Dongchangfu Maternal and Child Health Care Hospital, Shandong, China.ORCID https://orcid.org/0009-0004-9941-8083
Junhong LengTianjin Women and Children's Health Center, Tianjin, China.
Weiqin LiTianjin Women and Children's Health Center, Tianjin, China.ORCID https://orcid.org/0000-0001-5011-7985
Cuiping ZhangTianjin Women and Children's Health Center, Tianjin, China.
Jinnan LiuTianjin Women and Children's Health Center, Tianjin, China.
Wen YangNan Kai District Center for Disease Control and Prevention, Tianjin, China.
Juliana C N ChanDepartment of Medicine and Therapeutics, Hong Kong Institute of Diabetes and Obesity and The Chinese University of Hong Kong-Prince of Wales Hospital-International Diabetes Federation Centre of Education, Hong Kong, China.ORCID https://orcid.org/0000-0003-1325-1194
Gang HuChronic Disease Epidemiology Laboratory, Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA, lsu.edu.ORCID https://orcid.org/0000-0002-6172-8017
Zhijie YuPopulation Cancer Research Program and Department of Pediatrics, Dalhousie University, Halifax, Canada, dal.ca.ORCID https://orcid.org/0000-0002-4901-3545
Xilin YangDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China, tijmu.edu.cn.ORCID https://orcid.org/0000-0002-9462-7992
Jing LiDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China, tijmu.edu.cn.ORCID https://orcid.org/0000-0003-2777-2572

Funding

National Natural Science Foundation of China 82200932Science Foundation of Liaocheng Dongchangfu Maternal and Child Health Care Hospital DCFY-KLT-2023-02Science Foundation of Liaocheng Dongchangfu Maternal and Child Health Care Hospital DCFY-KLT-2023-06
6 · The paper itself

Abstract

aimsThe study aimed to investigate the following: (1) whether early-pregnancy serum polyunsaturated fatty acid (PUFA) species are associated with the risk of gestational diabetes mellitus (GDM); and (2) whether lysophosphatidylcholine (LPC)18:0 may statistically explain these associations in Chinese pregnant women. MATERIALS AND

methodsWe conducted a 1:1 age-matched case-control study of 486 pregnant women nested within a prospective cohort in Tianjin, China. Least Absolute Shrinkage and Selection Operator (LASSO) logistic regression analysis was used to identify the PUFA species independently associated with GDM. Conditional logistic regression was conducted to obtain odds ratios (ORs) and their 95% confidence intervals (CIs). Sobel mediation analysis was used to assess the potential statistical role of LPC18:0.

resultsAmong five PUFA species that differed significantly between cases and controls, arachidonic acid (AA, 20:4) and docosahexaenoic acid (DHA, 22:6) were selected and further analyzed. High AA (≥ 3.63 nmol/mL) and DHA (≥ 0.59 nmol/mL) were associated with increased GDM risk, with multivariable-adjusted ORs of 2.89 (95% CI: 1.84-4.54) and 2.90 (95% CI: 1.82-4.63), respectively. These associations were stronger among women with pre-pregnancy overweight/obesity (AA, OR: 5.32, 95% CI: 2.48-11.42; DHA, OR: 3.39, 95% CI: 1.65-6.99). Further adjustment for high LPC18:0 substantially attenuated the associations of AA (OR: 0.90, 95% CI: 0.45-1.80) and DHA (OR: 0.97, 95% CI: 0.51-1.85) with GDM risk, with Sobel test p values < 0.0001.

conclusionsHigher serum AA and DHA levels in early pregnancy were associated with increased GDM risk. LPC18:0 may statistically explain part of these observed associations.

Indexed as

Diabetes, GestationalFatty Acids, UnsaturatedLysophosphatidylcholinesAdultArachidonic AcidCase-Control StudiesChinaDocosahexaenoic AcidsFemaleHumansPregnancyProspective StudiesRisk FactorsArachidonic AcidDocosahexaenoic AcidsFatty Acids, UnsaturatedLysophosphatidylcholinesarachidonic aciddocosahexaenoic acidgestational diabetes mellituslysophosphatidylcholinepolyunsaturated fatty acid

Identifiers

PMID42713936
PMCPMC13556162

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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.