Table 3.
Associations of continuous measures of maternal glucose and HbA1c during pregnancy with continuous adiposity outcomes among children at follow-up
| Predictor | Model 1a | Model 2b | Model 3c | Model 4d | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| β (95% CI) | p value | Adjusted
R2 |
β (95% CI) | p value | Adjusted R2 | β (95% CI) |
p value | Adjusted
R2 |
β (95% CI) | p value | Adjusted
R2 |
|
| BMI z score | ||||||||||||
| Fasting glucose | 0.14 (0.10, 0.18) | <0.001*** | 0.07 | 0.13 (0.09, 0.16) | <0.001*** | 0.13 | 0.10 (0.06, 0.14) | <0.001*** | 0.15 | −0.001 (−0.04, 0.04) | 0.96 | 0.22 |
| 1 h glucose | 0.10 (0.06,0.14) | <0.001*** | 0.07 | 0.09 (0.06, 0.12) | <0.001*** | 0.14 | 0.07 (0.03, 0.10) | <0.001*** | 0.14 | 0.02 (−0.01, 0.05) | 0.26 | 0.22 |
| 2 h glucose | 0.08(0.04,0.11) | <0.001*** | 0.07 | 0.08 (0.04, 0.11) | <0.001*** | 0.12 | 0.05 (0.02, 0.09) | 0.003** | 0.14 | 0.02 (−0.02, 0.05) | 0.38 | 0.22 |
| HbA1c | 0.13 (0.09, 0.16) | <0.001*** | 0.07 | 0.14(0.10, 0.18) | <0.001*** | 0.21) | 0.13 (0.09, 0.16) | <0.001*** | 0.22 | 0.06 (0.02,0.10) | 0.001** | 0.29 |
| BOD POD % fat | ||||||||||||
| Fasting glucose | 1.35 (1.04, 1.66) | <0.001*** | 0.08 | 1.29 (0.99, 1.59) | <0.001*** | 0.13 | 1.09 (0.78, 1.40) | <0.001*** | 0.14 | 0.46 (0.14,0.77) | 0.004** | 0.18 |
| 1 h glucose | 1.11 (0.81, 1.41) | <0.001*** | 0.08 | 1.05 (0.75, 1.34) | <0.001*** | 0.12 | 0.93 (0.63, 1.24) | <0.001*** | 0.14 | 0.62 (0.32, 0.92) | <0.001*** | 0.18 |
| 2 h glucose | 0.87(0.57, 1.17) | <0.001*** | 0.08 | 0.86 (0.57, 1.16) | <0.001*** | 0.12 | 0.75 (0.45, 1.05) | <0.001*** | 0.14 | 0.50 (0.20, 0.80) | <0.001*** | 0.18 |
| HbA1c | 0.66 (0.34, 0.99) | <0.001*** | 0.08 | 0.81 (0.49, 1.13) | <0.001*** | 0.19 | 0.68 (0.36, 1.01) | <0.001*** | 0.21 | 0.25 (−0.07, 0.58) | 0.13 | 0.25 |
| Waist circumference, cm | ||||||||||||
| Fasting glucose | 1.50 (1.15, 1.85) | <0.001*** | 0.10 | 1.35 (1.02, 1.67) | <0.001*** | 0.21 | 1.09 (0.75, 1.43) | <0.001*** | 0.22 | 0.24 (−0.09, 0.28) | 0.16 | 0.28 |
| 1 h glucose | 1.07(0.73, 1.41) | <0.001*** | 0.09 | 0.99 (0.68, 1.31) | <0.001*** | 0.20 | 0.86 (0.53, 1.19) | <0.001*** | 0.22 | 0.45 (0.13,0.76) | 0.006** | 0.28 |
| 2 h glucose | 0.98 (0.64, 1.32) | <0.001*** | 0.09 | 0.91 (0.59, 1.22) | <0.001*** | 0.20 | 0.78 (0.46, 1.11) | <0.001*** | 0.22 | 0.46 (0.14,0.77) | 0.005** | 0.28 |
| HbA1c | 0.51 (0.15, 0.88) | 0.005** | 0.09 | 1.07 (0.73, 1.41) | <0.001*** | 0.28 | 0.96 (0.61, 1.31) | <0.001*** | 0.30 | 0.39(0.05,0.74) | 0.025* | 0.35 |
| Sum of skinfolds, mm | ||||||||||||
| Fasting glucose | 2.71 (2.05, 3.35) | <0.001*** | 0.05 | 2.70 (2.06, 3.34) | <0.001*** | 0.09 | 2.32(1.67, 2.99) | <0.001*** | 0.10 | 0.98 (0.31, 1.65) | 0.004** | 0.14 |
| 1 h glucose | 1.89(1.26, 2.52) | <0.001*** | 0.04 | 1.91 (1.29, 2.53) | <0.001*** | 0.08 | 1.62 (0.97, 2.26) | <0.001*** | 0.10 | 0.95 (0.31, 1.58) | 0.003** | 0.15 |
| 2 h glucose | 1.66(1.03,2.29) | <0.001*** | 0.04 | 1.76(1.14, 2.38) | <0.001*** | 0.08 | 1.48(0.84, 2.13) | <0.001*** | 0.10 | 0.95 (0.32, 1.58) | 0.003** | 0.15 |
| HbA1c | 1.61 (0.94, 2.29) | <0.001*** | 0.04 | 1.96(1.29, 2.64) | <0.001*** | 0.17 | 1.74(1.04, 2.43) | <0.001*** | 0.18 | 0.83 (0.14, 1.51) | 0.018* | 0.22 |
β estimates represent change in each continuous outcome for the continuous predictors higher by one SD estimated in the original HAPO data: fasting glucose 0.4 mmol/l; 1 h glucose 1.7 mmol/l; 2 h glucose 1.3 mmol/l; HbA1c 5.0 mmol/mol (0.45%)
p values are from linear regression model;
p<0.05
p<0.01 and
p<0.001
Model 1: adjusted for field centre for being overweight/obese and obesity outcomes; unadjusted for BOD POD % fat, waist circumference and sum of skinfolds >85th percentile outcomes
Model 2: Model 1 + child pubertal status (Tanner stage 1, 2/3, 4/5, sex × Tanner stage interaction)
Model 3: Model 2 + maternal variables during pregnancy OGTT (age, height, any family history of diabetes, mean arterial pressure, parity [0, 1+], smoking [yes/no], alcohol [yes/no], gestational age)
Model 4: Model 3 + maternal BMI during pregnancy