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. 2022 Apr 29;46(6):912–922. doi: 10.4093/dmj.2021.0340

Table 2.

Risk of ADHD in offspring in pregnancies complicated by GDM according to type of treatment during pregnancy or time of diagnosis

Variable No. with ADHD/total Crude model
Adjusted modela
HR (95% CI) P value HR (95% CI) P value
GDM considered as one group
 No GDM 179/2,050 1 (reference) 1 (reference)
 GDM 144/1,073 1.67 (1.33–2.07) <0.001 1.64 (1.32–2.05) <0.001
GDM by time of diagnosisb
 No GDM 179/2,050 1 (reference) 1 (reference)
 Early GDM 23/195 1.48 (0.96–2.29) 0.070 1.45 (0.94–2.25) 0.094
 Late GDM 119/878 1.69 (1.34–2.13) <0.001 1.67 (1.32–2.11) <0.001
GDM by treatment
 No GDM 179/2,050 1 (reference) 1 (reference)
 GDM only with diet 87/655 1.68 (1.30–2.17) <0.001 1.68 (1.30–2.18) <0.001
 GDM with insulin use 57/418 1.64 (1.22–2.22) 0.001 1.59 (1.18–2.15) 0.002

Cox regression models expressed as HR (95% CI).

ADHD, attention-deficit/hyperactivity disorder; GDM, gestational diabetes mellitus; HR, hazard ratio; CI, confidential interval.

a

Model adjusted for maternal age, weeks of gestation, cesarean section, Apgar <6 at 5 minutes after birth and birth weight,

b

Late/early GDM: diagnosis of GDM after or before 26 weeks’ gestation, respectively.