Associations Between Exposure to Gestational Diabetes Mellitus In Utero and Daily Energy Intake, Brain Responses to Food Cues, and Adiposity in Children
| Autor: | Chow T, Monterosso, Kathleen A. Page, Xiang Ah, Paul M. Thompson, Shan Luo, Brendan Angelo |
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| Rok vydání: | 2021 |
| Předmět: |
Research design
Calorie endocrine system diseases Endocrinology Diabetes and Metabolism Physiology 030209 endocrinology & metabolism Body Mass Index 03 medical and health sciences 0302 clinical medicine Pregnancy Diabetes mellitus Internal Medicine medicine Humans Obesity 030212 general & internal medicine Child Pathophysiology/Complications Adiposity Advanced and Specialized Nursing business.industry Ventral striatum Brain nutritional and metabolic diseases medicine.disease Gestational diabetes Diabetes Gestational medicine.anatomical_structure In utero Gestation Female Cues Erratum Energy Intake business |
| Zdroj: | Diabetes Care |
| DOI: | 10.2337/figshare.14109674.v1 |
| Popis: | OBJECTIVE Children exposed to gestational diabetes mellitus (GDM) or maternal obesity in utero have an increased propensity to develop obesity. Little is known about the mechanisms underlying this phenomenon. We aimed to examine relationships between exposure to GDM or maternal obesity and daily energy intake (EI), brain responses to food cues within reward regions, and adiposity in children. RESEARCH DESIGN AND METHODS Participants were 159 children ages 7–11 years. Repeated 24-h recalls were conducted to assess mean daily EI. A subset of children (n = 102) completed a food cue task in the MRI scanner. A priori regions of interest included the orbital frontal cortex (OFC), insula, amygdala, ventral striatum, and dorsal striatum. Adiposity measurements, BMI z-scores, percent body fat, waist-to-height ratio (WtHR), and waist-to-hip ratio (WHR) were assessed. RESULTS Exposure to GDM was associated with greater daily EI, and children exposed to GDM diagnosed before 26 weeks gestation had greater OFC food cue reactivity. Children exposed to GDM also had larger WHR. Results remained significant after adjusting for child’s age and sex, maternal education and race/ethnicity, maternal prepregnancy BMI, and child’s physical activity levels. Furthermore, children who consumed more daily calories had greater WHR, and the relationship between GDM exposure and WHR was attenuated after adjustment for daily EI. Prepregnancy BMI was not significantly related to daily EI or food cue reactivity in reward regions. However, prepregnancy BMI was significantly related to all adiposity measurements; results remained significant for BMI z-scores, WtHR, and WHR after controlling for child’s age and sex, maternal education and race/ethnicity, maternal GDM exposure, and child’s physical activity levels. CONCLUSIONS Exposure to GDM in utero, in particular before 26 weeks gestation, is associated with increased EI, enhanced OFC food cue reactivity, and increased WHR. Future study with longitudinal follow-up is merited to assess potential pathways of daily EI and food cue reactivity in reward regions on the associations between GDM exposure and childhood adiposity. |
| Databáze: | OpenAIRE |
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