Insights

Infants born prematurely to mothers with diabetes had higher birth weights and experienced accelerated weight gain in the first week of life. These growth differences persisted to age two, indicating a need for further research into long-term risks.

Area of Science:

  • Neonatal and Developmental Pediatrics
  • Maternal-Fetal Medicine
  • Pediatric Endocrinology

Background:

  • Maternal diabetes mellitus (DM) is a known risk factor for offspring obesity and cardiometabolic diseases.
  • Limited data exist on the growth patterns of preterm infants exposed to maternal diabetes during gestation.

Purpose of the Study:

  • To compare early childhood growth trajectories between late preterm infants born to mothers with and without diabetes during pregnancy.

Main Methods:

  • A retrospective longitudinal analysis compared weight trajectories from birth to 2 years.
  • Mixed-effects modeling was used, adjusting for maternal and infant demographic covariates.
  • The study included 1554 late preterm infants, with 134 exposed to maternal diabetes.

Main Results:

  • Infants exposed to maternal diabetes (DM-group) had higher average birth weight (300g difference) and weight z-scores (0.67 SDS difference).
  • DM-group infants exhibited accelerated weight gain from birth to discharge and in the first postnatal week.
  • Higher average weight and weight z-scores were maintained through age two, with increased weight gain between 18 and 24 months.

Conclusions:

  • Late preterm infants exposed to maternal diabetes demonstrate increased weight from birth to age two and accelerated early postnatal growth.
  • Further investigation is warranted to understand the long-term health implications of these altered weight trajectories.
Abstract

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