Offspring birth weight and risk of mortality from diabetes in mothers

Chung-Yi Li, Fung Chang Sung, Pi Ching Hsieh, Ming Der Lee, Tsung-Hsueh Lu, Hua Fen Chen

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Mothers with lower birth weight (LBW) offspring have been found to be associated with cardiovascular disease (CVD) morbidity, which shares many risk factors with diabetes. Aims: To investigate the relation between offspring birth weight and maternal risk of mortality from diabetes. Methods: A total of 1 400 383 singletons of primigravida registered in Taiwan between 1978 and 1987 were followed to the end of 2006. The offspring birth weight was assessed with and without standardisation for the gestational age of offspring. Cox model was used to estimate the HR of maternal diabetes mortality in relation to offspring birth weights. Results: Altogether, 812 (5.8%) mothers died of diabetes. Mothers with LBW (<2500 g) and macrosomia (>4000 g) offspring were both at increased risks of mortality from diabetes with HR 1.76 (95% CI 1.46 to 2.19) and 2.86 (95% CI 2.32 to 3.53), respectively. Similar results were seen while birth weight was standardised for gestational age. Conclusions: This cohort study found that mothers with LBW and macrosomia offspring had an increased mortality risk of diabetes. This relationship could be attributable to the possible pathway of intergenerational effects or maternal insulin resistance due to maladaptation to pregnancy.

Original languageEnglish
Pages (from-to)775-779
Number of pages5
JournalJournal of Epidemiology and Community Health
Volume65
Issue number9
DOIs
Publication statusPublished - 2011 Sep 1

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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