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Gestational diabetes mellitus and risk of childhood overweight and obesity in offspring.pdf

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Gestational diabetes mellitus and risk of childhood overweight and obesity in offspring

Hindawi Publishing Corporation Experimental Diabetes Research Volume 2011, Article ID 541308, 9 pages doi:10.1155/2011/541308 Review Article Gestational Diabetes Mellitus and Risk of Childhood Overweight and Obesity in Offspring: A Systematic Review Shin Y. Kim, J. Lucinda England, J. Andrea Sharma, and Terry Njoroge Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA Correspondence should be addressed to Shin Y. Kim, skim1@cdc.gov Received 1 June 2011; Accepted 22 July 2011 Academic Editor: Barbara Alexander Copyright ? 2011 Shin Y. Kim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We systematically reviewed research examining the association between gestational diabetes (GDM) and childhood overweight and obesity. We identified studies from three sources: (1) a PubMed search of articles published between January 1990–January 2011, (2) reference lists of publications from the PubMed search, and (3) reference lists of review articles. We included studies that examined GDM separately from pregestational diabetes and childhood overweight or obesity defined as BMI 85th or 95th percentile. A total of 12 studies were included in the systematic review. Crude odds ratios for the relationship between GDM and childhood overweight or obesity ranged from 0.7 to 6.3; in 8 studies, the associations were not statistically significant. In only 3 studies were results adjusted for any confounders; in the 2 that adjusted for prepregnancy obesity, the GDM and childhood overweight or obesity associations were attenuated and not statistically significant after adjustment. This paper demonstrates inconsistent evidence of an association between GDM and offspring overweight and obesity due to the metho