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Neurodevelopmental delay up to the age of 4 years in infants born to women with gestational diabetes mellitus : The Japan Environment and Children's Study

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Title: Neurodevelopmental delay up to the age of 4 years in infants born to women with gestational diabetes mellitus : The Japan Environment and Children's Study
Authors: Saito, Yoshihiro Browse this author
Kobayashi, Sumitaka Browse this author →KAKEN DB
Ito, Sachiko Browse this author →KAKEN DB
Miyashita, Chihiro Browse this author →KAKEN DB
Umazume, Takeshi Browse this author →KAKEN DB
Cho, Kazutoshi Browse this author →KAKEN DB
Watari, Hidemichi Browse this author →KAKEN DB
Ito, Yoshiya Browse this author
Saijo, Yasuaki Browse this author
Kishi, Reiko Browse this author →KAKEN DB
Keywords: Gestational diabetes mellitus
Neurodevelopment
Offspring
Issue Date: Dec-2022
Publisher: John Wiley & Sons
Journal Title: Journal of diabetes investigation
Volume: 13
Issue: 12
Start Page: 2054
End Page: 2062
Publisher DOI: 10.1111/jdi.13907
Abstract: Aims/Introduction This study aimed to investigate the neurodevelopment of infants born to women with gestational diabetes mellitus (GDM). Materials and Methods Data from the National Birth Cohort in the Japan Environment and Children's Study from 2011 to 2014 (n = 81,705) were used. Japan uses the GDM guidelines of the International Association of Diabetes and Pregnancy Study Groups. The Japanese translation of the Ages and Stages Questionnaires, third Edition, was used to assess neurodevelopment in the following domains: communication skills, gross motor skills, fine motor skills, problem-solving ability, and personal and social skills. The survey was carried out every 6 months from the age of 6 months to 4 years (total of eight times). Generalized estimating equations were used to evaluate the association between maternal GDM and neurodevelopmental delay based on odds ratios (ORs) and 95% confidence intervals (95% CIs). Results Neurodevelopmental delays, particularly in problem-solving ability, fine motor skills, and personal and social skills, were significantly higher in infants born to women with GDM than in those born to women without GDM (adjusted OR 1.24, 95% CI 1.12-1.36; adjusted OR 1.15, 95% CI 1.03-1.27; and adjusted OR 1.18, 95% CI 1.04-1.33). Furthermore, stratification showed no significant increase in the adjusted ORs (95% CIs) of girls. Conclusions Neurodevelopment was significantly delayed up to 4 years-of-age among boys born to women with GDM.
Type: article
URI: http://hdl.handle.net/2115/88792
Appears in Collections:環境健康科学研究教育センター (Center for Environmental and Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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