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Current Diabetes Reports

, Volume 11, Issue 1, pp 20–27 | Cite as

Obesity and Diabetes in Mothers and Their Children: Can We Stop the Intergenerational Cycle?

  • Sharon J. HerringEmail author
  • Emily Oken
Article

Abstract

Obesity prevalence in the United States has reached an alarming level. Consequently, more young women are entering pregnancy with body mass indices of at least 30 kg/m2. While higher maternal weight entering pregnancy is related to several adverse pregnancy outcomes, some of the strongest and most compelling data to date have linked prepregnancy obesity to gestational diabetes mellitus (GDM). The mechanisms by which excess maternal weight influences metabolic dysfunction in pregnancy are similar to those in obese nonpregnant women; adipocytes are metabolically active and release a number of hormones implicated in insulin resistance. Heavier mothers are also more likely to have higher glucose levels that do not exceed the cutoff for GDM, but nevertheless predict poor perinatal outcomes. Longer-term complications of GDM include increased risk of maternal type 2 diabetes and offspring obesity. Promising intervention studies to decrease the intergenerational cycle of obesity and diabetes are currently underway.

Keywords

Gestational diabetes mellitus Obesity Pregnancy Postpartum Maternal health Child health Glucose metabolism Fetal growth Insulin resistance Gestational weight gain Adiposity Type 2 diabetes mellitus 

Notes

Disclosure

No potential conflicts of interest relevant to this article were reported.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Center for Obesity Research and EducationTemple University School of MedicinePhiladelphiaUSA
  2. 2.Obesity Prevention Program, Department of Population MedicineHarvard Medical School and Harvard Pilgrim Health Care InstituteBostonUSA

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