Evidence mapPaperPMID 34468745Full record

Observational studyThe Journal of clinical endocrinology and metabolism2022

Rate of Gestational Weight Gain and Glucose-Insulin Metabolism Among Hispanic Pregnant Women With Overweight and Obesity.

Karen L Lindsay, Lauren E Gyllenhammer, Sonja Entringer, Pathik D Wadhwa

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The Journal of clinical endocrinology and metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Article
  3. Metabolic Roles of Fatty Acid Binding Protein 4 (FABP4) in Fetal and Maternal Health and Maintenance of Pregnancy in Women with Obesity: A Review.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  4. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

Karen L LindsayDepartments of Pediatrics, UCI School of Medicine, University of California, Irvine, CA 92697, USA.ORCID 0000-0002-4481-9363
Lauren E GyllenhammerDepartments of Pediatrics, UCI School of Medicine, University of California, Irvine, CA 92697, USA.
Sonja EntringerDepartments of Pediatrics, UCI School of Medicine, University of California, Irvine, CA 92697, USA.ORCID 0000-0002-9926-7076
Pathik D WadhwaUCI Development health and Disease Research Program, University of California, Irvine, CA 92868, USA.
University of California, Irvine · US

Funding

NICHD NIH HHS K99 HD096109NICHD NIH HHS K99 HD097302NICHD NIH HHS R00 HD096109NIH HHS K99/R00 HD-096109NIMHD NIH HHS R01 MD010738
6 · The paper itself

Abstract

contextHispanic women are at elevated risk of gestational glucose intolerance and postpartum type 2 diabetes compared with non-Hispanic White women. Identification of potentially modifiable factors contributing to this trajectory of beta-cell dysfunction is warranted.

objectiveWe aimed to determine the association between rate of gestational weight gain (rGWG) and glucose-insulin metabolism in Hispanic pregnant women with overweight and obesity.

methodsThis cross-sectional, observational study, conducted from 2018-2020 at the clinical research center at University of California, Irvine, included 33 nondiabetic Hispanic pregnant women at 28 to 30 weeks' gestation with pre-pregnancy body mass index (BMI) 25.0 to 34.9 kg/m2. Participants consumed a standardized liquid mixed meal after an overnight fast. Serial blood samples were collected at fasting and up to 2 hours postprandial. The glucose and insulin area under the curve (AUC), insulin sensitivity index (ISI) and insulin secretion sensitivity index (ISSI)-2 were computed.

resultsAverage rGWG (0.36 ± 0.22 kg/week) was classified as excessive in 60% of women. While rGWG was not associated with the glucose or insulin AUC or ISI, it accounted for 13.4% of the variance in ISSI-2 after controlling for covariates (maternal age, parity, and pre-pregnancy BMI); for each 1 unit increase in rGWG, ISSI-2 decreased 2.1 units (P = 0.015).

conclusionEven in the absence of gestational diabetes, rGWG was inversely associated with beta-cell function in a high-risk population of Hispanic pregnant women with overweight and obesity. Beta-cell decline is an established risk factor for transition to type 2 diabetes, and these cross-sectional findings highlight rGWG as a potentially modifiable contributor to this process.

Indexed as

Gestational Weight GainAdultBlood GlucoseBody Mass IndexCross-Sectional StudiesDiabetes, GestationalDiabetes Mellitus, Type 2FemaleGlucose Tolerance TestHispanic or LatinoHumansInsulinInsulin ResistanceMaternal AgeOverweightPostprandial PeriodBlood GlucoseInsulinbeta-cell functiongestational weight gainglucose-insulin metabolisminsulin sensitivitymaternal overweight/obesitypregnancy

Identifiers

PMID34468745
PMCPMC8764225
OpenAlexW3196708578

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.