Evidence map›Paper›PMID 41603372›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2026

Association between polycystic ovary syndrome and pregnancy outcomes in GDM: A secondary analysis of the DiGest trial.

Laura C Kusinski, Zhaohui Liu, Sarah Dib, Rebecca Rogers, Amy E Morrison, Danielle L Jones, Claire L Meek

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Laura C KusinskiLeicester Diabetes Centre and Leicester NIHR Biomedical Research Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK.ORCID 0009-0008-3164-1106
Zhaohui LiuLeicester Diabetes Centre and Leicester NIHR Biomedical Research Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK.
Sarah DibLeicester Diabetes Centre and Leicester NIHR Biomedical Research Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK.
Rebecca RogersDepartment of Diabetes and Endocrinology, Norfolk and Norwich University Hospitals NHS Trust, Norfolk NR4 7UY, UK.
Amy E MorrisonUniversity Hospitals of Leicester NHS Trust, Leicester General Hospital, Leicester LE5 4PW, UK.
Danielle L JonesInstitute of Metabolic Science-Medical Research Laboratories, University of Cambridge, Cambridge CB2 0QQ, UK.
Claire L MeekLeicester Diabetes Centre and Leicester NIHR Biomedical Research Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK.ORCID 0000-0002-4176-8329

Funding

Cambridge Biomedical Research Centre (BRC)Department of Health and Social CareDexcomDiabetes UK 17/0005712Diabetes UK ISRCTN 65152174European Foundation for the Study of DiabetesLeicester BRCNational Institute for Health Research (NIHR)Novo Nordisk Foundation NNF19SA058974
6 · The paper itself

Abstract

contextPolycystic ovary syndrome (PCOS) is a risk factor for gestational diabetes mellitus (GDM) due to shared pathophysiological associations with insulin resistance and adiposity, and may increase the risk of suboptimal perinatal outcomes in GDM. It is unclear if this excess risk upon outcomes is attributable to PCOS, more severe hyperglycemia, higher maternal BMI or reduced efficacy of dietary interventions.

objectiveTo assess associations of PCOS, dietary intervention and gestational weight loss with maternal and neonatal outcomes in women with GDM. METHODS/

designA secondary analysis from the DiGest double-blind randomized controlled trial. Data on self-reported PCOS status were collected at baseline.

participantsPregnant women with GDM and BMI ≥25 kg/m2 from 8 UK centers (N = 425; 50 with PCOS and 375 without PCOS).

interventionReduced-energy intervention diet (1200 kcal/day) or standard-energy control diet (2000 kcal/day) from enrollment (29 weeks) until delivery.

main outcome measuresPregnancy outcomes, including maternal weight and continuous glucose metrics, physical and dietary data, and infant birthweight and jaundice, were compared between women with and without PCOS using univariate tests and multivariable regression models were applied for adjusted analysis.

resultsWomen with GDM and PCOS had similar baseline characteristics, glycemia, BMI, and pregnancy outcomes compared with women with GDM alone, but their infants had higher rates of neonatal jaundice (24.4% vs 8.9%, P = .002). Outcomes across the dietary interventions were similar in women with and without PCOS.

conclusionIn women with GDM, PCOS was not associated with increased risks for most suboptimal pregnancy outcomes or reduced efficacy of a dietary intervention in this cohort where BMI and glycemia were comparable.

Indexed as

Diabetes, GestationalPolycystic Ovary SyndromePregnancy OutcomeAdultBirth WeightBody Mass IndexDouble-Blind MethodFemaleHumansInfant, NewbornPregnancyRisk Factorsdietary interventiongestational diabetes mellitusinsulin useneonatal jaundicepolycystic ovary syndromepregnancy

Identifiers

PMID41603372
PMCPMC13271774

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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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.