Evidence map›Paper›PMID 42819227›Full record

SynthesisFrontiers in endocrinology2026

Long-term metabolic consequences of

Yufeng Wu, Ke Shen, Huihui Guo, Hongjing Wang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Yufeng Wu *Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Ke Shen *Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Huihui GuoDepartment of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Hongjing WangDepartment of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Gestational diabetes mellitus (GDM) affects 14-17% of pregnancies globally, imposing long-term public health burdens beyond pregnancy. Maternal hyperglycaemia increases offspring risk of metabolic disorders through epigenetic, hormonal and developmental programming. Growing evidence connects prenatal GDM exposure to childhood and adult metabolic diseases, yet the consistency and magnitude of these associations across different metabolic conditions remains unclear. Methods: We systematically searched PubMed, Cochrane CENTRAL and Embase. Eligible studies included observational cohorts exploring associations between Results: Sixteen studies (n=9 RCTs, n=7 observational cohorts) involving diverse populations across 11 countries were included. In observational cohorts, GDM-exposed offspring showed higher BMI (MD = 1.42 kg/m2, 95% CI: 0.94-1.89) and greater estimates for overweight/obesity in adulthood (OR = 2.09, 95% CI: 1.25-3.50, I² = 80.7%). The analysis of fasting glucose results displayed high variability (I² = 80.7%) yet produced no meaningful combined impact (MD = -0.016 mmol/L, 95% CI: -1.52 to 1.49). In RCTs, active antenatal GDM management was associated with a non-significant trend towards lower HOMA-IR (MD = -0.30, 95% CI: -0.61 to 0.01; I² = 68.2%) and HbA1c (MD = -0.41%, 95% CI: -0.85 to 0.03; I² = 99.1%) relative to usual care. There were no statistically significant combined effects found for 2-hour OGTT glucose levels total cholesterol levels triglyceride levels or HDL-C levels. Egger's test revealed no significant publication bias for either glucose (t = 0.82, p = 0.43) or lipid outcomes (t = -0.08, p = 0.94). Conclusion:

Indexed as

Diabetes, GestationalMetabolic DiseasesPrenatal Exposure Delayed EffectsDevelopmental Origins of Health and DiseaseFemaleHumansPregnancydyslipidemiaGDMgestational diabetes mellitusglycaemic controlHbA1cHOMA-IRinsulin resistancein-utero exposure

Identifiers

PMID42819227
PMCPMC13623741

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.