Skip to main content
Top
Published in: BMC Endocrine Disorders 1/2022

Open Access 01-12-2022 | Obesity | Research article

Birth weight is associated with obesity and T2DM in adulthood among Chinese women

Authors: Pu Song, Hui Hui, Manqing Yang, Peng Lai, Yan Ye, Ying Liu, Xuekui Liu

Published in: BMC Endocrine Disorders | Issue 1/2022

Login to get access

Abstract

Background

Previous studies have indicated an association between birth weight (BW) and type 2 diabetes mellitus (T2DM), but few studies have explored this relationship under different conditions of obesity in adulthood.

Methods

A total of 4,005 individuals from ten provinces of China were randomly selected to participate in this study. We used a questionnaire to collect age, BW, current weight, height, T2DM history, age at T2DM diagnosis, and other variables. The participants were divided into three groups were according to BW trisection (BW ≤ 2500 g for the lower BW group, 2500 g < BW ≤ 3500 g for the normal BW group, and BW > 3500 g for the higher BW group). The cutoff of overweight and obesity were 25 kg/m2 and 28 kg/m2, respectively.

Results

The prevalence rates of T2DM among women with lower BW, normal BW and higher BW were 5.2%, 3.6% and 2.0%, respectively. The obesity prevalence rates in the lower BW, normal BW and higher BW groups were 8.1%, 6.7% and 9.0%, respectively. In the obese population, we did not find a relationship between BW and T2DM, but in the nonobese population, we found that with increasing BW, the risk of developing T2DM was reduced. Obese status in adulthood modified the association between BW and the risk of T2DM.

Conclusion

There is a “U” shape association between BW and risk of adulthood obesity in Chinese women, but this trend is not existed between BW and risk of developing T2DM. In non-overweight females, the risk of developing T2DM decreased with increasing BW, but this trend was not observed in overweight females.
Appendix
Available only for authorised users
Literature
1.
go back to reference Diptyanusa A, Zablon KN. Addressing budget reduction and reallocation on health-related resources during COVID-19 pandemic in malaria-endemic countries. Malar J. 2020;19(1):411.CrossRefPubMedPubMedCentral Diptyanusa A, Zablon KN. Addressing budget reduction and reallocation on health-related resources during COVID-19 pandemic in malaria-endemic countries. Malar J. 2020;19(1):411.CrossRefPubMedPubMedCentral
2.
go back to reference Cárdenas-González M, Álvarez-Buylla ER. The COVID-19 Pandemic and Paradigm Change in Global Scientific Research. MEDICC Rev. 2020;22(2):14–8.CrossRefPubMed Cárdenas-González M, Álvarez-Buylla ER. The COVID-19 Pandemic and Paradigm Change in Global Scientific Research. MEDICC Rev. 2020;22(2):14–8.CrossRefPubMed
3.
go back to reference Haschke F, Binder C, Huber-Dangl M, Haiden N. Early-Life Nutrition, Growth Trajectories, and Long-Term Outcome. Nestle Nutr Inst Workshop Ser. 2019;90:107–20.CrossRefPubMed Haschke F, Binder C, Huber-Dangl M, Haiden N. Early-Life Nutrition, Growth Trajectories, and Long-Term Outcome. Nestle Nutr Inst Workshop Ser. 2019;90:107–20.CrossRefPubMed
4.
go back to reference Pari-Keener M, Gallo S, Stahnke B, McDermid JM, Al-Nimr RI, Moreschi JM, Hakeem R, Handu D, Cheng FW. Maternal and Infant Health Outcomes Associated with Medical Nutrition Therapy by Registered Dietitian Nutritionists in Pregnant Women with Malnutrition: An Evidence Analysis Center Systematic Review. J Acad Nutr Diet. 2020;120(10):1730–44.CrossRefPubMed Pari-Keener M, Gallo S, Stahnke B, McDermid JM, Al-Nimr RI, Moreschi JM, Hakeem R, Handu D, Cheng FW. Maternal and Infant Health Outcomes Associated with Medical Nutrition Therapy by Registered Dietitian Nutritionists in Pregnant Women with Malnutrition: An Evidence Analysis Center Systematic Review. J Acad Nutr Diet. 2020;120(10):1730–44.CrossRefPubMed
5.
go back to reference Woldeamanuel GG, Geta TG, Mohammed TP, Shuba MB, Bafa TA. Effect of nutritional status of pregnant women on birth weight of newborns at Butajira Referral Hospital, Butajira. Ethiopia SAGE open medicine. 2019;7:2050312119827096.PubMed Woldeamanuel GG, Geta TG, Mohammed TP, Shuba MB, Bafa TA. Effect of nutritional status of pregnant women on birth weight of newborns at Butajira Referral Hospital, Butajira. Ethiopia SAGE open medicine. 2019;7:2050312119827096.PubMed
6.
go back to reference Ravelli AC, van der Meulen JH, Michels RP, Osmond C, Barker DJ, Hales CN, Bleker OP. Glucose tolerance in adults after prenatal exposure to famine. Lancet (London, England). 1998;351(9097):173–7.CrossRef Ravelli AC, van der Meulen JH, Michels RP, Osmond C, Barker DJ, Hales CN, Bleker OP. Glucose tolerance in adults after prenatal exposure to famine. Lancet (London, England). 1998;351(9097):173–7.CrossRef
7.
go back to reference Xia Q, Cai H, Xiang YB, Zhou P, Li H, Yang G, Jiang Y, Shu XO, Zheng W, Xu WH. Prospective cohort studies of birth weight and risk of obesity, diabetes, and hypertension in adulthood among the Chinese population. J Diabetes. 2019;11(1):55–64.CrossRefPubMed Xia Q, Cai H, Xiang YB, Zhou P, Li H, Yang G, Jiang Y, Shu XO, Zheng W, Xu WH. Prospective cohort studies of birth weight and risk of obesity, diabetes, and hypertension in adulthood among the Chinese population. J Diabetes. 2019;11(1):55–64.CrossRefPubMed
8.
go back to reference de Mendonça E, de Lima MM, Bueno NB, de Oliveira ACM, Mello CS. Premature birth, low birth weight, small for gestational age and chronic non-communicable diseases in adult life: A systematic review with meta-analysis. Early Human Dev. 2020;149:105154.CrossRef de Mendonça E, de Lima MM, Bueno NB, de Oliveira ACM, Mello CS. Premature birth, low birth weight, small for gestational age and chronic non-communicable diseases in adult life: A systematic review with meta-analysis. Early Human Dev. 2020;149:105154.CrossRef
9.
go back to reference Tian G, Guo C, Li Q, Liu Y, Sun X, Yin Z, Li H, Chen X, Liu X, Zhang D, et al. Birth weight and risk of type 2 diabetes: A dose-response meta-analysis of cohort studies. Diabetes Metab Res Rev. 2019;35(5):e3144.CrossRefPubMed Tian G, Guo C, Li Q, Liu Y, Sun X, Yin Z, Li H, Chen X, Liu X, Zhang D, et al. Birth weight and risk of type 2 diabetes: A dose-response meta-analysis of cohort studies. Diabetes Metab Res Rev. 2019;35(5):e3144.CrossRefPubMed
10.
go back to reference Zhao H, Song A, Zhang Y, Zhen Y, Song G, Ma H. The association between birth weight and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis. Endocr J. 2018;65(9):923–33.CrossRefPubMed Zhao H, Song A, Zhang Y, Zhen Y, Song G, Ma H. The association between birth weight and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis. Endocr J. 2018;65(9):923–33.CrossRefPubMed
11.
go back to reference Silverwood RJ, Pierce M, Hardy R, Sattar N, Whincup P, Ferro C, Savage C, Kuh D, Nitsch D. Low birth weight, later renal function, and the roles of adulthood blood pressure, diabetes, and obesity in a British birth cohort. Kidney Int. 2013;84(6):1262–70.CrossRefPubMedPubMedCentral Silverwood RJ, Pierce M, Hardy R, Sattar N, Whincup P, Ferro C, Savage C, Kuh D, Nitsch D. Low birth weight, later renal function, and the roles of adulthood blood pressure, diabetes, and obesity in a British birth cohort. Kidney Int. 2013;84(6):1262–70.CrossRefPubMedPubMedCentral
12.
go back to reference Stanner SA, Bulmer K, Andrès C, Lantseva OE, Borodina V, Poteen VV, Yudkin JS. Does malnutrition in utero determine diabetes and coronary heart disease in adulthood? Results from the Leningrad siege study, a cross sectional study. BMJ (Clinical research ed). 1997;315(7119):1342–8.CrossRef Stanner SA, Bulmer K, Andrès C, Lantseva OE, Borodina V, Poteen VV, Yudkin JS. Does malnutrition in utero determine diabetes and coronary heart disease in adulthood? Results from the Leningrad siege study, a cross sectional study. BMJ (Clinical research ed). 1997;315(7119):1342–8.CrossRef
13.
go back to reference Zhao Y, Wang SF, Mu M, Sheng J. Birth weight and overweight/obesity in adults: a meta-analysis. Eur J Pediatr. 2012;171(12):1737–46.CrossRefPubMed Zhao Y, Wang SF, Mu M, Sheng J. Birth weight and overweight/obesity in adults: a meta-analysis. Eur J Pediatr. 2012;171(12):1737–46.CrossRefPubMed
14.
go back to reference Tramunt B, Smati S, Grandgeorge N, Lenfant F, Arnal JF, Montagner A, Gourdy P. Sex differences in metabolic regulation and diabetes susceptibility. Diabetologia. 2020;63(3):453–61.CrossRefPubMed Tramunt B, Smati S, Grandgeorge N, Lenfant F, Arnal JF, Montagner A, Gourdy P. Sex differences in metabolic regulation and diabetes susceptibility. Diabetologia. 2020;63(3):453–61.CrossRefPubMed
15.
go back to reference Chen XY, Wu ZF, Wang XC, Dong XL, Zhu JF, Chen T, Xiao QW, Jiang ZW, Fu C. Association between body mass index and its change and type 2 diabetes mellitus risk in a prospective study. Zhonghua Liu Xing Bing Xue Za Zhi. 2016;37(10):1332–5.PubMed Chen XY, Wu ZF, Wang XC, Dong XL, Zhu JF, Chen T, Xiao QW, Jiang ZW, Fu C. Association between body mass index and its change and type 2 diabetes mellitus risk in a prospective study. Zhonghua Liu Xing Bing Xue Za Zhi. 2016;37(10):1332–5.PubMed
16.
go back to reference Chakraborty A, Rakesh PS, Kumaran V, Prasad J, Alexander AM, George K. Risk of developing adulthood obesity among females born with low birth weight: Results from a non-concurrent study from rural Southern India. Indian J Endocrinol Metab. 2014;18(3):414–8.CrossRefPubMedPubMedCentral Chakraborty A, Rakesh PS, Kumaran V, Prasad J, Alexander AM, George K. Risk of developing adulthood obesity among females born with low birth weight: Results from a non-concurrent study from rural Southern India. Indian J Endocrinol Metab. 2014;18(3):414–8.CrossRefPubMedPubMedCentral
17.
go back to reference Bischoff AR, Portella AK, Paquet C, DalleMolle R, Faber A, Arora N, Levitan RD, Silveira PP, Dube L. Low birth weight is associated with increased fat intake in school-aged boys. Br J Nutr. 2018;119(11):1295–302.CrossRefPubMed Bischoff AR, Portella AK, Paquet C, DalleMolle R, Faber A, Arora N, Levitan RD, Silveira PP, Dube L. Low birth weight is associated with increased fat intake in school-aged boys. Br J Nutr. 2018;119(11):1295–302.CrossRefPubMed
18.
go back to reference Hales CN, Barker DJ. Type 2 (non-insulin-dependent) diabetes mellitus: the thrifty phenotype hypothesis. Diabetologia. 1992;35(7):595–601.CrossRefPubMed Hales CN, Barker DJ. Type 2 (non-insulin-dependent) diabetes mellitus: the thrifty phenotype hypothesis. Diabetologia. 1992;35(7):595–601.CrossRefPubMed
20.
go back to reference Siddiqui K, Joy SS, Nawaz SS. Impact of Early Life or Intrauterine Factors and Socio-Economic Interaction on Diabetes - An Evidence on Thrifty Hypothesis. J Lifestyle Med. 2019;9(2):92–101.CrossRefPubMedPubMedCentral Siddiqui K, Joy SS, Nawaz SS. Impact of Early Life or Intrauterine Factors and Socio-Economic Interaction on Diabetes - An Evidence on Thrifty Hypothesis. J Lifestyle Med. 2019;9(2):92–101.CrossRefPubMedPubMedCentral
21.
go back to reference Prentice AM, Rayco-Solon P, Moore SE. Insights from the developing world: thrifty genotypes and thrifty phenotypes. Proc Nutr Soc. 2005;64(2):153–61.CrossRefPubMed Prentice AM, Rayco-Solon P, Moore SE. Insights from the developing world: thrifty genotypes and thrifty phenotypes. Proc Nutr Soc. 2005;64(2):153–61.CrossRefPubMed
22.
go back to reference Petry CJ, Ozanne SE, Hales CN. Programming of intermediary metabolism. Mol Cell Endocrinol. 2001;185(1–2):81–91.CrossRefPubMed Petry CJ, Ozanne SE, Hales CN. Programming of intermediary metabolism. Mol Cell Endocrinol. 2001;185(1–2):81–91.CrossRefPubMed
23.
go back to reference Chen P, Takeuchi F, Lee JY, Li H, Wu JY, Liang J, Long J, Tabara Y, Goodarzi MO, Pereira MA, et al. Multiple nonglycemic genomic loci are newly associated with blood level of glycated hemoglobin in East Asians. Diabetes. 2014;63(7):2551–62.CrossRefPubMedPubMedCentral Chen P, Takeuchi F, Lee JY, Li H, Wu JY, Liang J, Long J, Tabara Y, Goodarzi MO, Pereira MA, et al. Multiple nonglycemic genomic loci are newly associated with blood level of glycated hemoglobin in East Asians. Diabetes. 2014;63(7):2551–62.CrossRefPubMedPubMedCentral
24.
go back to reference Wen W, Zheng W, Okada Y, Takeuchi F, Tabara Y, Hwang JY, Dorajoo R, Li H, Tsai FJ, Yang X, et al. Meta-analysis of genome-wide association studies in East Asian-ancestry populations identifies four new loci for body mass index. Hum Mol Genet. 2014;23(20):5492–504.CrossRefPubMedPubMedCentral Wen W, Zheng W, Okada Y, Takeuchi F, Tabara Y, Hwang JY, Dorajoo R, Li H, Tsai FJ, Yang X, et al. Meta-analysis of genome-wide association studies in East Asian-ancestry populations identifies four new loci for body mass index. Hum Mol Genet. 2014;23(20):5492–504.CrossRefPubMedPubMedCentral
25.
go back to reference Liang J, Sun Y, Liu X, Zhu Y, Pei Y, Wang Y, Qiu Q, Yang M, Qi L. Genetic predisposition to obesity is associated with insulin secretion in Chinese adults: The Cardiometabolic Risk in Chinese (CRC) study. J Diabetes Complications. 2016;30(7):1229–33.CrossRefPubMed Liang J, Sun Y, Liu X, Zhu Y, Pei Y, Wang Y, Qiu Q, Yang M, Qi L. Genetic predisposition to obesity is associated with insulin secretion in Chinese adults: The Cardiometabolic Risk in Chinese (CRC) study. J Diabetes Complications. 2016;30(7):1229–33.CrossRefPubMed
26.
go back to reference Fabiani R, Naldini G, Chiavarini M. Dietary Patterns and Metabolic Syndrome in Adult Subjects: A Systematic Review and Meta-Analysis. Nutrients. 2019;11(9):2056. Fabiani R, Naldini G, Chiavarini M. Dietary Patterns and Metabolic Syndrome in Adult Subjects: A Systematic Review and Meta-Analysis. Nutrients. 2019;11(9):2056.
28.
go back to reference Li Y, He Y, Qi L, Jaddoe VW, Feskens EJ, Yang X, Ma G, Hu FB. Exposure to the Chinese famine in early life and the risk of hyperglycemia and type 2 diabetes in adulthood. Diabetes. 2010;59(10):2400–6.CrossRefPubMedPubMedCentral Li Y, He Y, Qi L, Jaddoe VW, Feskens EJ, Yang X, Ma G, Hu FB. Exposure to the Chinese famine in early life and the risk of hyperglycemia and type 2 diabetes in adulthood. Diabetes. 2010;59(10):2400–6.CrossRefPubMedPubMedCentral
29.
go back to reference Berk KA, Yahya R, Verhoeven AJM, Touw J, Leijten FP, van Rossum EF, Wester VL, Lips MA, Pijl H, Timman R, et al. Effect of diet-induced weight loss on lipoprotein(a) levels in obese individuals with and without type 2 diabetes. Diabetologia. 2017;60(6):989–97.CrossRefPubMedPubMedCentral Berk KA, Yahya R, Verhoeven AJM, Touw J, Leijten FP, van Rossum EF, Wester VL, Lips MA, Pijl H, Timman R, et al. Effect of diet-induced weight loss on lipoprotein(a) levels in obese individuals with and without type 2 diabetes. Diabetologia. 2017;60(6):989–97.CrossRefPubMedPubMedCentral
30.
go back to reference Ronn PF, Jorgensen ME, Smith LS, Bjerregaard P, Dahl-Petersen IK, Larsen CVL, Grarup N, Andersen GS. Associations between birth weight and glucose intolerance in adulthood among Greenlandic Inuit. Diabetes Res Clin Pract. 2019;150:129–37.CrossRefPubMed Ronn PF, Jorgensen ME, Smith LS, Bjerregaard P, Dahl-Petersen IK, Larsen CVL, Grarup N, Andersen GS. Associations between birth weight and glucose intolerance in adulthood among Greenlandic Inuit. Diabetes Res Clin Pract. 2019;150:129–37.CrossRefPubMed
31.
32.
go back to reference Ivorra C, García-Vicent C, Chaves FJ, Monleón D, Morales JM, Lurbe E. Metabolomic profiling in blood from umbilical cords of low birth weight newborns. J Transl Med. 2012;10:142.CrossRefPubMedPubMedCentral Ivorra C, García-Vicent C, Chaves FJ, Monleón D, Morales JM, Lurbe E. Metabolomic profiling in blood from umbilical cords of low birth weight newborns. J Transl Med. 2012;10:142.CrossRefPubMedPubMedCentral
33.
go back to reference Stocker C, O’Dowd J, Morton NM, Wargent E, Sennitt MV, Hislop D, Glund S, Seckl JR, Arch JR, Cawthorne MA. Modulation of susceptibility to weight gain and insulin resistance in low birthweight rats by treatment of their mothers with leptin during pregnancy and lactation. Int J Obes Relat Metab Disord. 2004;28(1):129–36.CrossRefPubMed Stocker C, O’Dowd J, Morton NM, Wargent E, Sennitt MV, Hislop D, Glund S, Seckl JR, Arch JR, Cawthorne MA. Modulation of susceptibility to weight gain and insulin resistance in low birthweight rats by treatment of their mothers with leptin during pregnancy and lactation. Int J Obes Relat Metab Disord. 2004;28(1):129–36.CrossRefPubMed
34.
go back to reference Qie R, Han M, Huang S, Li Q, Liu L, Zhang D, Cheng C, Zhao Y, Liu D, Qin P, et al. Association of TCF7L2 gene polymorphisms, methylation, and gene-environment interaction with type 2 diabetes mellitus risk: A nested case-control study in the Rural Chinese Cohort Study. J Diabetes Complications. 2021;35(3):107829.CrossRefPubMed Qie R, Han M, Huang S, Li Q, Liu L, Zhang D, Cheng C, Zhao Y, Liu D, Qin P, et al. Association of TCF7L2 gene polymorphisms, methylation, and gene-environment interaction with type 2 diabetes mellitus risk: A nested case-control study in the Rural Chinese Cohort Study. J Diabetes Complications. 2021;35(3):107829.CrossRefPubMed
35.
go back to reference Knop MR, Geng TT, Gorny AW, Ding R, Li C, Ley SH, Huang T. Birth Weight and Risk of Type 2 Diabetes Mellitus, Cardiovascular Disease, and Hypertension in Adults: A Meta-Analysis of 7 646 267 Participants From 135 Studies. J Am Heart Assoc. 2018;7(23):e008870.CrossRefPubMedPubMedCentral Knop MR, Geng TT, Gorny AW, Ding R, Li C, Ley SH, Huang T. Birth Weight and Risk of Type 2 Diabetes Mellitus, Cardiovascular Disease, and Hypertension in Adults: A Meta-Analysis of 7 646 267 Participants From 135 Studies. J Am Heart Assoc. 2018;7(23):e008870.CrossRefPubMedPubMedCentral
36.
go back to reference Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, Shan Z, Liu J, Tian H, Ji Q, et al. Prevalence of diabetes among men and women in China. N Engl J Med. 2010;362(12):1090–101.CrossRefPubMed Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, Shan Z, Liu J, Tian H, Ji Q, et al. Prevalence of diabetes among men and women in China. N Engl J Med. 2010;362(12):1090–101.CrossRefPubMed
Metadata
Title
Birth weight is associated with obesity and T2DM in adulthood among Chinese women
Authors
Pu Song
Hui Hui
Manqing Yang
Peng Lai
Yan Ye
Ying Liu
Xuekui Liu
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Endocrine Disorders / Issue 1/2022
Electronic ISSN: 1472-6823
DOI
https://doi.org/10.1186/s12902-022-01194-1

Other articles of this Issue 1/2022

BMC Endocrine Disorders 1/2022 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine