Response to Comment on: Black et al. The Relative Contribution of Prepregnancy Overweight and Obesity, Gestational Weight Gain, and IADPSG-Defined Gestational Diabetes Mellitus to Fetal Overgrowth. Diabetes Care 2013;36:56–62 | Zendy

Mary Helen Black | Zendy; David A. Sacks | Zendy; Anny H. Xiang | Zendy; Jean M. Lawrence | Zendy

Open Access

Response to Comment on: Black et al. The Relative Contribution of Prepregnancy Overweight and Obesity, Gestational Weight Gain, and IADPSG-Defined Gestational Diabetes Mellitus to Fetal Overgrowth. Diabetes Care 2013;36:56–62

Author(s) -

Mary Helen Black,

David A. Sacks,

Anny H. Xiang,

Jean M. Lawrence

Publication year - 2013

Publication title -

diabetes care

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 6.636

H-Index - 363

eISSN - 1935-5548

pISSN - 0149-5992

DOI - 10.2337/dc13-0605

Subject(s) - medicine , gestational diabetes , overweight , diabetes mellitus , obesity , body mass index , obstetrics , gestation , weight gain , fetal macrosomia , pregnancy , negroid , endocrinology , body weight , epidemiology , genetics , biology

We thank McIntyre and Catalano (1) for their interest in our article (2). In this study, we examined the relative effects of prepregnancy overweight/obesity, excess gestational weight gain, and IADPSG-defined gestational diabetes mellitus (GDM) on fetal overgrowth and other adverse outcomes, in a sample of 9,835 women who had a 2-h 75-g oral glucose tolerance test and were not treated with diet, exercise, or antidiabetic medications during pregnancy. Our analysis revealed that the majority (75%) of GDM women were overweight or obese at the start of pregnancy, and 21.6% of large-for-gestational-age (LGA) infants were attributable to overweight/obesity among women who never developed GDM. We also found that the effects of overweight/obesity and GDM …

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