Gestational diabetes, a type of diabetes that occurs during pregnancy, affects between three and 20 per cent of pregnant women. Those who develop gestational diabetes are 7 times as likely to eventually develop type 2 diabetes in the years following pregnancy. Now, in a large study analyzing 20 years of data from Quebec, a team from the Research Institute of the McGill University Health Centre (RI-MUHC) has demonstrated that gestational diabetes signals future diabetes risk not only in mothers, but also in fathers. The study was recently published in Diabetes Care.
“We observed that the incident of diabetes was 33% greater in men whose partner has gestational diabetes compared with men whose partners did not have gestational diabetes,” says the lead author of the study, Dr. Kaberi Dasgupta, endocrinologist at the MUHC and an associate professor of Medicine at McGill University. “This is the first study to demonstrate a link between gestational diabetes in mothers and diabetes incidence in fathers.”
Prior studies have shown partners to be similar in their weight and physical activity. Moreover, Dr. Dasgupta’s team has shown evidence in a study conducted in 2014 that spousal diabetes was a diabetes risk factor. Then the researchers hypothesized that gestational diabetes in mothers signals a possible diabetes incidence in fathers. Gestational diabetes occurs when couples are in young to middle adulthood. Diabetes risk factors in these years are of high importance as they offer an opportunity for long term prevention.
The researchers randomly selected singleton live births from 1990 to 2007 with a positive diagnosis for gestational diabetes in mothers and matched controls without gestational diabetes from health administrative, birth and death registry data from the province of Quebec. Then, they identified fathers with type 2 diabetes from the time of the mother’s post-delivery discharge from the hospital to the father’s departure from Quebec, death or end of the study period (March 31, 2012). Overall, 70,890 fathers were evaluated (half with partners with gestational diabetes).
“Our analysis suggests that couples share risk partly because of their shared social and cultural environment, which may contribute to health behaviours and attitudes,” explains Dr. Dasgupta. “The study reinforces our previous findings on shared risk for diabetes in spouses and prior studies indicating that less healthy habits and low physical activity could be shared within a household. Our data suggest that gestational diabetes could be leveraged as a tool to enhance diabetes detection and prevention in fathers.’’’
About the study This work was supported by the Canadian Diabetes Association. Dr. Dasgupta holds the Fonds de recherche du Québec – Santé (FRQS) Senior Clinician-Scientist Award.
The article (Observation Letter) entitled Gestational Diabetes Mellitus in Mothers as a Diabetes Predictor in Fathers: A Retrospective Cohort Analysis (DOI: 10.2337/dc15-0855) was coauthored by Kaberi Dasgupta, Deborah Da Costa, Elham Rahme (Research Institute of the McGill University Health Centre; Department of Medicine, McGill University); Nancy Ross (Department of Geography, McGill University); Sara Meltzer (Department of Medicine, McGill University); Meranda Nakhla (Research Institute of the McGill University Health Centre; Department of Pediatrics, McGill University); and Youssef Habel (Research Institute of the McGill University Health Centre).
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