{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:10:21Z","timestamp":1787987421478,"version":"build-2784847793"},"reference-count":55,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01 DK118409"],"award-info":[{"award-number":["R01 DK118409"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01 DK122700"],"award-info":[{"award-number":["R01 DK122700"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R21 DK103171"],"award-info":[{"award-number":["R21 DK103171"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01 HD050625"],"award-info":[{"award-number":["R01 HD050625"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000041","name":"American Diabetes Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study sought to evaluate the distinct impact of fetal exposure to gestational diabetes (GDM) severity, as well as the impact of infant breastfeeding (BF) and sugary beverage intake, on preadolescent overweight and obesity, accounting for other established risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This analysis included 850 mother\u2010infant dyads exposed to GDM who reported monthly infant BF duration and intensity, as well as sugary beverage intake (sugar\u2010sweetened beverages [SSB] and 100% fruit juice [FJ]) during the first year of life, BMI measured at ages 6 to 11\u2009years, and GDM severity variables (i.e., diagnosis time, treatment, and glycemic control). Preadolescent weight and height from electronic health records classified the following BMI percentiles: normal weight, &lt;85th percentile (referent); overweight (85th to &lt;95th percentile); obesity (\u226595th percentile); moderate obesity (100 to &lt;120% of 95th percentile); and severe obesity (\u2265120% of 95th percentile). Log\u2010binomial regression models estimated adjusted relative risk (aRR) and 95% CI of BMI categories associated with fetal exposure to GDM severity and infant diet (inadequate BF, &lt;6\u2009months or adequate BF, \u22656\u2009months, combined with or without SSB\/FJ intake).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among preadolescents, 17.6% had overweight, 18.2% had moderate obesity, and 7.6% had severe obesity. Compared with adequate BF with no SSB\/FJ, aRR (95% CI) of developing obesity was 1.55 (95% CI: 1.05\u20132.30) for inadequate BF with SSB\/FJ intake and 1.50 (95% CI: 1.01\u20132.21) for adequate BF with SSB\/FJ intake, independent of GDM severity and covariates. The aRR (95% CI) of developing severe obesity was 3.80 (95% CI: 1.55\u20139.29) for inadequate BF with SSB\/FJ intake versus adequate BF without SSB\/FJ intake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>BF adequacy and avoidance of sugary beverages in early life are modifiable lifestyle behaviors that may combat preadolescent obesity in infants exposed to GDM, suggesting potential longer\u2010term benefits on child cardiometabolic health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.24261","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T05:34:40Z","timestamp":1741757680000},"page":"996-1010","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Fetal exposure to gestational diabetes severity and postnatal infant feeding in the first year of life associated with preadolescent obesity: a prospective cohort"],"prefix":"10.1002","volume":"33","author":[{"given":"Baiyang","family":"Sun","sequence":"first","affiliation":[{"name":"Division of Research, Kaiser Permanente Northern California  Pleasanton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan C.","family":"Lo","sequence":"additional","affiliation":[{"name":"Division of Research, Kaiser Permanente Northern California  Pleasanton California USA"},{"name":"Department of Endocrinology, The Permanente Medical Group, Kaiser Permanente Oakland Medical Center  Oakland California USA"},{"name":"Department of Health Systems Science, Kaiser Permanente Bernard J. 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