Trimester-Specific Serum Fructosamine in Association with Abdominal Adiposity, Insulin Resistance, and Inflammation in Healthy Pregnant Individuals

This study aimed to (1) characterize the variations in serum fructosamine across trimesters and according to pre-pregnancy BMI (ppBMI), and (2) examine associations between fructosamine and adiposity/metabolic markers (ppBMI, first-trimester adiposity, leptin, glucose homeostasis, and inflammation measurements) during pregnancy. Serum fructosamine, albumin, fasting glucose and insulin, leptin, adiponectin, interleukin-6 (IL-6), and C-reactive protein (CRP) concentrations were measured at each trimester. In the first trimester, subcutaneous (SAT) and visceral (VAT) adipose tissue thicknesses were estimated by ultrasound. In the 101 healthy pregnant individuals included (age: 32.2 +/- 3.5 y.o.; ppBMI: 25.5 +/- 5.5 kg/m(2)), fructosamine concentrations decreased during pregnancy whereas albumin-corrected fructosamine concentrations increased (p < 0.0001 for both). Notably, fructosamine concentrations were inversely associated with ppBMI, first-trimester SAT, VAT, and leptin (r = -0.55, r = -0.61, r = -0.48, r = -0.47, respectively; p < 0.0001 for all), first-trimester fasting insulin and HOMA-IR (r = -0.46, r = -0.46; p < 0.0001 for both), and first-trimester IL-6 (r = -0.38, p < 0.01). However, once corrected for albumin, most of the correlations lost strength. Once adjusted for ppBMI, fructosamine concentrations were positively associated with third-trimester fasting glucose and CRP (r = 0.24, r = 0.27; p < 0.05 for both). In conclusion, serum fructosamine is inversely associated with adiposity before and during pregnancy, with markers of glucose homeostasis and inflammation, but the latter associations are partially influenced by albumin concentrations and ppBMI.

Automated summary

This study aimed to explore the variations in serum fructosamine during pregnancy and its associations with adiposity/metabolic markers. The results showed that serum fructosamine concentrations decreased during pregnancy and were inversely associated with pre-pregnancy BMI, first-trimester adiposity, and leptin. However, once corrected for albumin, most of the correlations weakened. Additionally, fructosamine concentrations were positively associated with third-trimester fasting glucose and CRP after adjusting for pre-pregnancy BMI.