Frontiers in Endocrinology

First-trimester SPISE mediates the association between early-pregnancy body fat percentage change and gestational diabetes mellitus: an exploratory secondary analysis of a prospective cohort

Figure 1. Flow diagram showing participant selection.
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Figure 1. Flow diagram showing participant selection.Flow diagram showing participant selection.Zhang et al.
Cohort study of 586 peopleBiomarkers

Declared no competing interests

The paper

Shanxi Provincial People’s Hospital; Shishi Municipal Hospital

Frontiers in Endocrinology, 9 Sep 2026

doi.org/10.3389/fendo.2026.1931823PubMed 42780505