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

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

