“…As the partial population attributable fraction of GDM, BMI and GWG was < 50%, other factors may be important contributors to LGA infants. Similar to the findings of others, our data indicate that, while ethnicity [15,16], a familial history of diabetes and personal history of a child with macrosomia [15,29] suggest genetic causes of macrosomia, smoking habits [6], multiparity and preeclampsia [31] are also possible, non-genetic causes of macrosomia. All these factors may play a role through epigenetic mechanisms, with fetal epigenetic programming of adipokines involved when considering BMI and GWG [32].…”