Association between body mass index in the first half of pregnancy and gestational diabetes: A systematic review

Rahnemaei, Fatemeh Alsadat; Abdi, Fatemeh; Davoodi, Sayed Hossein; Shaterian, Negar; Shaterian, Negin; Aeen, Fatemeh Behesht

doi:10.1177/20503121221109911

Cited by 14 publications

(9 citation statements)

References 77 publications

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“…Lim et al [14] discovered that the TyG-BMI index outperformed TyG, TyG-WC, and TyG-WHtR in predicting IR. Recognizing that obesity, as de ned by BMI, is instrumental in IR progression [26] and implicated in GDM pathophysiology, higher maternal BMI emerges as a GDM risk factor [27,28]. Song et al [28] demonstrated that GDM likelihood escalates with each standard deviation increment in BMI (OR = 1.64, P = 5.05 × 10^-17).…”

Section: Discussionmentioning

confidence: 99%

First-trimester triglyceride glucose-body mass index as a risk marker for gestational diabetes mellitus

Xiang,

Guo,

Pan

et al. 2024

Preprint

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Introduction: Gestational diabetes mellitus (GDM) is a significant pregnancy complication. Early identification of at-risk women is crucial for prevention. This study evaluates the first-trimester triglyceride glucose-body mass index (TyG-BMI) as a GDM predictor. Methods A retrospective study on 943 patients from The Third Affiliated Hospital of Wenzhou Medical University analyzed TyG-BMI’s correlation with GDM using logistic regression and stratified analyses. The area under the curve (AUC) assessed TyG-BMI’s diagnostic performance. Scatter plots and Pearson correlation analysis have clarified the link between TyG-BMI and neonatal birth weight, as well as the link between TyG-BMI and OGTT glycemic measures. Results In a study of 943 participants, 170 developed GDM, while 773 did not. Elevated TyG-BMI levels were linked to a higher GDM risk. The odds ratio (OR) for GDM was significant in all models, with the highest OR in the fully adjusted model (OR = 1.063, 95% CI: 1.031–1.097). TyG-BMI levels showed a linear relationship with GDM risk and outperformed other measures in diagnostic accuracy, with an AUC of 67.4% (95% CI: 62.9%-72%). TyG-BMI had a strong positive correlation with fasting blood glucose levels (r = 0.347, P < 0.001), but not with 1-hour or 2-hour levels in patients with GDM. It was also significantly higher in the triple positive group compared to single and double positive groups, although no significant link was found between TyG-BMI and neonatal birth weight. Discussion Our study indicates that the TyG-BMI index, measured in the first trimester, is an independent and effective predictor of GDM.

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Section: Discussionmentioning

confidence: 99%

First-trimester triglyceride glucose-body mass index as a risk marker for gestational diabetes mellitus

Xiang,

Guo,

Pan

et al. 2024

Preprint

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“… 18 An elevated BMI carries an increased risk of GDM diagnosis. 19 In addition, multiparous females are more likely to develop GDM. 20 The median women in this study had a gravida/para designation of G3P2, signifying that most of the women in this study fall within the multiparous category and, therefore, are also at an elevated risk of developing GDM.…”

Section: Discussionmentioning

confidence: 99%

Identifying Discrepancies in Gestational Diabetes Mellitus Postpartum Follow-Up During Care Transitions

Strelow,

Herndon,

Ferrier

et al. 2023

J Prim Care Community Health

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Background: Gestational diabetes mellitus (GDM) is a common complication of pregnancy that carries lasting risks. For women who have a history of GDM, the risk of developing type 2 diabetes mellitus (T2DM) increases by 50 to 60%. To monitor and prevent the development of T2DM, guidelines suggest screening those with a history of GDM at 6-weeks and 3-years post-delivery. For patients with abnormal lab results at the 6-week mark, it is advised to complete lab work sooner, at the 1-year mark. Data suggests that these guidelines are not being followed globally, and most do not receive adequate screening for T2DM. Methods: A retroactive chart review of 203 women between 18 and 55 years old with a past medical history significant for GDM was conducted to determine if patients with GDM completed screening for T2DM at 6-week, 1-year, and 3-year timestamps post-delivery. Patient demographics (age, race, ethnicity, language), clinical characteristics (body mass index), provider gender, and whether prediabetes or T2DM developed were recorded. Patients who did not complete the required follow-up received educational materials via the online portal system, and hemoglobin A1c (HbA1c) screening tests were ordered. Results: Ninety days post-intervention, 38 patients (50%) completed the HbA1c screening test, which exceeded our goal of a 5% improvement. Age and BMI 1-year postpartum were found to be significant factors in whether a patient completed HbA1c screening, with 16/18 (89%) completing screening with a healthy BMI 1-year postpartum (18.5 ≤ BMI < 25.0) but only 11/41 (27%) completing screening for patients under 40 years with an unhealthy BMI 1-year postpartum. Of the 38 patients who completed HbA1c screening, 9 (23.7%) had abnormal screening results. Conclusion: Follow-up surveillance for T2DM among women with a history of GDM is poor. Electronic health records can be used to identify and rectify gaps in care. Dissemination of standardized educational materials and electronic order entry for patients improved screening between the handoff from obstetrics to primary care.

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“…When reporting the article protocol, the PRISMA (preferential reporting items for systematic review and meta-analysis) guidelines were followed. (15,16) Also, according to PRISMA guidelines, the following steps were performed: systematic literature review, organizing documents to review, abstracting and evaluating the quality of each experimental study, combining data, and writing a report. (17)…”

Section: Methodsmentioning

confidence: 99%

The Impact of the Fruit and Seed of Date on Childbirth Stages and Pregnancy Complications

Rahnemaei,

Kashani,

Jandaghian-Bidgoli

et al. 2024

Sultan Qaboos Univ Med J

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The present study aimed to investigate the effects of date fruit products on the childbirth process and pregnancy complications. MeSH keywords systematically were searched in scientific databases. Finally, 16 articles were reviewed. Overall results of studies illustrated that using seven date fruits per day(average of 80 grams per day) for 2 - 4 weeks before their estimated date of delivery leads to a better cervical dilatation at admission or improvement of bishop score, decrease in the need for induction or stimulation of labor and by increasing effective uterine contractions, decrease duration of pregnancy, and duration of the different stages of labor. Also, date fruit products can improve blood pressure parameters in pregnant women at risk of preeclampsia and accelerate episiotomy healing. Keywords: Pregnancy; Childbirth; Phoenix dactylifera; Date Fruits; Date Palm Fruit.

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Association between body mass index in the first half of pregnancy and gestational diabetes: A systematic review

Cited by 14 publications

References 77 publications

First-trimester triglyceride glucose-body mass index as a risk marker for gestational diabetes mellitus

First-trimester triglyceride glucose-body mass index as a risk marker for gestational diabetes mellitus

Identifying Discrepancies in Gestational Diabetes Mellitus Postpartum Follow-Up During Care Transitions

The Impact of the Fruit and Seed of Date on Childbirth Stages and Pregnancy Complications

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