Diabetes mellitus gestacional y etnia materna: alta prevalencia de macrosomía fetal en mujeres no caucásicas

Aulinas, Anna; Biagetti, Betina; Vinagre, Irene; Capel, Ismael; Ubeda, Justa; María, Miguel Angel María; García‐Patterson, Apolonia; Adelantado, Juan M.; Ginovart, Gemma; Corcoy, Rosa

doi:10.1016/j.medcli.2012.05.034

Cited by 12 publications

(5 citation statements)

References 28 publications

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“…Racial disparities in perinatal outcomes among women with and without diabetes have also been described and some authors have even suggested a lower risk of adverse pregnancy outcomes in groups at high risk of GDM [20]. Several reports have found ethnic differences in the incidence of macrosomia and LGA and some of them indicate a higher risk in Latin American and Moroccan women [17,18,30] and a lower risk among South Central Asian women [31,32]. Our results are in general agreement with those of previous studies.…”

Section: Discussionsupporting

confidence: 92%

“…In this regard, Hartland et al assessed trimester-and ethnic group-related reference ranges for HbAlc in Caucasian and Asian pregnant women without diabetes and reported significantly higher levels among Asians [16]. On the other hand, ethnic differences have also been described in terms of obstetric results [17,18] and in the interrelationship between hyperglycaemia and pregnancy outcomes [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

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Association of first-trimester HbA1c levels with adverse pregnancy outcomes in different ethnic groups

Mañé

Roux

Gomez

et al. 2019

Diabetes Research and Clinical Practice

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Association of first-trimester HbA1c levels with adverse pregnancy outcomes in different ethnic groups

Mañé

Roux

Gomez

et al. 2019

Diabetes Research and Clinical Practice

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“…Other variables were also studied: region of origin (Sub Saharian Africa, Latin America, Asia and the Middle East, West Europe, Eastern Europe, and Maghreb) (19); body mass index (BMI); number of pregnancy and twin pregnancy; abortions; prolonged or pre-term delivery; cesarean section; diabetes mellitus (code O24.9 at CIE-10. ); arterial hypertension (code I10-I16 at l'ICD-10); dyslipidemia (code E78 at l'ICD-10); depression (codes F32.0-F32.9, F33.0-F33.3, F33.8, F33.9, F34.1, or F41.2 at l'ICD-10); preeclampsia; risk during pregnancy; newborn weight, classified as low weight (<2500 gr), normal weight (2500-4000 gr), and macrosomia (>4000 gr) (20); and score of the Apgar test in the first minute and in the fifth, classified as good when ≥7 points and bad when <7 points (21).…”

Section: • Materials and Methodsmentioning

confidence: 99%

Prevalence, risk factors, and consequences of hypothyroidism among pregnant women in the health region of Lleida: a cohort study

Siscart

Perejón

Serna

et al. 2022

Preprint

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Background: Primary maternal hypothyroidism is defined as the increase of TSH levels in serum during pregnancy. Hypothyroidism in pregnancy is the second most common endocrine disease, after diabetes mellitus, with a prevalence ranging between 3.2 and 5.5%. Its variability depends on ethnical differences. Hypothyroidism in pregnancy is associated with other chronic diseases and fetal and maternal outcomes. Objective: To analyze the prevalence of hypothyroidism among multiethnic pregnant women, and to evaluate the comorbidity with chronic diseases and outcomes leaded during pregnancy and newborn. Methods: Retrospective observational cohort study in pregnant women during the years 2012- 2018 in the health region of Lleida. The relationship of hypothyroidism with different variables was analyzed by calculating the adjusted odds ratio (aOR) and the 95% confidence intervals (CI) with multivariate logistic regression models. Results: We analyzed a sample of 17177 pregnant women, which represents more than 92% of the total of pregnant women in the health region of Lleida. The annual prevalence of hypothyroidism was 5.7-7.1%. According to the region of origin, the lowest prevalence was found in the population from Sub Saharian Africa (2.1%), while the highest was from Asia and the Middle East (8.6%). Other factors associated with hypothyroidism were age, hypertension, diabetes mellitus, and dyslipidemia. In addition, we did not observe an effect of hypothyroidism on the course of pregnancy, childbirth, and on the newborn. Finally, there was a good control of the disease during pregnancy. Conclusions: The prevalence of hypothyroidism in pregnancy was 6,5% in this study which depends on the country of origin, lower values were found in Sub Saharian African women and higher in those from Asia and the Middle East. Hypothyroidism was associated with age, diabetes mellitus, arterial hypertension, or dyslipidemia, and was not related to the Apgar score or the weight of the newborn.

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“…); arterial hypertension (code I10-I16 at l'ICD-10); dyslipidemia (code E78 at l'ICD-10); depression (codes F32.0-F32.9, F33.0-F33.3, F33.8, F33.9, F34.1, or F41.2 at l'ICD-10); preeclampsia; risk during pregnancy (this classification is what is used in the real practice in Lleida Region Health, on the one hand we can categorised low risk and medium risk as "low risk". On the other hand we can categorised high risk and very high risk as "high risk); newborn weight, classified as low weight (<2500 gr), normal weight (2500-4000 gr), and macrosomia (>4000 gr) [19]; score of the Apgar test in the first minute and in the fifth, classified as good when �7 points and bad when <7 points [20]; and therapeutic adherence, we defined three levels of therapeutic adherence, as we observed in other studies: high, for patients who took more than 80% of the drug prescribed; medium, for those who took between 50 and 80%; and low, for those who took <50% [17]).…”

Section: Plos Onementioning

confidence: 99%

Prevalence, risk factors, and consequences of hypothyroidism among pregnant women in the health region of Lleida: A cohort study

Siscart,

Perejón,

Serna

et al. 2023

PLoS ONE

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Background Primary maternal hypothyroidism is defined as the increase of TSH levels in serum during pregnancy. Hypothyroidism in pregnancy is the second most common endocrine disease, after diabetes mellitus, with a prevalence ranging between 3.2 and 5.5%. Its variability depends on ethnical differences. Hypothyroidism in pregnancy is associated with other chronic diseases and fetal and maternal outcomes. Objective To analyze the prevalence of hypothyroidism among multiethnic pregnant women, and to evaluate the comorbidity with chronic diseases and outcomes leaded during pregnancy and newborn. Methods Retrospective observational cohort study in pregnant women during the years 2012–2018 in the health region of Lleida. The relationship of hypothyroidism with different variables was analyzed by calculating the adjusted odds ratio (aOR) and the 95% confidence intervals (CI) with multivariate logistic regression models. Results We analyzed a sample of 17177 pregnant women, which represents more than 92% of the total of pregnant women in the health region of Lleida. The annual prevalence of hypothyroidism was 5.7–7.1%. According to the region of origin, the lowest prevalence was found in the population from Sub Saharian Africa (2.1%), while the highest was from Asia and the Middle East (8.6%). Other factors associated with hypothyroidism were age, hypertension, diabetes mellitus, and dyslipidemia. In addition, we did not observe an effect of hypothyroidism on the course of pregnancy, childbirth, and on the newborn. Finally, there was a good control of the disease during pregnancy. Conclusions The prevalence of hypothyroidism in pregnancy was 6,5% in this study which depends on the country of origin, lower values were found in Sub Saharian African women and higher in those from Asia and the Middle East. Hypothyroidism was associated with age, diabetes mellitus, arterial hypertension, or dyslipidemia, and was not related to the Apgar score or the weight of the newborn.

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Diabetes mellitus gestacional y etnia materna: alta prevalencia de macrosomía fetal en mujeres no caucásicas

Cited by 12 publications

References 28 publications

Association of first-trimester HbA1c levels with adverse pregnancy outcomes in different ethnic groups

Association of first-trimester HbA1c levels with adverse pregnancy outcomes in different ethnic groups

Prevalence, risk factors, and consequences of hypothyroidism among pregnant women in the health region of Lleida: a cohort study

Prevalence, risk factors, and consequences of hypothyroidism among pregnant women in the health region of Lleida: A cohort study

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