Impact of smoking on gestational diabetes mellitus and offspring birthweight in primiparous women

Masalin, Senja; Kautiainen, Hannu; Gissler, Mika; Pennanen, Pirjo; Eriksson, Johan G.; Laine, Merja K.

doi:10.1111/aogs.13924

Cited by 12 publications

(11 citation statements)

References 29 publications

(82 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This association persisted after adjusting for key confounders including race and ethnicity, age, and body mass index 22. Similar findings were reported in observational cohort studies in international populations as well 23,24. However, a recent meta-analysis did not support these findings, showing no significant association between cigarette smoking and gestational diabetes (pooled OR=0.98, 95% CI: 0.88-1.10) 25.…”

Section: Introductionsupporting

confidence: 68%

“…22 Similar findings were reported in observational cohort studies in international populations as well. 23,24 However, a recent meta-analysis did not support these findings, showing no significant association between cigarette smoking and gestational diabetes (pooled OR = 0.98, 95% CI: 0.88-1.10). 25 Additional studies are needed to further explore this association.…”

Section: Gestational Diabetesmentioning

confidence: 96%

See 1 more Smart Citation

Pregnancy Outcomes Associated With Use of Tobacco and Marijuana

Layoun

Ohnona

Tolosa

2022

Clinical Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Tobacco and marijuana are the most common drugs of abuse among pregnant women. Cigarettes have been extensively studied and increase the risk of miscarriage, preterm birth, premature rupture of membranes, placental dysfunction, low birth rate, stillbirth, and infant mortality. There are sparse data on the specific effects of electronic cigarettes and smokeless tobacco in pregnancy. Literature on marijuana in pregnancy is limited by confounding, bias, and the retrospective nature of studies that do not capture contemporary trends in use. However, several studies suggest an association between marijuana and fetal growth restriction, low birth weight, and neurodevelopmental differences in offspring.

show abstract

Section: Introductionsupporting

confidence: 68%

Section: Gestational Diabetesmentioning

confidence: 96%

Pregnancy Outcomes Associated With Use of Tobacco and Marijuana

Layoun

Ohnona

Tolosa

2022

Clinical Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

show abstract

“…According to a meta-analysis [ 22 ], smoking is not associated with an increased risk of GDM. However, it has been noted in the recent population-based register study [ 21 ] and prospective study [ 23 ] that smoking during pregnancy is associated with an increased risk for GDM.…”

Section: Discussionmentioning

confidence: 99%

Pre-pregnancy body surface area and risk for gestational diabetes mellitus

et al. 2023

Self Cite

View full text Add to dashboard Cite

Aims To evaluate the effect of the pre-pregnancy body surface area (BSA) on the risk of gestational diabetes mellitus (GDM). Methods The study population consisted of all primiparous women with singleton pregnancies (n = 328,892) without previously diagnosed diabetes or chronic hypertension in Finland between 2006 and 2019. The information on GDM, oral glucose tolerance test (OGTT) results, and maternal backgrounds was derived from the Finnish Medical Birth Register. The pre-pregnancy BSA was calculated by using the Mosteller formula. Logistic regression models were used to estimate the association between BSA and GDM/ OGTT separately by the body mass index groups. Results A lower BSA predicted an increased risk for GDM and pathological OGTT among the underweight (b = − 2.69, SE = 0.25, p < 0.001; b = − 2.66, SE = 0.23, p < 0.001, respectively) pregnant women, and normal weight (b = − 0.30, SE = 0.10, p = 0.002; b = − 0.67, SE = 0.09, p < 0.001, respectively) pregnant women; and pathological OGTT among the overweight (b = − 0.31, SE = 0.10, p = 0.001) pregnant women. Within the obese class II or greater, a higher BSA predicted a higher risk for GDM (b = 0.74, SE = 0.12, p < 0.001) and pathological OGTT (b = 0.79, SE = 0.13, p < 0.001). Maternal smoking predicted a significantly higher risk of GDM and pathological OGTTs in almost all body mass index groups. Conclusion This study showed that in comparison with women with a higher BSA, underweight, and normal weight pregnant women with a smaller BSA may be more susceptible to GDM and have a pathological OGTT.

show abstract

“…Therefore, this observation needs further clarification. Smoking during pregnancy is said to be associated with an increased risk of GDM [ 67 ]. A possible explanation of the association is the effect of smoking on increased oxidative stress, inflammation, hyperglycemia, and insulin resistance, but the exact mechanism of action is yet to be determined [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

The incidence of gestational diabetes mellitus among women with polycystic ovary syndrome: a meta-analysis of longitudinal studies

Yan

Qiu

Liu

et al. 2022

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Previous studies have shown that polycystic ovary syndrome is a predictor of gestational diabetes mellitus, but we do not know exactly how many polycystic ovary syndrome patients may develop gestational diabetes mellitus. Currently, the incidence of gestational diabetes mellitus among women with polycystic ovary syndrome varies greatly across studies, ranged from 4.12% to 59.50%. Besides, many factors have been found to be related to the incidence of gestational diabetes mellitus among women with polycystic ovary syndrome, but the results among different studies are not consistent. The possible causes of inconsistencies between the current estimates were unclear. This review aimed at exploring the pooled incidence of gestational diabetes mellitus among women with polycystic ovary syndrome, summarizing possible causes of the inconsistencies in the current estimates, try to provide a reference for prevention of gestational diabetes mellitus and polycystic ovary syndrome in the future. Methods Systematic searches of different databases (including EMBASE, Web of Science, MEDLINE, The Cochrane Library, CNKI and PubMed) were conducted for studies published until 31 May 2021. Statistical analyses were performed using R software, the pooled incidence of gestational diabetes mellitus among polycystic ovary syndrome patients was combined using random effects model. Cochrane’s “Tool to Assess Risk of Bias in Cohort Studies” was used for quality assessment. Results Twenty-two longitudinal studies were included. A total of 24,574 women with polycystic ovary syndrome were identified in the 22 articles, of which 4478 were reported with gestational diabetes mellitus. The pooled incidence of gestational diabetes mellitus among women with polycystic ovary syndrome was 20.64%, with a 95% CI of 14.64% to 28.30%. In the meta-regression model, several variables including age, area, quality score and sample size were suggested as significant sources of heterogeneity, accounted for 77.57% of the heterogeneity across studies. Conclusions Evidence in this review suggests that gestational diabetes mellitus were common among women with polycystic ovary syndrome. More research is needed to found effective interventions for preventing gestational diabetes mellitus among women with polycystic ovary syndrome.

show abstract

Impact of smoking on gestational diabetes mellitus and offspring birthweight in primiparous women

Abstract: This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Cited by 12 publications

References 29 publications

Pregnancy Outcomes Associated With Use of Tobacco and Marijuana

Pregnancy Outcomes Associated With Use of Tobacco and Marijuana

Pre-pregnancy body surface area and risk for gestational diabetes mellitus

The incidence of gestational diabetes mellitus among women with polycystic ovary syndrome: a meta-analysis of longitudinal studies

Contact Info

Product

Resources

About