Risk factors for gestational diabetes mellitus: Ethnic disparities

Lin, Tzu-Chi; Mu, Chia-Fen; Hsu, Chao‐Yu

doi:10.1111/ajr.12151

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…Additionally, two were in Vietnam [141, 142], Malaysia [143, 144], Qatar [145, 146], Pakistan [147, 148] and Nepal [149, 150]. One each were from Yemen [151], Hong Kong [152], Singapore [153], Taiwan [154] and Turkmenistan [155].…”

Section: Resultsmentioning

confidence: 99%

Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis

Lee

Ching

Ramachandran

et al. 2018

BMC Pregnancy Childbirth

387

273

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BackgroundGestational diabetes mellitus (GDM) is a of the major public health issues in Asia. The present study aimed to determine the prevalence of, and risk factors for GDM in Asia via a systematic review and meta-analysis.MethodsWe systematically searched PubMed, Ovid, Scopus and ScienceDirect for observational studies in Asia from inception to August 2017. We selected cross sectional studies reporting the prevalence and risk factors for GDM. A random effects model was used to estimate the pooled prevalence of GDM and odds ratio (OR) with 95% confidence interval (CI).ResultsEighty-four studies with STROBE score ≥ 14 were included in our analysis. The pooled prevalence of GDM in Asia was 11.5% (95% CI 10.9–12.1). There was considerable heterogeneity (I2 > 95%) in the prevalence of GDM in Asia, which is likely due to differences in diagnostic criteria, screening methods and study setting. Meta-analysis demonstrated that the risk factors of GDM include history of previous GDM (OR 8.42, 95% CI 5.35–13.23); macrosomia (OR 4.41, 95% CI 3.09–6.31); and congenital anomalies (OR 4.25, 95% CI 1.52–11.88). Other risk factors include a BMI ≥25 kg/m2 (OR 3.27, 95% CI 2.81–3.80); pregnancy-induced hypertension (OR 3.20, 95% CI 2.19–4.68); family history of diabetes (OR 2.77, 2.22–3.47); history of stillbirth (OR 2.39, 95% CI 1.68–3.40); polycystic ovary syndrome (OR 2.33, 95% CI1.72–3.17); history of abortion (OR 2.25, 95% CI 1.54–3.29); age ≥ 25 (OR 2.17, 95% CI 1.96–2.41); multiparity ≥2 (OR 1.37, 95% CI 1.24–1.52); and history of preterm delivery (OR 1.93, 95% CI 1.21–3.07).ConclusionWe found a high prevalence of GDM among the Asian population. Asian women with common risk factors especially among those with history of previous GDM, congenital anomalies or macrosomia should receive additional attention from physician as high-risk cases for GDM in pregnancy.Trial registrationPROSPERO (2017: CRD42017070104).

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Section: Resultsmentioning

confidence: 99%

Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis

Lee

Ching

Ramachandran

et al. 2018

BMC Pregnancy Childbirth

387

273

View full text Add to dashboard Cite

show abstract

“…A similar report of increased incidence of recurrence of GDM in subsequent pregnancy was found by Ehrlich et al [22] who found that 38% had GDM in subsequent pregnancy compared with 3.5% among women without GDM in first pregnancy. Other studies [12,23] also found previous history of GDM in previous pregnancy as an independent risk factor.…”

Section: Discussionmentioning

confidence: 77%

Prevalence of Gestational Diabetes Mellitus and Maternal and Fetal Outcomes at the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria

John

Awoyesuku

MacPepple

et al. 2020

JAMMR

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Background: Gestational diabetes mellitus (GDM) is a common cause of hyperglycaemia in pregnancy accounting for about 90% of all diabetic pregnancies. Women with GDM are at increased risk of maternal and fetal morbidity and mortality which are preventable through early diagnosis and treatment. Objective: The aim was to determine the prevalence of GDM, compare the maternal and neonatal complications among GDM and non-GDM pregnant women, and the risk factors associated with GDM. Methodology: A prospective cohort study was carried out among 105 pregnant women attending the antenatal clinic of RSUTH between February and August 2017. They were interviewed using a pre-structured questionnaire that covered variables related to socio-demographic factors and family, medical, and social history. Fasting blood sugar (FBS) was done after an overnight fast. Women who had FBS less than 7 mmol/L had 75 g Oral Glucose Tolerant Test (OGTT) done. Those diagnosed with gestational diabetes mellitus were the exposed group while those negative for GDM were the non-exposed group. Both groups were followed up to delivery, and maternal and fetal outcomes were noted. Statistical analysis was carried out using SPSS version 20 and significance set at p < 0.05. Results: The prevalence of GDM was 10.5%. Positive history of GDM in previous pregnancy was the only independent risk factor (p=0.04, Adj OR: 26.89, 95% CI 2.86 to 252.61). GDM mothers had a significantly higher risk of developing pre-eclampsia (RR=7.48; 95% CI =3.36 to 16.63). Neonates of GDM mothers were at increased risk of fetal macrosomia (RR =9.00; 95% CI=1.36 to 59.4) and neonatal admissions (RR=8.00; C.I =1.19 to 53.67). Conclusion: The study revealed that the prevalence of GDM was high and that those with GDM were at increased risk of developing fetal and maternal complications. A history of GDM in previous pregnancy was an essential risk factor for subsequent GDM.

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“…Due to the differences in genetics and diagnostic methods and a lack of universal comprehensive screening during pregnancy, the prevalence of GDM varies widely among countries, ranging from 2-25% [2]. Taiwan does not yet have relevant national statistics, although regional studies have shown a GDM prevalence of approximately 3.5-7.9% [3].…”

Section: Introductionmentioning

confidence: 99%

The Perceptions and Experience of Women With Gestational Diabetes Mellitus in Taiwan: A Phenomenological Study

Chang

Sun

2021

Preprint

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Background: At present, most research related to GDM investigates disease control from the perspective of medical care givers. Medical professionals often lack understanding of the life context of GDM, which not only alienates them from the experience of patients with GDM but also leads to the provision of health care and the formulation of policies that are not appropriate for women. The objective of the present study was to explore the perceptions and experience of women with GDM in Taiwan.Methods: A descriptive phenomenological approach was applied to conduct this study. Purposive sampling was utilized to select 22 women with GDM from a medical centre in northern Taiwan. Data were collected from October 2017 and July 2018 through in-depth interviews using semi-structured and open-ended questions. Data were analysed according to Giorgi’s phenomenological method.Results: Four themes emerged from the data: Unexpectedly having a high-risk pregnancy, Beliefs of effects of blood glucose control, Perceived obstacles of implementing blood glucose control and Maternal duty to ensure the safety of mother and child.Conclusions: Health professionals must be able to understand the experience and perception of women with GDM. In addition to the medical care needs for women with GDM, their culture, the emotional impact of the disease, and their feelings and difficulties in the face of the disease must be considered to ensure that women receive comprehensive perinatal care.

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Risk factors for gestational diabetes mellitus: Ethnic disparities

Abstract: The Taiwanese aboriginal women exhibited higher incidence of GDM; thus, we recommend that early screening and health education for pregnant aboriginal women be provided.

Cited by 5 publications

References 23 publications

Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis

Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis

Prevalence of Gestational Diabetes Mellitus and Maternal and Fetal Outcomes at the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria

The Perceptions and Experience of Women With Gestational Diabetes Mellitus in Taiwan: A Phenomenological Study

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