Risk factors for gestational diabetes mellitus in Chinese women—a prospective study of 16 286 pregnant women in China

Yang, Hui; Wei, Yueguang; Gao, Xuyuan; Xu, Xiao; Liu, Fan; He, Jing; Hu, Yali; Liu, X.; Chen, X.; Yang, Zi; Zhang, Cuilin

doi:10.1111/j.1464-5491.2009.02845.x

Cited by 128 publications

(108 citation statements)

References 30 publications

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“…In this study, GA levels strongly correlated with the A1C levels in both GDM and NGT women and these glycated proteins also correlated with FPG and PPG, similar to the observation of Yang et al and Abe et al [10,12]. Hashimoto K et al [14] documented that A1C but not GA was elevated because of iron deficiency anemia in late pregnancy in diabetic women.…”

Section: Discussionsupporting

confidence: 90%

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Comparison of Glycated Albumin (GA) and Glycosylated Hemoglobin (A1C) in monitoring glycemic excursions during pregnancy

Seshiah¹,

Balaji²,

Srinivasan³

et al. 2013

OJOG

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Section: Discussionsupporting

confidence: 90%

“…Obesity and advanced age are the risk factors for the development of GDM [10]. In this study also, these factors were observed as risk factors for GDM.…”

Section: Discussionsupporting

confidence: 71%

Comparison of Glycated Albumin (GA) and Glycosylated Hemoglobin (A1C) in monitoring glycemic excursions during pregnancy

Seshiah¹,

Balaji²,

Srinivasan³

et al. 2013

OJOG

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“…15～13.17) and 6.54 (2.42～17.69), respectively. This finding was consistent with previous studies [17,18]. In addition, spontaneous abortion frequency and history of menstrual cycle disorder were significantly associated with an elevated GDM risk.…”

Section: Discussionsupporting

confidence: 93%

“…However, there were only a few studies reporting the prevalence and risk factors of GDM in China [17,18]. Of particular note, the studies towards the central and western regions of China were lacked.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of gestational diabetes mellitus in Wuhan city of China--a case control study

Liu¹,

Dai²,

Yang³

et al. 2017

J Pregnancy Reprod

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Objective: To explore the main risk factors of gestational diabetes mellitus in Wuhan, China.Methods: 206 women with gestational diabetes mellitus who were diagnosed in Hubei Maternal and Child Health Hospital between January 2014 and December 2015 were selected as case group. Meanwhile, 286 healthy pregnant women, who were delivered at the same time, were selected as control group. Maternal age, occupation, race/ethnicity, gestation status, and family history, etc. were obtained from the face-to-face interviews as well as their medical records. Univariate logistic regression analysis and multivariate logistic regression analysis were conducted to explore the risk factors. Results:The factors included into multivariate logistic regression model were maternal age, menarche age, history of menstrual cycle disorder, spontaneous abortion frequency, maternal history of diabetes, and paternal history of diabetes. The Odds Ratios (95%CI) were 1.50 (1.14～2.04), 0. 36 (0.16～0.84), 3.85 (1. 59～9. 36), 3.00 (1.56～5.77), 3.89 (1.15～13.17) and 6.54 (2.42～17.69), respectively. Conclusion:The risk factors of gestational diabetes mellitus were advanced maternal age, history of menstrual cycle disorder, spontaneous abortion frequency, maternal history of diabetes, and paternal history of diabetes, while advanced menarche age was a protective factor for gestational diabetes mellitus.

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“…In the world, the global incidence is actually estimated from 1% to 14% according to the studied population and based on the choice and the moment of the gestational diabetes diagnosis. [2][3][4][5] Pregnancy is associated with important changes concerning the whole of metabolism allowing growth of fetoplacental unit. 6,7 The variations on the cardiovascular, hemodynamic, hematologic, hormonal and hepatic level may have a potential interaction with the physiopathology of gestational diabetes.…”

Section: Introductionmentioning

confidence: 99%

Insulin resistance and arterial stiffness: impact of gestational diabetes on pulse wave velocity

Seck¹,

Agne

Fall³

et al. 2018

Int J Res Med Sci

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Background: Gestational diabetes is an intolerance of glucose with the first appearance during the pregnancy. This hyperglycaemia status, because of the pre-existing insulin-resistance, constitute a favourable land of arterial stiffness. The aim of this study is to determine the impact of non obese gestational diabetes on arterial stiffness by measuring the pulse wave velocity (PWV).Methods: We recruited 60 pregnant women aged from 20 to 35 years old. They were between twentieth four and thirtieth five weeks of gestational age. Subjects were divided into two groups: the first group (G1), considered as control group, included 25 normoglycemic pregnant subjects without any history of illness or risk factors of gestational diabetes; the second group (G2) included 35 women with Gestational Diabetes Mellitus (GDM). All pregnant women had not history of smoking, were not taking decoction or medicine, which could disturb pregnancy evolution. Anthropo-physiological and biochemical parameters studied, were: age, body mass index (BMI), blood pressure (BP), triglyceride, cholesterol and HOMA-IR index. The PWV between finger and toe (PWVft) was measured by pOpmètre®.Results: The two groups are matched by age (G1:28±4ans; G2:29±3ans) and BMI (G1:25.6±1.27; G2:26.9±1.3). Blood pressure (BP) values are in normal interval (systolic BP: [110-132mmHg]; diastolic BP: [63-87mmHg]; mean BP: [79-103mmHg]). Total cholesterol (G1:0.95±0.08;G2:2.4±0.7; p˂0.0001), HDL cholesterol (G1:0.44±0.02; G2:0.76±0.2; p˂0.0001, LDL cholesterol (G1:0.40±0.05; G2:1.3±0.5; p˂0.0001), triglyceride (G1:0.57±0.45; G2:1.6±0.4;p˂0.0001), HOMA.IR (G1:1.31±1.05; G2:7.4±1.07; p˂0.01), PWVft (G1:5.99±1.23; G2:10.3±1.9; p˂0.0001) are significantly higher in diabetic group. PWVft is positively correlate to HOMA-IR index, total cholesterol, LDL cholesterol and triglycerides (r=0.3348, p=0.032; r=0.5275, p˂0.0001; r=0.4855,p˂0.0001; r=0.5581, p˂0.0001respectively).Conclusions: Gestational diabetes might induce an increase of pulse wave velocity expressing increment of arterial stiffness. This last constitute an early underlying cardiovascular risk.

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Risk factors for gestational diabetes mellitus in Chinese women—a prospective study of 16 286 pregnant women in China

Cited by 128 publications

References 30 publications

Comparison of Glycated Albumin (GA) and Glycosylated Hemoglobin (A1C) in monitoring glycemic excursions during pregnancy

Comparison of Glycated Albumin (GA) and Glycosylated Hemoglobin (A1C) in monitoring glycemic excursions during pregnancy

Risk factors of gestational diabetes mellitus in Wuhan city of China--a case control study

Insulin resistance and arterial stiffness: impact of gestational diabetes on pulse wave velocity

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