Risk factors of gestational diabetes mellitus using results of a prospective population-based study in Iranian pregnant women

Zaman, Ferdos; Nouhjah, Sedigheh; Shahbazian, Hajieh; Shahbazian, Nahid; Latifi, Seyed Mahmoud; Jahanshahi, Alireza

doi:10.1016/j.dsx.2018.04.014

Cited by 18 publications

(7 citation statements)

References 23 publications

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“…Its relationship with adverse newborn and pregnancy outcomes is well known [16]. Obesity and lifestyle are the main risk factors for GDM [17,18]. Some studies have reported a significant relationship between 25(OH)D deficiency and GDM, while others did not find such an association [19][20][21][22].…”

Section: Obstetrics and Gynaecologymentioning

confidence: 99%

Serum vitamin D deficiency and risk of gestational diabetes mellitus: a meta-analysis

Wang¹,

Zhang²,

Song³

et al. 2020

aoms

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Introduction: This meta-analysis was performed to confirm the relationship of gestational diabetes mellitus (GDM) and vitamin D. Material and methods: PubMed and CNKI databases were searched for relevant articles. Standard mean difference (SMD) along with 95% CI was used to compare vitamin D level between women with GDM and healthy subjects. The correlation coefficient between the vitamin D and homeostasis model assessment-insulin resistance index (HOMA-IR) was analyzed. Results: The vitamin D level of GDM subjects was much lower than healthy subjects (SMD =-0.71, 95% CI:-0.91,-0.50). Vitamin D deficiency was associated with high risk of GDM (OR = 1.15, 95% CI: 1.07-1.23). Vitamin D was negatively correlated with HOMA-IR (r =-0.62, 95% CI:-0.85,-0.39). The analysis showed no publication bias (Egger's: p = 0.197; Begg's: p = 0.786). Conclusions: Vitamin D is closely associated with the onset of GDM.

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Section: Obstetrics and Gynaecologymentioning

confidence: 99%

Serum vitamin D deficiency and risk of gestational diabetes mellitus: a meta-analysis

Wang¹,

Zhang²,

Song³

et al. 2020

aoms

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“…Several studies have demonstrated that the frequently reported risk factors of GDM include older maternal ages, prepregnancy obesity, family history of diabetes (FHD) [ 14 , 15 ], previous obstetric outcomes (e.g., macrosomia [ 16 ], stillbirth [ 17 ], abortion [ 18 ], premature delivery [ 19 ], congenital anomaly [ 16 ], being primigravida [ 20 ]), history of GDM [ 21 ], infection factors (e.g., Human Immunodeficiency Virus (HIV) [ 22 ]), pregestational smoking [ 23 ], and socioeconomic factors (educational level, occupation, and monthly household income) [ 24 ]. However, there are other evidences suggesting that maternal age, FHD, prepregnancy overweight or obesity, previous history of abortion, stillbirth, and macrosomia showed no significant association with GDM [ 25 , 26 ]. Since most of the information regarding the main factors involved in GDM lack comprehensive analysis, it is necessary to conduct a meta-analysis to further explore the potential factors responsible for GDM.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Gestational Diabetes Mellitus: A Meta-Analysis

Xiao

Zhang

Chen

et al. 2021

Journal of Diabetes Research

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Gestational diabetes mellitus (GDM) is a major public health issue, and the aim of the present study was to identify the factors associated with GDM. Databases were searched for observational studies until August 20, 2020. Pooled odds ratios (ORs) were calculated using fixed- or random-effects models. 103 studies involving 1,826,454 pregnant women were identified. Results indicated that maternal age ≥ 25 years (OR: 2.466, 95% CI: (2.121, 2.866)), prepregnancy overweight or obese (OR: 2.637, 95% CI: (1.561, 4.453)), family history of diabetes (FHD) (OR: 2.326, 95% CI: (1.904, 2.843)), history of GDM (OR: 21.137, 95% CI: (8.785, 50.858)), macrosomia (OR: 2.539, 95% CI: (1.612, 4.000)), stillbirth (OR: 2.341, 95% CI: (1.435, 3.819)), premature delivery (OR: 3.013, 95% CI: (1.569, 5.787)), and pregestational smoking (OR: 2.322, 95% CI: (1.359, 3.967)) increased the risk of GDM with all P < 0.05 , whereas history of congenital anomaly and abortion, and HIV status showed no correlation with GDM ( P > 0.05 ). Being primigravida (OR: 0.752, 95% CI: (0.698, 0.810), P < 0.001 ) reduced the risk of GDM. The factors influencing GDM included maternal age ≥ 25 , prepregnancy overweight or obese, FHD, history of GDM, macrosomia, stillbirth, premature delivery, pregestational smoking, and primigravida.

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“…Dentre os principais fatores de risco destacam-se: idade avançada, história familiar de DM2 em parentes de primeiro grau, síndrome de ovários policísticos e baixa estatura (Ribeiro et al, 2015;Zaman et al, 2018). Além destes, são citados na literatura, excesso de peso e ganho ponderal acima do recomendado (Braz et al, 2016;Djaković et al, 2019;Gou et al, 2019;Hantoushzadeh et al, 2016).…”

Section: Introductionunclassified

Ganho ponderal e estado nutricional de mulheres portadoras de diabetes mellitus gestacional

Neris

Silva

Albuquerque

et al. 2021

RSD

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Objetivo: Analisar o ganho ponderal e o estado nutricional de gestantes portadoras de diabetes mellitus gestacional. Metodologia: Trata-se de um estudo de caráter descritivo, com corte transversal, realizado entre agosto a dezembro de 2020, em serviço de referência de gestação de alto risco de Pernambuco. Foram estudadas variáveis antropométricas, sociodemográficas, clínicas, obstétricas e de estilo de vida. Para análise estatística foram utilizados os testes Qui-Quadrado de Pearson e Exato de fisher, quando aplicável, com nível de significância de 5%. Resultados: Foram avaliadas 101 gestantes com idade de 30,73 ± 6,29 anos, a maioria (79,2%) com excesso de peso prévio e com elevação durante a gestação (85,1%). O ganho ponderal acima do recomendado foi predominante (45,3%), revelando associação positiva com o estado nutricional atual. A presença de patologias associadas ao DMG foi a única variável obstétrica, que apresentou associação significativa com o estado nutricional prévio, atual e ganho ponderal gestacional, independente do tipo de comorbidades. Conclusão: O ganho ponderal acima do recomendado foi predominante, assim como a frequência de excesso de peso antes e durante a gestação, o que evidencia a importância do acompanhamento nutricional em portadoras de diabetes mellitus gestacional.

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Risk factors of gestational diabetes mellitus using results of a prospective population-based study in Iranian pregnant women

Cited by 18 publications

References 23 publications

Serum vitamin D deficiency and risk of gestational diabetes mellitus: a meta-analysis

Serum vitamin D deficiency and risk of gestational diabetes mellitus: a meta-analysis

Factors Associated with Gestational Diabetes Mellitus: A Meta-Analysis

Ganho ponderal e estado nutricional de mulheres portadoras de diabetes mellitus gestacional

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