Screening of Gestational Diabetes and Hypertension Among Antenatal Women in Rural West India

Dave, Viral R; Rana, Bhavik M; Sonaliya, Kantibhai N; Chandwani, Suraj J; Sharma, Samkit V; Khatri, Swati O; Shaikh, Khalid M; Hathiari, Farida M

doi:10.5195/cajgh.2014.140

Cited by 11 publications

(11 citation statements)

References 9 publications

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“…In another study past history of abortion as a risk factor of GDM was evaluated and it reported that out of 723 GDM diagnosed females, 23.7% had history of abortions and it was a significant association on the basis of O'Sullivan's criteria (ACOG guidelines) but overall it was insignificant association (Somani et al, 2012). Hypertension (HTN) was another significant risk factor in our results and our results were comparable to reported literature as one of the study from China and rural west India reported HTN as a significant risk factor of GDM (Dave et al, 2014) and the odd ratio of increased systolic blood pressure was 1.31 (P<0.001), this result was consistent with odd ratio of HTN thin our study which was 1.93 (P=0.028) (Leng et al, 2015). In another literature it was reported that about 8% of pregnancies are accompanied by preeclampsia and gestational hypertension and it is observed that such females develop insulin resistance during gestation period resulting in GDM (Feig et al, 2013).…”

Section: Discussionsupporting

confidence: 91%

Assessment of Gestational Diabetes Mellitus Risk Factors in Local Population

Saeed

Yasmeen

Hasan

et al. 2016

Int. j. endorsing health sci. res.

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Background The gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. Risk management of GDM should be done at first prenatal visit. As it is the most common metabolic complication of pregnancy, the present study was focused on finding out the risk factors of GDM in local population. Method We evaluated the risk factors of GDM in 200 females who were randomly tested for GDM with 75 g Oral glucose tolerance test (OGTT) at 24-28 th weeks of pregnancy. A detailed questionnaire was administered in this cross sectional study. Results The most commonly observed risk factor was family history DM,117 patients (p<0.001and odd ratio as 40.4 [17.4 to 93.6]), obesity,113 patients (P< 0.001, odd ratio as 4.5[2.2 to 9.2]), pregnancy related stress in109 (P< 0.001, odd ratio as 4.8[2.4 to 9.5]), anemia in 88 females (P=0.003, odd ratio as 3.5[1.5 to 8.0]), history of abortions,76 (P< 0.001), odd ratio as 2.9[1.59 to 5.34]). Furthermore, stress, hypertension, lack of exercise were significantly associated risk factors of GDM. Only 93 females who had fatigue during pregnancy (P=0.718 and odd ratio as 0.88[0.45 to 1.71]) had association with development of GDM that was statistically insignificant. Conclusion The most commonly occurring risk factor of GDM in our population were obesity, family history of diabetes, stress, hypertension and lack of exercise. Unusual association was observed between iron deficiency anemia and GDM.

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Section: Discussionsupporting

confidence: 91%

Assessment of Gestational Diabetes Mellitus Risk Factors in Local Population

Saeed

Yasmeen

Hasan

et al. 2016

Int. j. endorsing health sci. res.

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“…Two hospital-based studies carried out in Wardha (Maharashtra)[ 61 ] and Rohtak (Haryana)[ 62 ] showed GDM prevalence significantly associated with higher education when identified using the WHO and American Diabetes Association (ADA) criteria, respectively. However, other community-based cross-sectional studies carried out in Punjab,[ 63 ] Gujarat,[ 64 ] and Kashmir[ 65 ] invariably showed positive association between GDM and illiteracy, irrespective of the criteria used. In another community-based study,[ 64 ] the authors found the prevalence of GDM positively associated with nonworking group when diagnosed using ADA criteria, though the association was statistically nonsignificant (OR = 1.14; 95% CI: 0.20–6.35; P = 0.28).…”

Section: R Esults and Discussionmentioning

confidence: 97%

“…However, other community-based cross-sectional studies carried out in Punjab,[ 63 ] Gujarat,[ 64 ] and Kashmir[ 65 ] invariably showed positive association between GDM and illiteracy, irrespective of the criteria used. In another community-based study,[ 64 ] the authors found the prevalence of GDM positively associated with nonworking group when diagnosed using ADA criteria, though the association was statistically nonsignificant (OR = 1.14; 95% CI: 0.20–6.35; P = 0.28). However, in another retrospective matched case–control study carried out in Malaysia, the authors found a significant association between GDM and occupation (χ 2 = 4.01; P = 0.045).…”

Section: R Esults and Discussionmentioning

confidence: 97%

Effect of physical activity during pregnancy on gestational diabetes mellitus

Mishra

Kishore

2018

Indian J Endocr Metab

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Aims:The present study evaluates association between physical activity and Gestational Diabetes Mellitus (GDM), for it can be an effective intervention for its management. Though physical activity helps maintain glucose homeostasis, evidences of GDM risk are less extensive. Therefore, this study also identifies its correlation with maternal blood glucose levels.Materials and Methods:A prospective case-control study was carried out among pregnant women attending regular antenatal clinic at two private hospitals. The study comprised of 100 cases and 273 matched controls. Data was collected by personal interviews using a standard questionnaire. Physical activity was assessed using long form of International Physical Activity Questionnaire (IPAQ) reported as Metabolic Equivalent-Minutes per week (MET-Minutes/Week). Statistical Package for Social Sciences (SPSS) was used for analysis.Results:Results shows high exposure rates for low-to-moderate physical activity among cases, across all domains and sub-activities. The odds of GDM engaged in domestic and gardening activities for <2999 MET-minutes per week are 10 times higher than involved for ≥3000 MET-minutes per week (P < 0.001). The study also shows poor or no correlation between physical activity during pregnancy and maternal blood glucose levels.Conclusion:Despite existence of poor or no relationship with maternal blood glucose levels, prolonged sedentary behavior and decreased physical activities, especially domestic, are potential risk factors for GDM, a major finding of the study.

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“…Type 2 diabetes is a chronic disease, which presents a significant burden on health services in many countries, 1 , 2 including low income nations such as Afghanistan 3 and Bangladesh, 4 and middle income countries such as Kazakhstan 5 and India. 6 Type 2 diabetes is a metabolic disorder characterized by a deficit in the production or release of insulin, increasing glucose levels in plasma. 7 , 8 This chronic disease and its complications are a major cause of morbidity and mortality in Mexico, 9 with over 400,000 new cases reported in Mexico each year.…”

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confidence: 99%

Do People with Type 2 Diabetes Think They are Unhealthy? A Cross-Sectional Study in Celaya, Mexico

Paz-Salinas

Padilla-Raygoza

Sandoval

et al. 2015

cajgh

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Background:Type 2 diabetes is a chronic disease that presents a significant burden on health care systems in many countries. With the rise of obesity, the incidence of Type 2 diabetes has also been steadily increasing. A healthy lifestyle and understanding of diabetes management are important factors for delaying the onset of comorbidities associated with Type 2 diabetes. The objective of this study was to evaluate the self-perception of health in individuals with Type 2 diabetes as it relates to BMI status, which has important implications for the implementation of preventive programs.Methods:A cross-sectional lifestyle survey was implemented in the region of Celaya, Guanajuato, Mexico, targeting 100 participants diagnosed with Type 2 diabetes. Anthropometric measurements and participant characteristics were also obtained. Fisher’s exact test was used to determine if the proportions of lifestyles perceptions differed by BMI status.Results:Participants had a mean age of 56.12 ± 10.26, a mean BMI of 29.13 ± 5.48 kg/m2, were mostly married (67.0%), and female (70.0%). None of the normal weight participants perceived themselves as unhealthy. 95% of overweight/obese participants perceived themselves to be healthy, despite a diagnosis of diabetes and being overweight/obese, while only 5% perceived themselves to be unhealthy. However, these differences in the perceptions of health classified by BMI status were not statistically significant (p = 0.42).Conclusion:Our findings indicate that overweight and obese persons with Type 2 diabetes in Celaya, Mexico may have misperceptions about their own health, even though these findings were not statistically significant. These preliminary data highlight the importance of implementing prevention and educational programs among those with diabetes, in order to combat health misperceptions and raise awareness about the dangers of diabetes and obesity. Furthermore, more research with larger sample sizes is needed in order to fully understand the effects of perception of health on actual health.

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Screening of Gestational Diabetes and Hypertension Among Antenatal Women in Rural West India

Cited by 11 publications

References 9 publications

Assessment of Gestational Diabetes Mellitus Risk Factors in Local Population

Assessment of Gestational Diabetes Mellitus Risk Factors in Local Population

Effect of physical activity during pregnancy on gestational diabetes mellitus

Do People with Type 2 Diabetes Think They are Unhealthy? A Cross-Sectional Study in Celaya, Mexico

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