Effect of weight gain on the development of gestational diabetes

Licencia CC 4.0 (BY-NC-ND) © 2023 Revista Médica del Instituto Mexicano del Seguro Social..

Background: Gestational diabetes mellitus (GDM) refers to diabetes diagnosed in the second or third trimester of pregnancy. Assessing the weight gain in each pregnant women's appointment is a common task of primary care during their visit. However, the implications of this increase in weight for the development of GDM are unknown.

Objective: Evaluate if the greater than expected weight gain (HEWG) in pregnancy is a risk factor for the development of GDM.

Methods: Analytical, observational, longitudinal, retrolective study, which included pregnant women between 15 and 40 years of age with complete follow-up of the preg-nancy with > 2 prenatal check-ups, somatometry and complete medical history was made. During follow-up, the GPME was determined. Odds ratio (OR) and 95% confi-dence intervals (95% CI) were calculated. Variables with significance were entered into a multiple logistic regression model (MLR), where the dependent variable was DMG. The sample size calculation was for convenience.

Results: 1000 pregnant women with a median age of 28 years were included. In the MLR The pre-gestational body mass index (BMI) with overweight had an RM of 1.3 (95% CI 0.86-1.98), BMI with obesity an OR of 2.57 (95% CI 1.6-4.14), the HEWG during pregnancy had an OR 1.14 95% CI (0.71-1.81), Age> 30 years shows an RM of 2.24 (95% CI 1.55-3.25).

Conclusions: HEWG during pregnancy is not an independent risk factor for the devel-opment of GDM. The main ones are age> 30 years and pre-gestational obesity.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:61

Enthalten in:

Revista medica del Instituto Mexicano del Seguro Social - 61(2023), Suppl 3 vom: 02. Okt., Seite S460-S467

Sprache:

Spanisch

Weiterer Titel:

Efecto de la ganancia ponderal en el desarrollo de diabetes gestacional

Beteiligte Personen:

Suárez-Cruz, María Guadalupe [VerfasserIn]
Rivas-Ruíz, Rodolfo [VerfasserIn]
Sarmiento-Galván, Dulce Kristel [VerfasserIn]
Martínez-Valle, Paloma Gabriela [VerfasserIn]
Mondragón-Sandoval, Eva Xóchitl [VerfasserIn]
López-Farias, Marco Antonio [VerfasserIn]
Rivera-Mendoza, Juan Carlos [VerfasserIn]
Abasolo-Ramírez, Eduardo [VerfasserIn]
Carmona-Sierra, Fairt Vladimir [VerfasserIn]

Links:

Volltext

Themen:

Índice de Masa Corporal
Age
Body Mass Index
Complicaciones del Embarazo
Diabetes, Gestational
Diabetes Gestacional
Edad
English Abstract
Ganancia de Peso Gestacional
Gestational Weight Gain
Journal Article
Observational Study
Pregnancy Complications

Anmerkungen:

Date Completed 09.11.2023

Date Revised 28.12.2023

published: Electronic

Citation Status MEDLINE

doi:

10.5281/zenodo.8319773

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36426697X