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 |
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Erscheinungsjahr: |
2023 |
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Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - volume:61 |
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Enthalten in: |
Revista medica del Instituto Mexicano del Seguro Social - 61(2023), Suppl 3 vom: 02. Okt., Seite S460-S467 |
Sprache: |
Spanisch |
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Weiterer Titel: |
Efecto de la ganancia ponderal en el desarrollo de diabetes gestacional |
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Beteiligte Personen: |
Suárez-Cruz, María Guadalupe [VerfasserIn] |
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Links: |
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Anmerkungen: |
Date Completed 09.11.2023 Date Revised 28.12.2023 published: Electronic Citation Status MEDLINE |
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doi: |
10.5281/zenodo.8319773 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM36426697X |
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245 | 1 | 0 | |a Effect of weight gain on the development of gestational diabetes |
246 | 3 | 3 | |a Efecto de la ganancia ponderal en el desarrollo de diabetes gestacional |
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500 | |a published: Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Licencia CC 4.0 (BY-NC-ND) © 2023 Revista Médica del Instituto Mexicano del Seguro Social. | ||
520 | |a 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 | ||
520 | |a Objective: Evaluate if the greater than expected weight gain (HEWG) in pregnancy is a risk factor for the development of GDM | ||
520 | |a 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 | ||
520 | |a 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) | ||
520 | |a 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 | ||
650 | 4 | |a English Abstract | |
650 | 4 | |a Journal Article | |
650 | 4 | |a Observational Study | |
650 | 4 | |a Age | |
650 | 4 | |a Body Mass Index | |
650 | 4 | |a Complicaciones del Embarazo | |
650 | 4 | |a Diabetes Gestacional | |
650 | 4 | |a Diabetes, Gestational | |
650 | 4 | |a Edad | |
650 | 4 | |a Ganancia de Peso Gestacional | |
650 | 4 | |a Gestational Weight Gain | |
650 | 4 | |a Pregnancy Complications | |
650 | 4 | |a Índice de Masa Corporal | |
700 | 1 | |a Rivas-Ruíz, Rodolfo |e verfasserin |4 aut | |
700 | 1 | |a Sarmiento-Galván, Dulce Kristel |e verfasserin |4 aut | |
700 | 1 | |a Martínez-Valle, Paloma Gabriela |e verfasserin |4 aut | |
700 | 1 | |a Mondragón-Sandoval, Eva Xóchitl |e verfasserin |4 aut | |
700 | 1 | |a López-Farias, Marco Antonio |e verfasserin |4 aut | |
700 | 1 | |a Rivera-Mendoza, Juan Carlos |e verfasserin |4 aut | |
700 | 1 | |a Abasolo-Ramírez, Eduardo |e verfasserin |4 aut | |
700 | 1 | |a Carmona-Sierra, Fairt Vladimir |e verfasserin |4 aut | |
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