Effect of Gestational Weight Gain during the First Half of Pregnancy on the Incidence of GDM, Results from a Pregnant Cohort in Northern Greece

被引:7
|
作者
Tranidou, Antigoni [1 ]
Magriplis, Emmanuela [2 ]
Tsakiridis, Ioannis [1 ]
Pazaras, Nikolaos [3 ]
Apostolopoulou, Aikaterini [1 ]
Chourdakis, Michail [3 ]
Dagklis, Themistoklis [1 ]
机构
[1] Aristotle Univ Thessaloniki, Fac Hlth Sci, Sch Med, Dept Obstet & Gynaecol 3, Thessaloniki 54642, Greece
[2] Agr Univ Athens, Dept Food Sci & Human Nutr, Iera Odos 75, Athens 11855, Greece
[3] Aristotle Univ Thessaloniki, Fac Hlth Sci, Sch Med, Lab Hyg Social & Prevent Med & Med Stat, Thessaloniki 54124, Greece
关键词
gestational; diabetes; GDM; weight; gain; generalized linear model; DIABETES-MELLITUS; MATERNAL OBESITY; RISK; ASSOCIATION; WOMEN; MANAGEMENT; OUTCOMES; DIAGNOSIS;
D O I
10.3390/nu15040893
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
The aim of this study was to evaluate the effect of gestational weight gain (GWG) up to 23(+6) weeks of gestation on the incidence of Gestational Diabetes Mellitus (GDM). A pregnant cohort of 5948 women in Northern Greece was recruited. Anthropometric features before and during pregnancy were recorded, the GWG by 23(+6) weeks was calculated and a Generalized Linear Regression Model (GLM) with subgroup analyses based on weight status were computed. GDM was diagnosed in 5.5% of women. GLM results showed that GDM likelihood increased with maternal age (MA) and pre-pregnancy BMI (aOR: 1.08, 95%CI: [1.06, 1.11] and aOR: 1.09, 95%CI: [1.09, 1.11], respectively). Iota n the normal pre-pregnancy weight group, when the extra weight gain was >8 kgs, the odds of GDM increased (OR: 2.13, 95%CI: [0.98, 4.21], p = 0.03). Women with pre-pregnancy level 2 clinical obesity (OB2 pre) (BMI > 35 and <40 kg/m(2)) that shifted to OB3 category (BMI >= 40 kg/m(2)) had an increased GDM likelihood (OR: 4.85, 95%CI: [1.50, 15.95]). Women of higher MA may require stricter monitoring for GDM from early pregnancy, while in obese women, recommended GWG may need to be re-evaluated, since refraining from any weight gain may have a preventive effect for GDM.
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页数:15
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