| Autor: |
Skeith AE; Department of Obstetrics and Gynecology, Oregon Health and Sciences University, Portland, OR, USA., Stephens CQ; Department of Obstetrics and Gynecology, Oregon Health and Sciences University, Portland, OR, USA., Nielson CM; OHSU-PSU School of Public Health, Oregon Health and Science University, Portland, OR, USA., Caughey AB; Department of Obstetrics and Gynecology, Oregon Health and Sciences University, Portland, OR, USA. |
| Jazyk: |
angličtina |
| Zdroj: |
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2021 Mar; Vol. 34 (5), pp. 714-719. Date of Electronic Publication: 2019 May 15. |
| DOI: |
10.1080/14767058.2019.1614159 |
| Abstrakt: |
Background: In the USA, 12-14% have type 2 diabetes mellitus and the incidence is rising. Adolescent birth has been shown to be associated with significant gestational weight gain and obesity in adulthood. Objective: We sought to evaluate the association between the history of adolescent birth and diabetes in adulthood. Study design: We conducted a cross-sectional study of the National Health and Nutrition Examination Survey (NHANES) data, examining 2-year cycles from 2005 to 2014. In a population of adult women who had experienced at least one live birth and who were not currently pregnant, we examined the prevalence of type 2 diabetes mellitus by the history of adolescent birth (live birth prior to 20 years of age). Sample characteristics were compared using survey-weighted chi-square tests. Multivariate logistic regression was used to examine the association between diabetes mellitus and adolescent birth history, with progressive adjustments for birth cohort, race/ethnicity, education level, and body mass index (BMI). Results: In a survey sample of 6507 individuals, we found that 38% of the women had experienced adolescent birth. Significant differences were found between those who had experienced adolescent birth and those who had not by birth cohort, race/ethnicity, federal poverty level, education attainment, parity, and BMI ( p < .001 for all). The prevalence of type 2 diabetes was higher in women with a history of adolescent birth in adulthood than in women without a history of adolescent birth (17.2 versus 12.1%, p < .001; BMI-adjusted odds ratio = 1.27; 95% confidence interval, 1.03-1.58, p = .03). Conclusion: American women with a history of adolescent birth are at a significantly higher risk of type 2 diabetes mellitus in adulthood. Greater attention must be paid to preventing metabolic disease in women who experience early parity. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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