Factors influencing the incidence of gestational diabetes mellitus in Omani patients
| Autor: | H. R. Chitme, Raya Mahmood Al-Shamiry, Sumaiya Abdallah Abdallah Said Al Shibli |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Waist endocrine system diseases Population Hospital records 03 medical and health sciences 0302 clinical medicine medicine Pharmacology (medical) 030212 general & internal medicine Risk factor education Gynecology education.field_of_study Pregnancy 030219 obstetrics & reproductive medicine Nutrition and Dietetics Obstetrics business.industry Incidence (epidemiology) nutritional and metabolic diseases medicine.disease female genital diseases and pregnancy complications Gestational diabetes Neurology (clinical) business Body mass index |
| Zdroj: | International Journal of Nutrition, Pharmacology, Neurological Diseases. 7:1 |
| ISSN: | 2231-0738 |
| DOI: | 10.4103/2231-0738.199067 |
| Popis: | Background: Gestational diabetes mellitus (GDM) risk factors identification and modifying them appropriately will assist in reducing the incidence of maternal and fetal complications for high-risk individuals. Aim: The present cross-sectional case–control multicentered study was conducted with an objective to understand the modifiable risk factors in GDM patients of different regions in Oman. Materials and Methods: The study was conducted by involving 291 women diagnosed with GDM and 300 normal pregnant women with euglycemia. Primary information including body weight, waist circumference, body mass index (BMI), history of pregnancy complications, diet, lifestyle, exercise, occupation, education, and use of steroids was collected by face-to-face interview with an assistance of staff nurse working at respective hospitals. Secondary information was collected from hospital records. Results: GDM cases on an average have 5.47 kg body weight significantly (P < 0.001) higher than the control group. A maximum number of GDM cases were seen in women with waist circumference of more than 99.9 cm having a significant (P < 0.001) mean difference of 6.4 cm between GDM and normal population.;Deg;BM;Deg;I of GDM population was significantly (P < 0.001) higher 30.59 ± 7 kg/m2 compared to 27.89 ± 6.93 kg/m2 of normal population with a likelihood ratio of 300.85. The use of corticosteroids significantly is seen to be associated with an increase in the incidence of GDM (P < 0.001). Physical inactivity has significantly (P < 0.001) increase the risk of GDM by 3.7 times. Whereas walking for more than 30 min/day has significantly reduced the GDM risk by 0.356 times. Prior history of stillbirth is significantly (P < 0.05) associated with GDM cases compared to control. Conclusion: Screening of patients for GDM and following a strategy to modify the identified risk factors will be advantageous and may help to identify those most likely to benefit from intervention. |
| Databáze: | OpenAIRE |
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