Pregnancy And Neonatal Diabetes Outcomes in Remote Australia: the PANDORA study—an observational birth cohort
| Autor: | Louise, Maple-Brown, I-Lynn, Lee, Danielle, Longmore, Federica, Barzi, Christine, Connors, Jacqueline A, Boyle, Elizabeth, Moore, Cherie, Whitbread, Marie, Kirkwood, Sian, Graham, Vanya, Hampton, Alison, Simmonds, Paula, Van Dokkum, Joanna, Kelaart, Sujatha, Thomas, Shridhar, Chitturi, Sandra, Eades, Sumaria, Corpus, Michael, Lynch, Zhong X, Lu, Kerin, O'Dea, Paul, Zimmet, Jeremy, Oats, Harold D, McIntyre, Alex D H, Brown, Jonathan E, Shaw, K, Dempsey |
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| Přispěvatelé: | Maple-Brown, Louise, Lee, I Lynn, Longmore, Danielle, Barzi, Federica, O'Dea, Kerin, Shaw, Jonathan E |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Native Hawaiian or Other Pacific Islander endocrine system diseases Epidemiology Pregnancy in Diabetics Type 2 diabetes Child Development 0302 clinical medicine Neonatal diabetes mellitus Pregnancy Birth Weight Prospective Studies 030212 general & internal medicine Aboriginal Anthropometry Obstetrics Pregnancy Outcome Gestational age birth cohort General Medicine Gestational diabetes Breast Feeding hyperglycemia in pregnancy Cohort Female gestational diabetes diabetes in pregnancy medicine.medical_specialty Birth weight Gestational Age Prenatal care 03 medical and health sciences Northern Territory medicine Indigenous Australian Humans type 2 diabetes in pregnancy business.industry Infant Newborn nutritional and metabolic diseases Glucose Tolerance Test medicine.disease Obstetric Labor Complications Diabetes Gestational Logistic Models 030104 developmental biology Hyperglycemia Multivariate Analysis business |
| Zdroj: | International Journal of Epidemiology. 48:307-318 |
| ISSN: | 1464-3685 0300-5771 |
| DOI: | 10.1093/ije/dyy245 |
| Popis: | Background: In Australia’s Northern Territory, 33% of babies are born to Indigenous mothers, who experience high rates of hyperglycemia in pregnancy. We aimed to determine the extent to which pregnancy outcomes for Indigenous Australian women are explained by relative frequencies of diabetes type [type 2 diabetes (T2DM) and gestational diabetes (GDM)]. Methods: This prospective birth cohort study examined participants recruited from a hyperglycemia in pregnancy register. Baseline data collected were antenatal and perinatal clinical information, cord blood and neonatal anthropometry. Of 1135 women (48%Indigenous), 900 had diabetes: 175 T2DM, 86 newly diagnosed diabetes in pregnancy(DIP) and 639 had GDM. A group of 235 women without hyperglycemia in pregnancywas also recruited. Results: Diabetes type differed for Indigenous and non-Indigenous women (T2DM, 36 vs5%; DIP, 15 vs 7%; GDM, 49 vs 88%, p < 0.001). Within each diabetes type, Indigenous women were younger and had higher smoking rates. Among women with GDM/DIP,Indigenous women demonstrated poorer birth outcomes than non-Indigenous women:large for gestational age, 19 vs 11%, p ¼ 0002; neonatal fat 11.3 vs 10.2%, p < 0.001. Inthe full cohort, on multivariate regression, T2DM and DIP were independently associated(and Indigenous ethnicity was not) with pregnancy outcomes Conclusions: Higher rates of T2DM among Indigenous women predominantly contribute to absolute poorer pregnancy outcomes among Indigenous women with hyperglycemia.As with Indigenous and minority populations globally, prevention or delay of type 2 diabetes in younger women is vital to improve pregnancy outcomes and possibly to improve the long-term health of their offspring. Refereed/Peer-reviewed |
| Databáze: | OpenAIRE |
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