Short primiparous women are at an increased risk for gestational diabetes mellitus

Short primiparous women are at an increased risk for gestational diabetes mellitus

Both short stature and adiposity are risk factors for gestational diabetes mellitus (GDM). The aim of this study was to simultaneously evaluate the importance of stature and degree of adiposity on development of GDM in primiparous women. Longitudinal cohort study. In the city of Vantaa, Finland, bet...

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Bibliographic Details
Published in:Public health (London) Vol. 156; pp. 101 - 108
Main Authors: Laine, M.K., Kautiainen, H., Gissler, M., Raina, M., Aahos, I., Järvinen, K., Eriksson, J.G.
Format: Journal Article
Language:English
Published: Netherlands Elsevier Ltd 01-03-2018
Elsevier Science Ltd
Subjects:
Adipose tissue
Adiposity
Body mass
Body mass index
Body size
Childbirth & labor
Cohort analysis
Diabetes
Diabetes mellitus
Gestational diabetes
Gestational diabetes mellitus
Glucose
Glucose tolerance
Health risks
Height
Medical diagnosis
Medicin och hälsovetenskap
Nulliparous
Obesity
Risk analysis
Risk factors
Short stature
Stature
Tolerance
Weight
Women
Womens health
Stature
Gestational diabetes mellitus
Nulliparous
Body mass index
Height
Adiposity
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Summary:Both short stature and adiposity are risk factors for gestational diabetes mellitus (GDM). The aim of this study was to simultaneously evaluate the importance of stature and degree of adiposity on development of GDM in primiparous women. Longitudinal cohort study. In the city of Vantaa, Finland, between 2009 and 2015, all together 7750 primiparous women without previously diagnosed diabetes mellitus gave birth. Of these, 5223 women were ≥18 years of age with information on height, weight, and complete data from a 75 g 2-h oral glucose tolerance test composing the study participants of this study. A 155-cm tall woman with a body mass index (BMI) of 25.5 kg/m2 had a similar risk for GDM as a 175-cm tall woman with a BMI of 27.1 kg/m2. Women shorter than 159 cm had the highest prevalence of GDM, 28.7%, whereas women with height between 164 and 167 cm had the lowest prevalence of GDM, 19.9% (P < 0.001). Height was inversely and significantly associated with both 1- and 2-h glucose values (both P < 0.001). To avoid over diagnosis of GDM, an unbiased strategy is needed to determine and diagnose GDM in women with different stature and degree of adiposity. •Gestational diabetes mellitus (GDM) was diagnosed at lower BMIs in women with short stature.•Short stature was associated with higher postprandial glycemic levels.•Further studies are needed to find out an unbiased way to diagnose GDM.
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ISSN:0033-3506
1476-5616
1476-5616
DOI:10.1016/j.puhe.2017.12.020