The Incidence Rate of Gestational Diabetes and Relevant Factors on Pregnant Women in the City of Shahroud in ۲۰۱۴
محل انتشار: مجله بین المللی مطالعات سلامت، دوره: 4، شماره: 1
سال انتشار: 1397
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 63
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شناسه ملی سند علمی:
JR_IJHS-4-1_002
تاریخ نمایه سازی: 29 بهمن 1402
چکیده مقاله:
Background: The pregnant women suffering from gestational diabetes seem to face higher risks of pregnancy complications in spite of improvements in pregnancy outcomes during recent years. This study designed to define the incidence rate of gestational diabetes associated with its risk factors.Methods: This was a longitudinal study, in which, we studied the pregnant women referred to ۱۱ different urban health care centers in the city of Shahrud (Northeast of Iran) since April to September of ۲۰۱۴. Out of ۱۳۰۰ women with available medical care records, we studied ۱۰۹۸ pregnant women in the mentioned timespan. According to the results of fasting blood sugar (FBS) test, ۷ mothers were diagnosed with diabetes at the beginning of the study. Using ۷۵gr glucose, we conducted a ۲-hour oral glucose tolerance test (OGTT) for all non-diabetic pregnant women (normal and pre-diabetic ones-۱۰۹۱ subjects) between the weeks ۲۴ and ۲۸ to screen the presence of gestational diabetes. The diagnosis of gestational diabetes was considered definite if one of the following criteria was met: Fasting blood sugar ≥۹۲ mg/dl, ۱-hour glucose ≥۱۸۰ mg/dl or ۲-hours glucose ≥۱۵۳ mg/dl. We used the Log-binomial regression model to estimate the rate of diabetes incidence based on risk factors.Results: The mean age of subjects was equal to ۲۸.۰ (SD=۵.۱) years. The rate of gestational diabetes occurrence was ۷.۸% (۹۵% CI: ۶.۳-۹.۶ (Cases=۸۵ pregnant women). In case of subject over ۳۵ (RR=۲.۹), the factors of positive family history of diabetes (RR=۱.۸) and pre-diabetic condition (RR=۱.۶) increased the risk of gestational diabetes. The factors of BMI, smoking, education, and the pregnancy frequency were not considered in the model.Conclusions: The incidence rate of diabetes in our population was higher compared to previous studies. However, due to variations made in the gestational diabetes screening guidelines, more studies are needed to do comparative research.Background: The pregnant women suffering from gestational diabetes seem to face higher risks of pregnancy complications in spite of improvements in pregnancy outcomes during recent years. This study designed to define the incidence rate of gestational diabetes associated with its risk factors. Methods: This was a longitudinal study, in which, we studied the pregnant women referred to ۱۱ different urban health care centers in the city of Shahrud (Northeast of Iran) since April to September of ۲۰۱۴. Out of ۱۳۰۰ women with available medical care records, we studied ۱۰۹۸ pregnant women in the mentioned timespan. According to the results of fasting blood sugar (FBS) test, ۷ mothers were diagnosed with diabetes at the beginning of the study. Using ۷۵gr glucose, we conducted a ۲-hour oral glucose tolerance test (OGTT) for all non-diabetic pregnant women (normal and pre-diabetic ones-۱۰۹۱ subjects) between the weeks ۲۴ and ۲۸ to screen the presence of gestational diabetes. The diagnosis of gestational diabetes was considered definite if one of the following criteria was met: Fasting blood sugar ≥۹۲ mg/dl, ۱-hour glucose ≥۱۸۰ mg/dl or ۲-hours glucose ≥۱۵۳ mg/dl. We used the Log-binomial regression model to estimate the rate of diabetes incidence based on risk factors. Results: The mean age of subjects was equal to ۲۸.۰ (SD=۵.۱) years. The rate of gestational diabetes occurrence was ۷.۸% (۹۵% CI: ۶.۳-۹.۶ (Cases=۸۵ pregnant women). In case of subject over ۳۵ (RR=۲.۹), the factors of positive family history of diabetes (RR=۱.۸) and pre-diabetic condition (RR=۱.۶) increased the risk of gestational diabetes. The factors of BMI, smoking, education, and the pregnancy frequency were not considered in the model. Conclusions: The incidence rate of diabetes in our population was higher compared to previous studies. However, due to variations made in the gestational diabetes screening guidelines, more studies are needed to do comparative research.
کلیدواژه ها:
نویسندگان
Zohre Mosayebi ۱
۱. Student Research Committee, Vice-chancellery of Health, Shahroud University of Medical Sciences, Shahroud, Iran.
Mohammad Amiri ۲
۲. Dept. of Public Health, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.
Reza Chaman ۳
۳. Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran.
Ahmad Khosravi ۴*
۴. Dept. of Epidemiology, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.