Indicators of Obesity and Serum Levels of Triglycerides in the First Trimester of Pregnancy as the Predictors of Gestational Diabetes Mellitus among Urmia Women
Journal Title: Modern Care Journal - Year 2018, Vol 15, Issue 1
Abstract
Background: Obesity is a major risk factor of gestational diabetes mellitus (GDM), therefore, we aimed to determine which indicators of obesity can be used as predictors of GDM and also to study the association of maternal serum levels of triglycerides (TG) in early pregnancy to expression of GDM. Methods: A total of 436 primigravida women, who attended public health centers in 6 - 10 weeks of gestation, were prospectively followed until 24 - 28 weeks of gestation to control the expression of GDM. The indicators of abdominal obesity and the serum concentration of TG were measured at 6-10 weeks of gestation. All participants underwent a 75 g oral glucose tolerance test (OGTT) as a routine test at 24 - 28 weeks. Results: The incidence of GDM among our participants was 9.6%. The serum concentration of TG in 16.5% of them was more than 199 mg\dL. The majority of participants (62.8%) had a body mass index (BMI) more than its normal range. Waist circumference (WC) in the majority (84.4%) was 80 - 95.9 cm. The mean (SD) waist to height ratio (WHtR) and waist to hip ratio (WHR) were 0.58 (0.05) and 0.84 (0.06), respectively. WC, WHtR, WHR, BMI, and the serum levels of TG in early pregnancy are associated with the expression of GDM. Conclusions: Abdominal obesity and serum levels of TG can be used as early predictors of GDM. Strategies consisted of monitoring of TG levels in women planning for pregnancy as well as training obese and overweight women to modify their lifestyle in the means of decreasing the body fat mass can help to partially prevent GDM.
Authors and Affiliations
Azar Pazhohan, Monireh Rezaee Moradali, Nahideh Pazhohan, Ali Sadeghyanifar
Keywords
Related Articles
- EP ID EP298343
- DOI 10.5812/modernc.67186
- Views 113
- Downloads 0
Rabies-Related Knowledge, Attitudes, and Practice Among Nomads in South Khorasan, Iran: A Descriptive-Correlational Study
Background and Objectives: Rabies is among the oldest known zoonoses. It has a high mortality rate, particularly in developing countries and in rural areas. Rabies prevention and management necessitates adequate informat...
The Effect of Inhalation Aromatherapy with Lavender on Sleep Quality of the Elderly in Nursing Care Homes: A Randomized Clinical Trial
Background: Nurses who take care of elderly people have witnessed sleep disorders as one of the most common problems in these geriatric patients. As a major non-pharmaceutical method, aromatherapy is considered as a holi...
Indicators of Obesity and Serum Levels of Triglycerides in the First Trimester of Pregnancy as the Predictors of Gestational Diabetes Mellitus among Urmia Women
Background: Obesity is a major risk factor of gestational diabetes mellitus (GDM), therefore, we aimed to determine which indicators of obesity can be used as predictors of GDM and also to study the association of matern...
The Relationship of Family Communication Pattern with Adolescents’ Assertiveness
Background: Adolescence is among the most critical stages of life, during which assertiveness starts to develop. Parents and their communication patterns have significant roles in adolescents’ successful transition to ad...
Interspousal Transmission of Hepatitis B virus: A Cross-Sectional Descriptive-Analytical Study
Background and Aim: Sexual transmission is one of the routes of hepatitis B transmission. This study aimed at assessing the prevalence of hepatitis B among the spouses of patients with hepatitis B. Methods: This cross-s...