The Relationship between Maternal Glucose Concentration and Mothers Conditions in Pregnancy and BMI of Infants and School-Aged Children

Objective: The high prevalence of Gestational Diabetes Mellitus (GDM) in Iran and its maternal and fetal consequences as well as the high risk of its long-term effects including obesity is known. The aim of this study was to evaluate the relationship between body mass index (BMI) in ages of 18 month...

Full description

Bibliographic Details
Main Authors: Mahmood Vakili, Akram Ghadiri-Anari, Ahmad Azizollahi, Maryam-Sadat Torabipour
Format: Article
Language:English
Published: Shahid Sadoughi University of Medical Sciences 2016-01-01
Series:Iranian Journal of Diabetes and Obesity
Subjects:
Online Access:http://ijdo.ssu.ac.ir/article-1-282-en.html
_version_ 1819203455828361216
author Mahmood Vakili
Akram Ghadiri-Anari
Ahmad Azizollahi
Maryam-Sadat Torabipour
author_facet Mahmood Vakili
Akram Ghadiri-Anari
Ahmad Azizollahi
Maryam-Sadat Torabipour
author_sort Mahmood Vakili
collection DOAJ
description Objective: The high prevalence of Gestational Diabetes Mellitus (GDM) in Iran and its maternal and fetal consequences as well as the high risk of its long-term effects including obesity is known. The aim of this study was to evaluate the relationship between body mass index (BMI) in ages of 18 months and 6 years and maternal glucose concentration. Materials and Methods: This is a retrospective cohort study conducted on 199 pairs of mother and child in five health-care centers of Yazd. The children born in 2007 and 2008 were selected, followed by a calculation of BMI in the ages of 18 months and 6 years (school age) based on their heights and weights recorded in their family files. The relationship between the resulting BMI and maternal glucose concentration and pregnancy conditions was then determined. Results A population of 199 mother-child pairs were investigated consisting of 105 male children (52.8%) and 94 female ones (47.2 %). The mean (±SD) glucose challenge test (50 gram -GCT) and pre-pregnancy BMI were 121(25.7) mg/dL and 24.16 (4.85) kg/, respectively. At 18 months, the mean (±SD) child BMI was 15.78 (1.21) kg/, 5.5% of which were overweight/obese and at 6 years, the mean (±SD) child BMI was 14.46 (1.81) kg/, 12.6% of which were overweight/obese. This study revealed a significant association between BMI 18 months and 6 years and pre-pregnancy BMI with maternal GCT (P-value <0.003). Therefore, GCT ≥ 130 mg/dL compared with GCT <129 mg/dL significantly associated with BMI at 18 months and 6 years old and the mother's pre-pregnancy BMI. Conclusion: According to this study, it can be concluded that there is a significant correlation between GCT and the increase of children BMI. It is necessary to control and treat gestational diabetes mellitus by means of decrease the intergenerational cycle of obesity and diabetes in offspring. Also infants of women with diabetes should be specifically targeted for obesity prevention programs.
first_indexed 2024-12-23T04:20:12Z
format Article
id doaj.art-37fb26fe88c6433984f507edc81c8d04
institution Directory Open Access Journal
issn 2008-6792
2345-2250
language English
last_indexed 2024-12-23T04:20:12Z
publishDate 2016-01-01
publisher Shahid Sadoughi University of Medical Sciences
record_format Article
series Iranian Journal of Diabetes and Obesity
spelling doaj.art-37fb26fe88c6433984f507edc81c8d042022-12-21T18:00:16ZengShahid Sadoughi University of Medical SciencesIranian Journal of Diabetes and Obesity2008-67922345-22502016-01-01813034The Relationship between Maternal Glucose Concentration and Mothers Conditions in Pregnancy and BMI of Infants and School-Aged ChildrenMahmood Vakili0Akram Ghadiri-Anari1Ahmad Azizollahi2Maryam-Sadat Torabipour3 Department of Community Medicine, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Diabetes Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Objective: The high prevalence of Gestational Diabetes Mellitus (GDM) in Iran and its maternal and fetal consequences as well as the high risk of its long-term effects including obesity is known. The aim of this study was to evaluate the relationship between body mass index (BMI) in ages of 18 months and 6 years and maternal glucose concentration. Materials and Methods: This is a retrospective cohort study conducted on 199 pairs of mother and child in five health-care centers of Yazd. The children born in 2007 and 2008 were selected, followed by a calculation of BMI in the ages of 18 months and 6 years (school age) based on their heights and weights recorded in their family files. The relationship between the resulting BMI and maternal glucose concentration and pregnancy conditions was then determined. Results A population of 199 mother-child pairs were investigated consisting of 105 male children (52.8%) and 94 female ones (47.2 %). The mean (±SD) glucose challenge test (50 gram -GCT) and pre-pregnancy BMI were 121(25.7) mg/dL and 24.16 (4.85) kg/, respectively. At 18 months, the mean (±SD) child BMI was 15.78 (1.21) kg/, 5.5% of which were overweight/obese and at 6 years, the mean (±SD) child BMI was 14.46 (1.81) kg/, 12.6% of which were overweight/obese. This study revealed a significant association between BMI 18 months and 6 years and pre-pregnancy BMI with maternal GCT (P-value <0.003). Therefore, GCT ≥ 130 mg/dL compared with GCT <129 mg/dL significantly associated with BMI at 18 months and 6 years old and the mother's pre-pregnancy BMI. Conclusion: According to this study, it can be concluded that there is a significant correlation between GCT and the increase of children BMI. It is necessary to control and treat gestational diabetes mellitus by means of decrease the intergenerational cycle of obesity and diabetes in offspring. Also infants of women with diabetes should be specifically targeted for obesity prevention programs.http://ijdo.ssu.ac.ir/article-1-282-en.htmlGlucose screening testObesityPregnancyGestational diabetes mellitusChild health
spellingShingle Mahmood Vakili
Akram Ghadiri-Anari
Ahmad Azizollahi
Maryam-Sadat Torabipour
The Relationship between Maternal Glucose Concentration and Mothers Conditions in Pregnancy and BMI of Infants and School-Aged Children
Iranian Journal of Diabetes and Obesity
Glucose screening test
Obesity
Pregnancy
Gestational diabetes mellitus
Child health
title The Relationship between Maternal Glucose Concentration and Mothers Conditions in Pregnancy and BMI of Infants and School-Aged Children
title_full The Relationship between Maternal Glucose Concentration and Mothers Conditions in Pregnancy and BMI of Infants and School-Aged Children
title_fullStr The Relationship between Maternal Glucose Concentration and Mothers Conditions in Pregnancy and BMI of Infants and School-Aged Children
title_full_unstemmed The Relationship between Maternal Glucose Concentration and Mothers Conditions in Pregnancy and BMI of Infants and School-Aged Children
title_short The Relationship between Maternal Glucose Concentration and Mothers Conditions in Pregnancy and BMI of Infants and School-Aged Children
title_sort relationship between maternal glucose concentration and mothers conditions in pregnancy and bmi of infants and school aged children
topic Glucose screening test
Obesity
Pregnancy
Gestational diabetes mellitus
Child health
url http://ijdo.ssu.ac.ir/article-1-282-en.html
work_keys_str_mv AT mahmoodvakili therelationshipbetweenmaternalglucoseconcentrationandmothersconditionsinpregnancyandbmiofinfantsandschoolagedchildren
AT akramghadirianari therelationshipbetweenmaternalglucoseconcentrationandmothersconditionsinpregnancyandbmiofinfantsandschoolagedchildren
AT ahmadazizollahi therelationshipbetweenmaternalglucoseconcentrationandmothersconditionsinpregnancyandbmiofinfantsandschoolagedchildren
AT maryamsadattorabipour therelationshipbetweenmaternalglucoseconcentrationandmothersconditionsinpregnancyandbmiofinfantsandschoolagedchildren
AT mahmoodvakili relationshipbetweenmaternalglucoseconcentrationandmothersconditionsinpregnancyandbmiofinfantsandschoolagedchildren
AT akramghadirianari relationshipbetweenmaternalglucoseconcentrationandmothersconditionsinpregnancyandbmiofinfantsandschoolagedchildren
AT ahmadazizollahi relationshipbetweenmaternalglucoseconcentrationandmothersconditionsinpregnancyandbmiofinfantsandschoolagedchildren
AT maryamsadattorabipour relationshipbetweenmaternalglucoseconcentrationandmothersconditionsinpregnancyandbmiofinfantsandschoolagedchildren