Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan
Abstract Aims/Introduction Maternal hyperglycemia leads to adverse pregnancy outcomes, and also subsequently affects both mothers and their offspring in later life. The prevalence of type 2 diabetes mellitus is increasing worldwide, and gestational diabetes mellitus (GDM) is also believed to be incr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-11-01
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| Series: | Journal of Diabetes Investigation |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jdi.13595 |
| _version_ | 1819010219530780672 |
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| author | Feng‐Lin Su Mei‐Chun Lu Su‐Chen Yu Chun‐Pai Yang Cheng‐Chia Yang Shih‐Ting Tseng Yuan‐Horng Yan |
| author_facet | Feng‐Lin Su Mei‐Chun Lu Su‐Chen Yu Chun‐Pai Yang Cheng‐Chia Yang Shih‐Ting Tseng Yuan‐Horng Yan |
| author_sort | Feng‐Lin Su |
| collection | DOAJ |
| description | Abstract Aims/Introduction Maternal hyperglycemia leads to adverse pregnancy outcomes, and also subsequently affects both mothers and their offspring in later life. The prevalence of type 2 diabetes mellitus is increasing worldwide, and gestational diabetes mellitus (GDM) is also believed to be increasing. More precise nationwide and up‐to‐date data on GDM are required. Materials and Methods A population‐based retrospective cohort study was carried out with the Birth Certificate Application database and linked to the National Health Insurance Research Database to explore trends in the annual crude prevalence of GDM in all women who gave birth between 1 January 2004 and 31 December 2015 in Taiwan and their pregnancy outcomes. The registry is considered complete, reliable and accurate. Results A total of 2,468,793 births from 2,430,307 pregnancies were reported between 1 January 2004 and 31 December 2015. Finally, 2,053,305 pregnancies were included for further analysis. The annual prevalence of GDM increased by 1.8‐fold during the 12 years from 2004 to 2015, with a significant continuous increasing trend (from 7.6% to 13.4%, P < 0.001). The annual prevalence of GDM significantly increased in each age group (all trends P < 0.001), particularly for women with maternal ages of 31 years and older. Urbanization level, geographic risk factors and seasonal variations were also noted. Conclusion The annual prevalence of GDM increased by 1.8‐fold in the 12‐year period from 2004 to 2015 in Taiwan, with a significant continuous increasing trend (from 7.6% to 13.4%, P < 0.001). |
| first_indexed | 2024-12-21T01:08:47Z |
| format | Article |
| id | doaj.art-580c7e9ba61a48debb8ef551a123e2cf |
| institution | Directory Open Access Journal |
| issn | 2040-1116 2040-1124 |
| language | English |
| last_indexed | 2024-12-21T01:08:47Z |
| publishDate | 2021-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Investigation |
| spelling | doaj.art-580c7e9ba61a48debb8ef551a123e2cf2022-12-21T19:20:58ZengWileyJournal of Diabetes Investigation2040-11162040-11242021-11-0112112080208810.1111/jdi.13595Increasing trend in the prevalence of gestational diabetes mellitus in TaiwanFeng‐Lin Su0Mei‐Chun Lu1Su‐Chen Yu2Chun‐Pai Yang3Cheng‐Chia Yang4Shih‐Ting Tseng5Yuan‐Horng Yan6Divison of Endocrinology and Metabolism Department of Internal Medicine Kuang Tien General Hospital Taichung TaiwanDepartment of Bioenvironmental Systems Engineering National Taiwan University Taipei TaiwanDepartment of Nursing Kuang Tien General Hospital Taichung TaiwanDepartment of Neurology Kuang Tien General Hospital Taichung TaiwanDepartment of Healthcare Administration Asia University Taichung TaiwanDivison of Endocrinology and Metabolism Department of Internal Medicine Kuang Tien General Hospital Taichung TaiwanDivison of Endocrinology and Metabolism Department of Internal Medicine Kuang Tien General Hospital Taichung TaiwanAbstract Aims/Introduction Maternal hyperglycemia leads to adverse pregnancy outcomes, and also subsequently affects both mothers and their offspring in later life. The prevalence of type 2 diabetes mellitus is increasing worldwide, and gestational diabetes mellitus (GDM) is also believed to be increasing. More precise nationwide and up‐to‐date data on GDM are required. Materials and Methods A population‐based retrospective cohort study was carried out with the Birth Certificate Application database and linked to the National Health Insurance Research Database to explore trends in the annual crude prevalence of GDM in all women who gave birth between 1 January 2004 and 31 December 2015 in Taiwan and their pregnancy outcomes. The registry is considered complete, reliable and accurate. Results A total of 2,468,793 births from 2,430,307 pregnancies were reported between 1 January 2004 and 31 December 2015. Finally, 2,053,305 pregnancies were included for further analysis. The annual prevalence of GDM increased by 1.8‐fold during the 12 years from 2004 to 2015, with a significant continuous increasing trend (from 7.6% to 13.4%, P < 0.001). The annual prevalence of GDM significantly increased in each age group (all trends P < 0.001), particularly for women with maternal ages of 31 years and older. Urbanization level, geographic risk factors and seasonal variations were also noted. Conclusion The annual prevalence of GDM increased by 1.8‐fold in the 12‐year period from 2004 to 2015 in Taiwan, with a significant continuous increasing trend (from 7.6% to 13.4%, P < 0.001).https://doi.org/10.1111/jdi.13595Gestational diabetes mellitusNational Health Insurance Research DatabasePrevalence |
| spellingShingle | Feng‐Lin Su Mei‐Chun Lu Su‐Chen Yu Chun‐Pai Yang Cheng‐Chia Yang Shih‐Ting Tseng Yuan‐Horng Yan Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan Journal of Diabetes Investigation Gestational diabetes mellitus National Health Insurance Research Database Prevalence |
| title | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
| title_full | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
| title_fullStr | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
| title_full_unstemmed | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
| title_short | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
| title_sort | increasing trend in the prevalence of gestational diabetes mellitus in taiwan |
| topic | Gestational diabetes mellitus National Health Insurance Research Database Prevalence |
| url | https://doi.org/10.1111/jdi.13595 |
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