Prevalence and Risk Factors for Gestational Diabetes Mellitus in Tehran
Objective: To evaluate the prevalence of gestational diabetes mellitus (GDM) and its risk factors in Tehran. Materials and Methods: From March 2002 to October 2004, screening for GDM was performed on 1804 women in Tehran. All pregnant women were referred for a 50 g oral glucose challenge test (OGCT)...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2008-06-01
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| Series: | Journal of Family and Reproductive Health |
| Subjects: | |
| Online Access: | https://jfrh.tums.ac.ir/index.php/jfrh/article/view/35 |
| _version_ | 1818900775480328192 |
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| author | Ahia Garshasbi Soghrat Faghihzadeh Mohammad Mehdi Naghizadeh Mandana Ghavam |
| author_facet | Ahia Garshasbi Soghrat Faghihzadeh Mohammad Mehdi Naghizadeh Mandana Ghavam |
| author_sort | Ahia Garshasbi |
| collection | DOAJ |
| description | Objective: To evaluate the prevalence of gestational diabetes mellitus (GDM) and its risk factors in Tehran.
Materials and Methods: From March 2002 to October 2004, screening for GDM was performed on 1804 women in Tehran. All pregnant women were referred for a 50 g oral glucose challenge test (OGCT) between 24th and 28th week of gestation. All subjects with an abnormal GCT (blood glucose level ≥130 mg/dl) underwent an oral glucose tolerance test (OGTT) within 1 week after the abnormal screening test. The prevalence of GDM was estimated.
Results: The glucose challenge test was positive in 38.1% of cases .The prevalence of GDM for the whole cohort was 6.8%. About 78.6% of our population were at medium or high risk for GDM and, therefore, would have been screened. The rate of GDM was significantly higher in women with a positive family history of diabetes, positive history of GDM, older age, multiparity, pre-pregnancy obesity, greater weight gain during pregnancy, history of infertility, chronic hypertension, history of stillbirth pregnancies and abortion. After logistic regression analysis, GDM diagnosis was significantly correlated with age (P<0.001), pre-pregnancy BMI (P=0.005), family history of diabetes (P<0.001), history of GDM (P=0. 002), chronic hypertension (P<0.001) and glucosuria during current pregnancy (P<0.001).
Conclusion: In populations with medium/high risks for GDM (like the Iranian) universal screening is recommended to identify women with diabetes mellitus. |
| first_indexed | 2024-12-19T20:09:13Z |
| format | Article |
| id | doaj.art-7143027639e3476c8ef6e7f9a59636cf |
| institution | Directory Open Access Journal |
| issn | 1735-8949 1735-9392 |
| language | English |
| last_indexed | 2024-12-19T20:09:13Z |
| publishDate | 2008-06-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Family and Reproductive Health |
| spelling | doaj.art-7143027639e3476c8ef6e7f9a59636cf2022-12-21T20:07:21ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922008-06-012235Prevalence and Risk Factors for Gestational Diabetes Mellitus in TehranAhia Garshasbi0Soghrat Faghihzadeh1Mohammad Mehdi Naghizadeh2Mandana Ghavam3Department of Obstetrics and Gynecology, Faculty of Medicine, Shahed University, Tehran, I.R. IranDepartment of Biostatistics, Faculty of Medicine, Tarbiat Modarres University, Tehran, I.R. IranDepartment of Biostatistics, Faculty of Medicine, Tarbiat Modarres University, Tehran, I.R. IranDepartment of Midwifery, Faculty of Medicine, Tarbiat Modarres University, Tehran, I.R. IranObjective: To evaluate the prevalence of gestational diabetes mellitus (GDM) and its risk factors in Tehran. Materials and Methods: From March 2002 to October 2004, screening for GDM was performed on 1804 women in Tehran. All pregnant women were referred for a 50 g oral glucose challenge test (OGCT) between 24th and 28th week of gestation. All subjects with an abnormal GCT (blood glucose level ≥130 mg/dl) underwent an oral glucose tolerance test (OGTT) within 1 week after the abnormal screening test. The prevalence of GDM was estimated. Results: The glucose challenge test was positive in 38.1% of cases .The prevalence of GDM for the whole cohort was 6.8%. About 78.6% of our population were at medium or high risk for GDM and, therefore, would have been screened. The rate of GDM was significantly higher in women with a positive family history of diabetes, positive history of GDM, older age, multiparity, pre-pregnancy obesity, greater weight gain during pregnancy, history of infertility, chronic hypertension, history of stillbirth pregnancies and abortion. After logistic regression analysis, GDM diagnosis was significantly correlated with age (P<0.001), pre-pregnancy BMI (P=0.005), family history of diabetes (P<0.001), history of GDM (P=0. 002), chronic hypertension (P<0.001) and glucosuria during current pregnancy (P<0.001). Conclusion: In populations with medium/high risks for GDM (like the Iranian) universal screening is recommended to identify women with diabetes mellitus.https://jfrh.tums.ac.ir/index.php/jfrh/article/view/35Gestational diabetes mellitusPrevalenceRisk factorsScreening |
| spellingShingle | Ahia Garshasbi Soghrat Faghihzadeh Mohammad Mehdi Naghizadeh Mandana Ghavam Prevalence and Risk Factors for Gestational Diabetes Mellitus in Tehran Journal of Family and Reproductive Health Gestational diabetes mellitus Prevalence Risk factors Screening |
| title | Prevalence and Risk Factors for Gestational Diabetes Mellitus in Tehran |
| title_full | Prevalence and Risk Factors for Gestational Diabetes Mellitus in Tehran |
| title_fullStr | Prevalence and Risk Factors for Gestational Diabetes Mellitus in Tehran |
| title_full_unstemmed | Prevalence and Risk Factors for Gestational Diabetes Mellitus in Tehran |
| title_short | Prevalence and Risk Factors for Gestational Diabetes Mellitus in Tehran |
| title_sort | prevalence and risk factors for gestational diabetes mellitus in tehran |
| topic | Gestational diabetes mellitus Prevalence Risk factors Screening |
| url | https://jfrh.tums.ac.ir/index.php/jfrh/article/view/35 |
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