Serum homocysteine level in gestational diabetes: a prospective study

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Main Authors: Davari Tanha F, Khan Mohamadi F, Shariat M, Kaveh M, Niroomand N
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2009-08-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14123.pdf&manuscript_id=14123
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author Davari Tanha F
Khan Mohamadi F
Shariat M
Kaveh M
Niroomand N
author_facet Davari Tanha F
Khan Mohamadi F
Shariat M
Kaveh M
Niroomand N
author_sort Davari Tanha F
collection DOAJ
description "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Increased total plasma homocysteine (Hcy) is an accepted risk factor of cardiovascular disease (CVD), stroke, preclampsia, recurrent abortion and diabetes type I and II. The aim of the current study was to assess serum homocysteine and its relation with serum folat, vitamine B12 and lipid profile in gestational diabetes mellitus and to compare these with those of pregnant women."n"n Methods: In a prospective controlled survey 80 pregnant women (24-28 weeks) with uncomplicated pregnancies were evaluated. They were assigned to one of two groups according to the results of 100g-OGTT. In the case group there were pregnant women with gestational diabetes mellitus according to the OGTT and in the control group women who had normal OGTT results were put. Levels of fasting glucose, homocysteine, vit B12, and folic acid, uric acid, total cholesterol, triglyceride, Low Density Lipoprotein cholesterol (LDL) and High Density Lipoprotein cholesterol (HDL) were measured in both groups."n"nResults: The mean level of homocysteine in GDM group was significantly higher than control group (p=0.000). The mean level of folic acid and vit B12 was significantly lower than the level in control group (p=0.001, p=0.004 respectively). Body mass index (BMI) in GDM group was higher (p=0.000) and HDL level was lower (p=0.006) than control group. There were no significant differences among the groups with respect to levels of total cholesterol and triglyceride."n"n Conclusion: We found that patients with gestational diabetes have higher homocysteine level than normal pregnant women. This increased level seems to be related to an abnormal OGTT. Further investigations are needed to follow up these patients in the postpartum period and later on.
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spelling doaj.art-a6ff9bc65fef48d788dfdf46467be4062022-12-21T23:37:21ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222009-08-01675374378Serum homocysteine level in gestational diabetes: a prospective studyDavari Tanha FKhan Mohamadi FShariat MKaveh MNiroomand N"n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Increased total plasma homocysteine (Hcy) is an accepted risk factor of cardiovascular disease (CVD), stroke, preclampsia, recurrent abortion and diabetes type I and II. The aim of the current study was to assess serum homocysteine and its relation with serum folat, vitamine B12 and lipid profile in gestational diabetes mellitus and to compare these with those of pregnant women."n"n Methods: In a prospective controlled survey 80 pregnant women (24-28 weeks) with uncomplicated pregnancies were evaluated. They were assigned to one of two groups according to the results of 100g-OGTT. In the case group there were pregnant women with gestational diabetes mellitus according to the OGTT and in the control group women who had normal OGTT results were put. Levels of fasting glucose, homocysteine, vit B12, and folic acid, uric acid, total cholesterol, triglyceride, Low Density Lipoprotein cholesterol (LDL) and High Density Lipoprotein cholesterol (HDL) were measured in both groups."n"nResults: The mean level of homocysteine in GDM group was significantly higher than control group (p=0.000). The mean level of folic acid and vit B12 was significantly lower than the level in control group (p=0.001, p=0.004 respectively). Body mass index (BMI) in GDM group was higher (p=0.000) and HDL level was lower (p=0.006) than control group. There were no significant differences among the groups with respect to levels of total cholesterol and triglyceride."n"n Conclusion: We found that patients with gestational diabetes have higher homocysteine level than normal pregnant women. This increased level seems to be related to an abnormal OGTT. Further investigations are needed to follow up these patients in the postpartum period and later on.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14123.pdf&manuscript_id=14123Homocysteinefolic acidvit.B12gestational diabete
spellingShingle Davari Tanha F
Khan Mohamadi F
Shariat M
Kaveh M
Niroomand N
Serum homocysteine level in gestational diabetes: a prospective study
Tehran University Medical Journal
Homocysteine
folic acid
vit.B12
gestational diabete
title Serum homocysteine level in gestational diabetes: a prospective study
title_full Serum homocysteine level in gestational diabetes: a prospective study
title_fullStr Serum homocysteine level in gestational diabetes: a prospective study
title_full_unstemmed Serum homocysteine level in gestational diabetes: a prospective study
title_short Serum homocysteine level in gestational diabetes: a prospective study
title_sort serum homocysteine level in gestational diabetes a prospective study
topic Homocysteine
folic acid
vit.B12
gestational diabete
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14123.pdf&manuscript_id=14123
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AT khanmohamadif serumhomocysteinelevelingestationaldiabetesaprospectivestudy
AT shariatm serumhomocysteinelevelingestationaldiabetesaprospectivestudy
AT kavehm serumhomocysteinelevelingestationaldiabetesaprospectivestudy
AT niroomandn serumhomocysteinelevelingestationaldiabetesaprospectivestudy