Incidence and risk factors of gestational diabetes mellitus in Goba town, Southeast Ethiopia: a prospective cohort study
Objective Gestational diabetes mellitus (GDM) is becoming a public health concern in low/middle-income countries, and is known to cause severe morbidity and mortality for mothers and newborns. However, evidence reported for the incidence and risk factors of GDM is scant in Ethiopia. We aimed to asse...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/9/e060694.full |
| _version_ | 1811195008322109440 |
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| author | Vijay Kumar Chattu Biniyam Sahiledengle Yohannes Tekalegn Demisu Zenbaba Girma Beressa Fikreab Desta Daniel Atlaw Tesfaye Assefa Wogene Negash Anwar Tahir Tadele Regasa Ayele Mamo Zinash Teferu Enegeda Damtew Solomon Habtamu Gezahegn Kebebe Bekele Alelign Tasew Fikadu Nugusu Zerihun Shiferaw Zegeye Feleke Zegeye Regassa Negesso Duguma |
| author_facet | Vijay Kumar Chattu Biniyam Sahiledengle Yohannes Tekalegn Demisu Zenbaba Girma Beressa Fikreab Desta Daniel Atlaw Tesfaye Assefa Wogene Negash Anwar Tahir Tadele Regasa Ayele Mamo Zinash Teferu Enegeda Damtew Solomon Habtamu Gezahegn Kebebe Bekele Alelign Tasew Fikadu Nugusu Zerihun Shiferaw Zegeye Feleke Zegeye Regassa Negesso Duguma |
| author_sort | Vijay Kumar Chattu |
| collection | DOAJ |
| description | Objective Gestational diabetes mellitus (GDM) is becoming a public health concern in low/middle-income countries, and is known to cause severe morbidity and mortality for mothers and newborns. However, evidence reported for the incidence and risk factors of GDM is scant in Ethiopia. We aimed to assess the incidence of, and risk factors for, GDM in Goba town, Southeast Ethiopia.Design Prospective cohort study.Setting Goba town, Southeast Ethiopia.Participants Four hundred eighty pregnant women on antenatal care follow-up from 30 April to 30 September 2021.Primary and secondary outcomes Incidence and risk factors of GDM using fasting capillary blood glucose. Log-binomial model was used to identify the risk factors of GDM. Adjusted relative risk (aRR), along with 95% CIs, were calculated to estimate the strength of associations.Results The cumulative incidence rate of GDM in this study was 15.7% (95% CI: 12.3% to 19.2%). Being unemployed (aRR=2.73; 95% CI: 1.36 to 5.47), having a family history of diabetes mellitus (DM) (3.01; 2.09 to 4.35), low physical activity (2.43; 1.11 to 5.32), inadequate dietary diversity (1.48; 1.29 to 1.92), anaemia (2.51; 1.32 to 3.54) and antenatal depression (4.95; 3.35 to 7.31) were significantly associated with GDM.Conclusion The cumulative incidence of GDM was relatively high among the study participants. Having antenatal depression symptoms, low physical activity, inadequate dietary diversity, being unemployed, anaemia and a family history of DM were significant risk factors for GDM. |
| first_indexed | 2024-04-12T00:35:33Z |
| format | Article |
| id | doaj.art-ad65ee2404b54f2188dd06de648524ee |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-12T00:35:33Z |
| publishDate | 2022-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-ad65ee2404b54f2188dd06de648524ee2022-12-22T03:55:10ZengBMJ Publishing GroupBMJ Open2044-60552022-09-0112910.1136/bmjopen-2021-060694Incidence and risk factors of gestational diabetes mellitus in Goba town, Southeast Ethiopia: a prospective cohort studyVijay Kumar Chattu0Biniyam Sahiledengle1Yohannes Tekalegn2Demisu Zenbaba3Girma Beressa4Fikreab Desta5Daniel Atlaw6Tesfaye Assefa7Wogene Negash8Anwar Tahir9Tadele Regasa10Ayele Mamo11Zinash Teferu Enegeda12Damtew Solomon13Habtamu Gezahegn14Kebebe Bekele15Alelign Tasew16Fikadu Nugusu17Zerihun Shiferaw18Zegeye Feleke19Zegeye Regassa20Negesso Duguma21Center for Transdisciplinary Research, Saveetha Medical College and Hospitals, SIMATS, Saveetha University, Chennai 600077, IndiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Medicine, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Medicine, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Medicine, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Medicine, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Medicine, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Medicine, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Medicine, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Health Sciences, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaSchool of Medicine, Goba Referral Hospital, Madda Walabu University, Bale-Goba, Oromia, EthiopiaObjective Gestational diabetes mellitus (GDM) is becoming a public health concern in low/middle-income countries, and is known to cause severe morbidity and mortality for mothers and newborns. However, evidence reported for the incidence and risk factors of GDM is scant in Ethiopia. We aimed to assess the incidence of, and risk factors for, GDM in Goba town, Southeast Ethiopia.Design Prospective cohort study.Setting Goba town, Southeast Ethiopia.Participants Four hundred eighty pregnant women on antenatal care follow-up from 30 April to 30 September 2021.Primary and secondary outcomes Incidence and risk factors of GDM using fasting capillary blood glucose. Log-binomial model was used to identify the risk factors of GDM. Adjusted relative risk (aRR), along with 95% CIs, were calculated to estimate the strength of associations.Results The cumulative incidence rate of GDM in this study was 15.7% (95% CI: 12.3% to 19.2%). Being unemployed (aRR=2.73; 95% CI: 1.36 to 5.47), having a family history of diabetes mellitus (DM) (3.01; 2.09 to 4.35), low physical activity (2.43; 1.11 to 5.32), inadequate dietary diversity (1.48; 1.29 to 1.92), anaemia (2.51; 1.32 to 3.54) and antenatal depression (4.95; 3.35 to 7.31) were significantly associated with GDM.Conclusion The cumulative incidence of GDM was relatively high among the study participants. Having antenatal depression symptoms, low physical activity, inadequate dietary diversity, being unemployed, anaemia and a family history of DM were significant risk factors for GDM.https://bmjopen.bmj.com/content/12/9/e060694.full |
| spellingShingle | Vijay Kumar Chattu Biniyam Sahiledengle Yohannes Tekalegn Demisu Zenbaba Girma Beressa Fikreab Desta Daniel Atlaw Tesfaye Assefa Wogene Negash Anwar Tahir Tadele Regasa Ayele Mamo Zinash Teferu Enegeda Damtew Solomon Habtamu Gezahegn Kebebe Bekele Alelign Tasew Fikadu Nugusu Zerihun Shiferaw Zegeye Feleke Zegeye Regassa Negesso Duguma Incidence and risk factors of gestational diabetes mellitus in Goba town, Southeast Ethiopia: a prospective cohort study BMJ Open |
| title | Incidence and risk factors of gestational diabetes mellitus in Goba town, Southeast Ethiopia: a prospective cohort study |
| title_full | Incidence and risk factors of gestational diabetes mellitus in Goba town, Southeast Ethiopia: a prospective cohort study |
| title_fullStr | Incidence and risk factors of gestational diabetes mellitus in Goba town, Southeast Ethiopia: a prospective cohort study |
| title_full_unstemmed | Incidence and risk factors of gestational diabetes mellitus in Goba town, Southeast Ethiopia: a prospective cohort study |
| title_short | Incidence and risk factors of gestational diabetes mellitus in Goba town, Southeast Ethiopia: a prospective cohort study |
| title_sort | incidence and risk factors of gestational diabetes mellitus in goba town southeast ethiopia a prospective cohort study |
| url | https://bmjopen.bmj.com/content/12/9/e060694.full |
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