History of having a macrosomic infant and the risk of diabetes: the Japan public health center-based prospective diabetes study.

<h4>Objective</h4>The aim of the present study was to test a hypothesis that a history of having a macrosomic infant (≥ 4000 g) is associated with the risk of diabetes.<h4>Methods</h4>Data on the Japan Public Health Center-based Prospective diabetes cohort were analyzed, whic...

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Autores principales: Yusuke Kabeya, Atsushi Goto, Masayuki Kato, Yoshihiko Takahashi, Yumi Matsushita, Manami Inoue, Tetsuya Mizoue, Shoichiro Tsugane, Takashi Kadowaki, Mitsuhiko Noda
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2013
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Acceso en línea:https://doaj.org/article/5a5109bb3e2344f1b7a94ef0dd5e21bc
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Sumario:<h4>Objective</h4>The aim of the present study was to test a hypothesis that a history of having a macrosomic infant (≥ 4000 g) is associated with the risk of diabetes.<h4>Methods</h4>Data on the Japan Public Health Center-based Prospective diabetes cohort were analyzed, which is a population-based cohort study on diabetes. The survey of diabetes was performed at baseline and at the 5-year follow-up. A history of having a macrosomic infant was assessed using a self-administered questionnaire. A cross-sectional analysis was performed among 12,153 women who participated in the 5-year survey of the cohort. Logistic regression was used to examine the relationship between a history of having a macrosomic infant and the presence of diabetes. A longitudinal analysis was also conducted among 7,300 women without diabetes who participated in the baseline survey. Logistic regression was used to investigate the relationship between a history of having a macrosomic infant and the incidence of diabetes between the baseline survey and the 5-year survey.<h4>Results</h4>In the cross-sectional analysis, parous women with a positive history were more likely to have diabetes in relation to parous women without (OR = 1.44, 95% CI = 1.13-1.83). The longitudinal analysis showed a modest but non-significant increased risk of developing diabetes among women with a positive history (OR = 1.24, 95% CI = 0.80-1.94).<h4>Conclusions</h4>An increased risk of diabetes was implied among women with a history of having a macrosomic infant although the longitudinal analysis showed a non-significant increased risk.