Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas

Background: Gestational diabetes (GDM) is associated to a worse outcome of pregnancy. This justifies efforts for finding possible causes of GDM that would allow implementing preventive interventions. Aim: To study incidence of GDM and its relation with obesity and other traditional risk factors. Mat...

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Autores principales:	Huidobro M,Andrea, Fulford,Anthony, Carrasco P,Elena
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Body mass index Diabetes, gestational Obesity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000800004
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spelling	oai:scielo:S0034-988720040008000042014-08-14Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenasHuidobro M,AndreaFulford,AnthonyCarrasco P,Elena Body mass index Diabetes, gestational Obesity Background: Gestational diabetes (GDM) is associated to a worse outcome of pregnancy. This justifies efforts for finding possible causes of GDM that would allow implementing preventive interventions. Aim: To study incidence of GDM and its relation with obesity and other traditional risk factors. Material and methods: A retrospective study was performed in 234 women who had delivered a singleton during the last 12 months, attended in an outpatient clinic in Santiago, Chile. Familiar and personal history, body mass index (BMI), obstetrical-related pathology and data about the labor and the newborn were analyzed. Results: GDM was diagnosed in 11.2% of the women. BMI before pregnancy was 26.6 ± 4.4 kg/m2 (mean ± SD) and it was 25 or over in 37.8% of women. Women who developed GDM had significantly higher BMI in the pre-pregnancy stage and in the second and third trimester of pregnancy (p <0.001). The average age was greater in the GDM group (31±0.2 yr versus 26±0.41 yr). Incidence of GDM was 14.4% among women 25 years old or older and increased to 21.4% when they had, in addition, a BMI of 25 or over. Age, BMI, and family history of diabetes were all independently correlated with the development of GDM. Elective caesarean sections were more common in GDM than in non-GDM women (p = <0.01) and complications were present in 3/23 of newborns of women with GDM and 2/199 among women without GDM (p <0.01) Conclusions: GDM and obesity are highly prevalent in Chilean pregnant women. BMI, first degree relative with DM and age are independent risk factors for the development of GDM (Rev Méd Chile 2004; 132: 931-8)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.8 20042004-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000800004es10.4067/S0034-98872004000800004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Body mass index Diabetes, gestational Obesity
spellingShingle	Body mass index Diabetes, gestational Obesity Huidobro M,Andrea Fulford,Anthony Carrasco P,Elena Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas
description	Background: Gestational diabetes (GDM) is associated to a worse outcome of pregnancy. This justifies efforts for finding possible causes of GDM that would allow implementing preventive interventions. Aim: To study incidence of GDM and its relation with obesity and other traditional risk factors. Material and methods: A retrospective study was performed in 234 women who had delivered a singleton during the last 12 months, attended in an outpatient clinic in Santiago, Chile. Familiar and personal history, body mass index (BMI), obstetrical-related pathology and data about the labor and the newborn were analyzed. Results: GDM was diagnosed in 11.2% of the women. BMI before pregnancy was 26.6 ± 4.4 kg/m2 (mean ± SD) and it was 25 or over in 37.8% of women. Women who developed GDM had significantly higher BMI in the pre-pregnancy stage and in the second and third trimester of pregnancy (p <0.001). The average age was greater in the GDM group (31±0.2 yr versus 26±0.41 yr). Incidence of GDM was 14.4% among women 25 years old or older and increased to 21.4% when they had, in addition, a BMI of 25 or over. Age, BMI, and family history of diabetes were all independently correlated with the development of GDM. Elective caesarean sections were more common in GDM than in non-GDM women (p = <0.01) and complications were present in 3/23 of newborns of women with GDM and 2/199 among women without GDM (p <0.01) Conclusions: GDM and obesity are highly prevalent in Chilean pregnant women. BMI, first degree relative with DM and age are independent risk factors for the development of GDM (Rev Méd Chile 2004; 132: 931-8)
author	Huidobro M,Andrea Fulford,Anthony Carrasco P,Elena
author_facet	Huidobro M,Andrea Fulford,Anthony Carrasco P,Elena
author_sort	Huidobro M,Andrea
title	Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas
title_short	Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas
title_full	Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas
title_fullStr	Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas
title_full_unstemmed	Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas
title_sort	incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004000800004
work_keys_str_mv	AT huidobromandrea incidenciadediabetesgestacionalysurelacionconobesidadenembarazadaschilenas AT fulfordanthony incidenciadediabetesgestacionalysurelacionconobesidadenembarazadaschilenas AT carrascopelena incidenciadediabetesgestacionalysurelacionconobesidadenembarazadaschilenas
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Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas

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