Evaluación de la tendencia de diabetes gestacional en un período de 11 años en Buenos Aires, Argentina

Background: The prevalence of gestational diabetes (GDM) is increasing along with obesity and gestational age. This prevalence varies in populations and with different guidelines used for the diagnoses. Aim: To estimate the change in prevalence of GDM and obesity in a period 11 years. Material an...

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Autores principales:	Pagotto,Vanina, Martínez,María Lourdes Posadas, Hernán Giunta,Diego, Pochettino,Pablo Andrés, Salzberg,Susana
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Diabetes, Gestational Mass Screening Obesity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000801068
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spelling	oai:scielo:S0034-988720200008010682020-12-26Evaluación de la tendencia de diabetes gestacional en un período de 11 años en Buenos Aires, ArgentinaPagotto,VaninaMartínez,María Lourdes PosadasHernán Giunta,DiegoPochettino,Pablo AndrésSalzberg,Susana Diabetes, Gestational Mass Screening Obesity Background: The prevalence of gestational diabetes (GDM) is increasing along with obesity and gestational age. This prevalence varies in populations and with different guidelines used for the diagnoses. Aim: To estimate the change in prevalence of GDM and obesity in a period 11 years. Material and Methods: Analysis of pregnancies attended at an obstetrics ward of a general hospital between 2001 and 2018. Those women who were diabetic prior to their pregnancy were excluded from the analysis. Annual crude and adjusted prevalence using direct standardization by age were estimated. Results: We analyzed 33,985 pregnancies. GDM screening was performed in 20,139 (59%), and 1,466 (7%) had GDM. In 2007 the crude and adjusted prevalence of GDM were 4.9 and 5.2%, respectively. The figures in 2018 were 8.8 and 8.5%, respectively, with an annual percentage of change (APC) of 6.9% (p < 0.001). The frequency of obesity also increased with an APC of 4.1% (p < 0.001). In women with GDM the APC of obesity was 4.6% (p < 0.001). There was also an increase in the frequency of screening, with a joinpoint in 2011. The APC of screening in the periods 2007-2011 and 2011-2018 were 16.6 and 2.9%, respectively (p < 0.001). Conclusions: The prevalence of GDM increased in this period of eleven years along with the prevalence of obesity.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.8 20202020-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000801068es10.4067/S0034-98872020000801068
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Diabetes, Gestational Mass Screening Obesity
spellingShingle	Diabetes, Gestational Mass Screening Obesity Pagotto,Vanina Martínez,María Lourdes Posadas Hernán Giunta,Diego Pochettino,Pablo Andrés Salzberg,Susana Evaluación de la tendencia de diabetes gestacional en un período de 11 años en Buenos Aires, Argentina
description	Background: The prevalence of gestational diabetes (GDM) is increasing along with obesity and gestational age. This prevalence varies in populations and with different guidelines used for the diagnoses. Aim: To estimate the change in prevalence of GDM and obesity in a period 11 years. Material and Methods: Analysis of pregnancies attended at an obstetrics ward of a general hospital between 2001 and 2018. Those women who were diabetic prior to their pregnancy were excluded from the analysis. Annual crude and adjusted prevalence using direct standardization by age were estimated. Results: We analyzed 33,985 pregnancies. GDM screening was performed in 20,139 (59%), and 1,466 (7%) had GDM. In 2007 the crude and adjusted prevalence of GDM were 4.9 and 5.2%, respectively. The figures in 2018 were 8.8 and 8.5%, respectively, with an annual percentage of change (APC) of 6.9% (p < 0.001). The frequency of obesity also increased with an APC of 4.1% (p < 0.001). In women with GDM the APC of obesity was 4.6% (p < 0.001). There was also an increase in the frequency of screening, with a joinpoint in 2011. The APC of screening in the periods 2007-2011 and 2011-2018 were 16.6 and 2.9%, respectively (p < 0.001). Conclusions: The prevalence of GDM increased in this period of eleven years along with the prevalence of obesity.
author	Pagotto,Vanina Martínez,María Lourdes Posadas Hernán Giunta,Diego Pochettino,Pablo Andrés Salzberg,Susana
author_facet	Pagotto,Vanina Martínez,María Lourdes Posadas Hernán Giunta,Diego Pochettino,Pablo Andrés Salzberg,Susana
author_sort	Pagotto,Vanina
title	Evaluación de la tendencia de diabetes gestacional en un período de 11 años en Buenos Aires, Argentina
title_short	Evaluación de la tendencia de diabetes gestacional en un período de 11 años en Buenos Aires, Argentina
title_full	Evaluación de la tendencia de diabetes gestacional en un período de 11 años en Buenos Aires, Argentina
title_fullStr	Evaluación de la tendencia de diabetes gestacional en un período de 11 años en Buenos Aires, Argentina
title_full_unstemmed	Evaluación de la tendencia de diabetes gestacional en un período de 11 años en Buenos Aires, Argentina
title_sort	evaluación de la tendencia de diabetes gestacional en un período de 11 años en buenos aires, argentina
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000801068
work_keys_str_mv	AT pagottovanina evaluaciondelatendenciadediabetesgestacionalenunperiodode11anosenbuenosairesargentina AT martinezmarialourdesposadas evaluaciondelatendenciadediabetesgestacionalenunperiodode11anosenbuenosairesargentina AT hernangiuntadiego evaluaciondelatendenciadediabetesgestacionalenunperiodode11anosenbuenosairesargentina AT pochettinopabloandres evaluaciondelatendenciadediabetesgestacionalenunperiodode11anosenbuenosairesargentina AT salzbergsusana evaluaciondelatendenciadediabetesgestacionalenunperiodode11anosenbuenosairesargentina
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Evaluación de la tendencia de diabetes gestacional en un período de 11 años en Buenos Aires, Argentina

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