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Seasonality of gestational diabetes mellitus and maternal blood glucose levels: Evidence from Taiwan

Previous studies have indicated that the prevalence of gestational diabetes mellitus (GDM) was related to the season. However, there was no relevant information in Asia. The aim of this study was to determine whether there was seasonality of GDM and maternal blood glucose level in Taiwanese women. A...

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Autores principales: Wang, Panchalli, Wu, Chung-Shing, Li, Chung-Yi, Yang, Chun-Pai, Lu, Mei-Chun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544315/
https://www.ncbi.nlm.nih.gov/pubmed/33031338
http://dx.doi.org/10.1097/MD.0000000000022684
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author Wang, Panchalli
Wu, Chung-Shing
Li, Chung-Yi
Yang, Chun-Pai
Lu, Mei-Chun
author_facet Wang, Panchalli
Wu, Chung-Shing
Li, Chung-Yi
Yang, Chun-Pai
Lu, Mei-Chun
author_sort Wang, Panchalli
collection PubMed
description Previous studies have indicated that the prevalence of gestational diabetes mellitus (GDM) was related to the season. However, there was no relevant information in Asia. The aim of this study was to determine whether there was seasonality of GDM and maternal blood glucose level in Taiwanese women. A total of 6396 pregnancies were enrolled between 2012 and 2014 in this retrospective study. A 2-step approach according to the Carpenter-Coustan criteria was used for GDM diagnosis. A generalized linear mixed model was used to estimate the effect of season on GDM diagnosis by adjusting for age, prepregnancy body mass index, parity, history of GDM, fetal sex, and the rate of weight gain. During the study period, 418 (6.5%) pregnancies were diagnosed as GDM. The model demonstrated an increased prevalence of GDM in spring and summer (odds ratio: 1.59, 95% confidence interval: 1.13–2.24; odds ratio: 1.59, 95% confidence interval: 1.14–2.23, respectively) compared to winter. For the glucose level variation, the model demonstrated an increase of 2.56 mg/dL glucose in the 50-g glucose challenge test in summer compared to winter. In glucose challenge test-positive pregnancies, the season also had an effect on the results of the 100-g 1-h, 2-h, and 3-h oral glucose tolerance tests, but no effect on the 100-g fasting oral glucose tolerance tests. GDM prevalence in Taiwan presents seasonal variation, with the highest risk during spring and summer due to post-glucose load level variations. These findings could serve as reference data for countries in Southeast Asia or areas with a similar climate.
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spelling pubmed-75443152020-10-30 Seasonality of gestational diabetes mellitus and maternal blood glucose levels: Evidence from Taiwan Wang, Panchalli Wu, Chung-Shing Li, Chung-Yi Yang, Chun-Pai Lu, Mei-Chun Medicine (Baltimore) 5600 Previous studies have indicated that the prevalence of gestational diabetes mellitus (GDM) was related to the season. However, there was no relevant information in Asia. The aim of this study was to determine whether there was seasonality of GDM and maternal blood glucose level in Taiwanese women. A total of 6396 pregnancies were enrolled between 2012 and 2014 in this retrospective study. A 2-step approach according to the Carpenter-Coustan criteria was used for GDM diagnosis. A generalized linear mixed model was used to estimate the effect of season on GDM diagnosis by adjusting for age, prepregnancy body mass index, parity, history of GDM, fetal sex, and the rate of weight gain. During the study period, 418 (6.5%) pregnancies were diagnosed as GDM. The model demonstrated an increased prevalence of GDM in spring and summer (odds ratio: 1.59, 95% confidence interval: 1.13–2.24; odds ratio: 1.59, 95% confidence interval: 1.14–2.23, respectively) compared to winter. For the glucose level variation, the model demonstrated an increase of 2.56 mg/dL glucose in the 50-g glucose challenge test in summer compared to winter. In glucose challenge test-positive pregnancies, the season also had an effect on the results of the 100-g 1-h, 2-h, and 3-h oral glucose tolerance tests, but no effect on the 100-g fasting oral glucose tolerance tests. GDM prevalence in Taiwan presents seasonal variation, with the highest risk during spring and summer due to post-glucose load level variations. These findings could serve as reference data for countries in Southeast Asia or areas with a similar climate. Lippincott Williams & Wilkins 2020-10-09 /pmc/articles/PMC7544315/ /pubmed/33031338 http://dx.doi.org/10.1097/MD.0000000000022684 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle 5600
Wang, Panchalli
Wu, Chung-Shing
Li, Chung-Yi
Yang, Chun-Pai
Lu, Mei-Chun
Seasonality of gestational diabetes mellitus and maternal blood glucose levels: Evidence from Taiwan
title Seasonality of gestational diabetes mellitus and maternal blood glucose levels: Evidence from Taiwan
title_full Seasonality of gestational diabetes mellitus and maternal blood glucose levels: Evidence from Taiwan
title_fullStr Seasonality of gestational diabetes mellitus and maternal blood glucose levels: Evidence from Taiwan
title_full_unstemmed Seasonality of gestational diabetes mellitus and maternal blood glucose levels: Evidence from Taiwan
title_short Seasonality of gestational diabetes mellitus and maternal blood glucose levels: Evidence from Taiwan
title_sort seasonality of gestational diabetes mellitus and maternal blood glucose levels: evidence from taiwan
topic 5600
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544315/
https://www.ncbi.nlm.nih.gov/pubmed/33031338
http://dx.doi.org/10.1097/MD.0000000000022684
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