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Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan
AIMS/INTRODUCTION: Maternal hyperglycemia leads to adverse pregnancy outcomes, and also subsequently affects both mothers and their offspring in later life. The prevalence of type 2 diabetes mellitus is increasing worldwide, and gestational diabetes mellitus (GDM) is also believed to be increasing....
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565422/ https://www.ncbi.nlm.nih.gov/pubmed/34008344 http://dx.doi.org/10.1111/jdi.13595 |
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author | Su, Feng‐Lin Lu, Mei‐Chun Yu, Su‐Chen Yang, Chun‐Pai Yang, Cheng‐Chia Tseng, Shih‐Ting Yan, Yuan‐Horng |
author_facet | Su, Feng‐Lin Lu, Mei‐Chun Yu, Su‐Chen Yang, Chun‐Pai Yang, Cheng‐Chia Tseng, Shih‐Ting Yan, Yuan‐Horng |
author_sort | Su, Feng‐Lin |
collection | PubMed |
description | AIMS/INTRODUCTION: Maternal hyperglycemia leads to adverse pregnancy outcomes, and also subsequently affects both mothers and their offspring in later life. The prevalence of type 2 diabetes mellitus is increasing worldwide, and gestational diabetes mellitus (GDM) is also believed to be increasing. More precise nationwide and up‐to‐date data on GDM are required. MATERIALS AND METHODS: A population‐based retrospective cohort study was carried out with the Birth Certificate Application database and linked to the National Health Insurance Research Database to explore trends in the annual crude prevalence of GDM in all women who gave birth between 1 January 2004 and 31 December 2015 in Taiwan and their pregnancy outcomes. The registry is considered complete, reliable and accurate. RESULTS: A total of 2,468,793 births from 2,430,307 pregnancies were reported between 1 January 2004 and 31 December 2015. Finally, 2,053,305 pregnancies were included for further analysis. The annual prevalence of GDM increased by 1.8‐fold during the 12 years from 2004 to 2015, with a significant continuous increasing trend (from 7.6% to 13.4%, P < 0.001). The annual prevalence of GDM significantly increased in each age group (all trends P < 0.001), particularly for women with maternal ages of 31 years and older. Urbanization level, geographic risk factors and seasonal variations were also noted. CONCLUSION: The annual prevalence of GDM increased by 1.8‐fold in the 12‐year period from 2004 to 2015 in Taiwan, with a significant continuous increasing trend (from 7.6% to 13.4%, P < 0.001). |
format | Online Article Text |
id | pubmed-8565422 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-85654222021-11-09 Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan Su, Feng‐Lin Lu, Mei‐Chun Yu, Su‐Chen Yang, Chun‐Pai Yang, Cheng‐Chia Tseng, Shih‐Ting Yan, Yuan‐Horng J Diabetes Investig Articles AIMS/INTRODUCTION: Maternal hyperglycemia leads to adverse pregnancy outcomes, and also subsequently affects both mothers and their offspring in later life. The prevalence of type 2 diabetes mellitus is increasing worldwide, and gestational diabetes mellitus (GDM) is also believed to be increasing. More precise nationwide and up‐to‐date data on GDM are required. MATERIALS AND METHODS: A population‐based retrospective cohort study was carried out with the Birth Certificate Application database and linked to the National Health Insurance Research Database to explore trends in the annual crude prevalence of GDM in all women who gave birth between 1 January 2004 and 31 December 2015 in Taiwan and their pregnancy outcomes. The registry is considered complete, reliable and accurate. RESULTS: A total of 2,468,793 births from 2,430,307 pregnancies were reported between 1 January 2004 and 31 December 2015. Finally, 2,053,305 pregnancies were included for further analysis. The annual prevalence of GDM increased by 1.8‐fold during the 12 years from 2004 to 2015, with a significant continuous increasing trend (from 7.6% to 13.4%, P < 0.001). The annual prevalence of GDM significantly increased in each age group (all trends P < 0.001), particularly for women with maternal ages of 31 years and older. Urbanization level, geographic risk factors and seasonal variations were also noted. CONCLUSION: The annual prevalence of GDM increased by 1.8‐fold in the 12‐year period from 2004 to 2015 in Taiwan, with a significant continuous increasing trend (from 7.6% to 13.4%, P < 0.001). John Wiley and Sons Inc. 2021-06-19 2021-11 /pmc/articles/PMC8565422/ /pubmed/34008344 http://dx.doi.org/10.1111/jdi.13595 Text en © 2021 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Articles Su, Feng‐Lin Lu, Mei‐Chun Yu, Su‐Chen Yang, Chun‐Pai Yang, Cheng‐Chia Tseng, Shih‐Ting Yan, Yuan‐Horng Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
title | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
title_full | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
title_fullStr | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
title_full_unstemmed | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
title_short | Increasing trend in the prevalence of gestational diabetes mellitus in Taiwan |
title_sort | increasing trend in the prevalence of gestational diabetes mellitus in taiwan |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8565422/ https://www.ncbi.nlm.nih.gov/pubmed/34008344 http://dx.doi.org/10.1111/jdi.13595 |
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