Cargando…
Impact of Covid-19 on rates of gestational diabetes in a North American pandemic epicenter
AIMS: We assessed the impact of Covid-19 on gestational diabetes rates in Quebec, the pandemic epicenter of Canada. METHODS: We conducted a population-based study of 569,686 deliveries in Quebec between 2014 and 2021. We measured gestational diabetes rates in wave 1 (March 1, 2020–August 22, 2020) a...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Milan
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9640820/ https://www.ncbi.nlm.nih.gov/pubmed/36346488 http://dx.doi.org/10.1007/s00592-022-02000-z |
_version_ | 1784825947371864064 |
---|---|
author | Auger, Nathalie Wei, Shu Qin Dayan, Natalie Ukah, Ugochinyere V. Quach, Caroline Lewin, Antoine Healy-Profitós, Jessica Ayoub, Aimina Chang, Jungmin Luu, Thuy Mai |
author_facet | Auger, Nathalie Wei, Shu Qin Dayan, Natalie Ukah, Ugochinyere V. Quach, Caroline Lewin, Antoine Healy-Profitós, Jessica Ayoub, Aimina Chang, Jungmin Luu, Thuy Mai |
author_sort | Auger, Nathalie |
collection | PubMed |
description | AIMS: We assessed the impact of Covid-19 on gestational diabetes rates in Quebec, the pandemic epicenter of Canada. METHODS: We conducted a population-based study of 569,686 deliveries in Quebec between 2014 and 2021. We measured gestational diabetes rates in wave 1 (March 1, 2020–August 22, 2020) and wave 2 (August 23, 2020–March 31, 2021), compared with the prepandemic period. We used interrupted time series regression to assess changes in gestational diabetes rates during each wave, and log-binomial regression models to estimate adjusted risk ratios (RR) and 95% confidence intervals (CI) for the association of the pandemic with gestational diabetes. We identified the types of patients that contributed to the change in gestational diabetes rates using Kitagawa’s decomposition. RESULTS: Gestational diabetes rates were higher during the first (13.2 per 100 deliveries) and second waves (14.3 per 100 deliveries) than during the prepandemic period (12.4 per 100 deliveries). Risk of gestational diabetes increased both in wave 1 (RR 1.05, 95% CI 1.02–1.09) and wave 2 (RR 1.14, 95% CI 1.10–1.18), compared with the prepandemic period. However, most of the increase in gestational diabetes rates was driven by low-risk women without Covid-19 infections who were socioeconomically advantaged, had no comorbidity, and were 25–34 years of age. CONCLUSIONS: Gestational diabetes rates increased during the pandemic, mainly among women traditionally at low risk of hyperglycemia who did not have Covid-19 infections. Sudden widespread changes in screening or lifestyle can have a large impact on gestational diabetes rates in a population. |
format | Online Article Text |
id | pubmed-9640820 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Milan |
record_format | MEDLINE/PubMed |
spelling | pubmed-96408202022-11-14 Impact of Covid-19 on rates of gestational diabetes in a North American pandemic epicenter Auger, Nathalie Wei, Shu Qin Dayan, Natalie Ukah, Ugochinyere V. Quach, Caroline Lewin, Antoine Healy-Profitós, Jessica Ayoub, Aimina Chang, Jungmin Luu, Thuy Mai Acta Diabetol Original Article AIMS: We assessed the impact of Covid-19 on gestational diabetes rates in Quebec, the pandemic epicenter of Canada. METHODS: We conducted a population-based study of 569,686 deliveries in Quebec between 2014 and 2021. We measured gestational diabetes rates in wave 1 (March 1, 2020–August 22, 2020) and wave 2 (August 23, 2020–March 31, 2021), compared with the prepandemic period. We used interrupted time series regression to assess changes in gestational diabetes rates during each wave, and log-binomial regression models to estimate adjusted risk ratios (RR) and 95% confidence intervals (CI) for the association of the pandemic with gestational diabetes. We identified the types of patients that contributed to the change in gestational diabetes rates using Kitagawa’s decomposition. RESULTS: Gestational diabetes rates were higher during the first (13.2 per 100 deliveries) and second waves (14.3 per 100 deliveries) than during the prepandemic period (12.4 per 100 deliveries). Risk of gestational diabetes increased both in wave 1 (RR 1.05, 95% CI 1.02–1.09) and wave 2 (RR 1.14, 95% CI 1.10–1.18), compared with the prepandemic period. However, most of the increase in gestational diabetes rates was driven by low-risk women without Covid-19 infections who were socioeconomically advantaged, had no comorbidity, and were 25–34 years of age. CONCLUSIONS: Gestational diabetes rates increased during the pandemic, mainly among women traditionally at low risk of hyperglycemia who did not have Covid-19 infections. Sudden widespread changes in screening or lifestyle can have a large impact on gestational diabetes rates in a population. Springer Milan 2022-11-08 2023 /pmc/articles/PMC9640820/ /pubmed/36346488 http://dx.doi.org/10.1007/s00592-022-02000-z Text en © Springer-Verlag Italia S.r.l., part of Springer Nature 2022, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article Auger, Nathalie Wei, Shu Qin Dayan, Natalie Ukah, Ugochinyere V. Quach, Caroline Lewin, Antoine Healy-Profitós, Jessica Ayoub, Aimina Chang, Jungmin Luu, Thuy Mai Impact of Covid-19 on rates of gestational diabetes in a North American pandemic epicenter |
title | Impact of Covid-19 on rates of gestational diabetes in a North American pandemic epicenter |
title_full | Impact of Covid-19 on rates of gestational diabetes in a North American pandemic epicenter |
title_fullStr | Impact of Covid-19 on rates of gestational diabetes in a North American pandemic epicenter |
title_full_unstemmed | Impact of Covid-19 on rates of gestational diabetes in a North American pandemic epicenter |
title_short | Impact of Covid-19 on rates of gestational diabetes in a North American pandemic epicenter |
title_sort | impact of covid-19 on rates of gestational diabetes in a north american pandemic epicenter |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9640820/ https://www.ncbi.nlm.nih.gov/pubmed/36346488 http://dx.doi.org/10.1007/s00592-022-02000-z |
work_keys_str_mv | AT augernathalie impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter AT weishuqin impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter AT dayannatalie impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter AT ukahugochinyerev impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter AT quachcaroline impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter AT lewinantoine impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter AT healyprofitosjessica impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter AT ayoubaimina impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter AT changjungmin impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter AT luuthuymai impactofcovid19onratesofgestationaldiabetesinanorthamericanpandemicepicenter |