Evaluation of ultrasound measurements of abdominal fat for the prediction of gestational diabetes in the first and second trimesters of pregnancy

Benevides, Fernanda Teixeira; Júnior, Edward Araujo; Maia, Carla Soraya Costa; Moura, Sammya Bezerra Maia e Holanda; Montenegro, Renan Magalhães; Carvalho, Francisco Herlânio Costa

doi:10.1080/14767058.2022.2056441

The Journal of Maternal-Fetal & Neonatal Medicine

2022

DOI: 10.1080/14767058.2022.2056441

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Evaluation of ultrasound measurements of abdominal fat for the prediction of gestational diabetes in the first and second trimesters of pregnancy

Fernanda Teixeira Benevides

Edward Araujo Júnior

Carla Soraya Costa Maia

et al.

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2024

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Maternal Visceral Fat in Prediction of Gestational Diabetes Mellitus

Detsrisuwan,

Luewan,

Sirichotiyakul

et al. 2024

JCM

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Objective: To determine the diagnostic performance of maternal abdominal visceral adipose tissue thickness, measured by ultrasound, in predicting gestational diabetes mellitus (GDM). Patients and methods: A prospective diagnostic study was conducted on low-risk pregnant women attending our antenatal care clinic. All underwent abdominal visceral adipose tissue (VAT) measurement by two-dimension transabdominal ultrasound twice, at late first trimester (gestational age: GA 11–14 weeks) and second trimester (GA 18–22 weeks). All patients underwent a two-step approach for screening and diagnosis of GDM between GA 24 and 28 weeks. Results: A total of 141 women were recruited into the study; including 32 (22.7%) women with GDM, and 109 (77.3%) women of non-GDM, between GA 24 and 28 weeks. The means VAT at the 1st, 2nd trimester and the difference of VAT of GDM group were 4.0 ± 0.27 cm, 5.7 ± 1.12 cm, and 1.6 ± 0.91 cm respectively. The means VAT at 1st, 2nd trimester and the difference of VAT of non-GDM group were 3.8 ± 1.01 cm, 5.4 ± 1.07 cm, and 1.6 ± 1.12 cm respectively. There were no significant differences of VAT measurements (1st, 2nd and the difference) between both groups. The VAT thickness was slightly greater in the GDM group but the mean differences between 1st and 2nd trimester were comparable between the two groups. The diagnostic performance of VAT, maternal age and body mass index (BMI) in predicting GDM was comparable. Conclusion: Measurement of maternal visceral adipose thickness in early pregnancy is not effective in predicting GDM among Thai women, which is different from most studies conducted on western women. However, a trend of higher VAT in the GDM group was noted.

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Maternal Visceral Fat in Prediction of Gestational Diabetes Mellitus

Detsrisuwan,

Luewan,

Sirichotiyakul

et al. 2024

JCM

View full text Add to dashboard Cite

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Evaluation of ultrasound measurements of abdominal fat for the prediction of gestational diabetes in the first and second trimesters of pregnancy

Cited by 1 publication

References 31 publications

Maternal Visceral Fat in Prediction of Gestational Diabetes Mellitus

Maternal Visceral Fat in Prediction of Gestational Diabetes Mellitus

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