Optimal maternal neck and waist circumference cutoff values for prediction of gestational diabetes mellitus at the first trimester in Turkish population; a prospective cohort study

Hancerliogullari, Necati; Kansu-Celik, Hatice; Oskovi-Kaplan, Z. Aslı; Kısa, Burcu; Engin-Üstün, Yaprak; Özgü-Erdinç, A. Seval

doi:10.1080/09513590.2020.1750003

Cited by 8 publications

(24 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Searches identified 24,027 studies following removal of duplicates; 945 full texts were screened for eligibility, of which 70 20,21,37–104 met the inclusion criteria (Figure S1). Of these studies, 59 were cohort and 11 were case control studies.…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies reported case control data and all could be included in a meta‐analysis 37,46–48,52,57–60,67,73,78,80,83,88,103 . The pooled data showed a significantly increased early pregnancy WC among women diagnosed with GDM compared with those not diagnosed with GDM (mean difference 6.18 cm, 95% CI 3.92, 8.44) (Figure 3).…”

Section: Resultsmentioning

confidence: 99%

“…One F I G U R E 1 Meta-analysis of the association between waist circumference categories and gestational diabetes mellitus. Categories of high waist circumference reported by the included studies were >80 cm (Popova et al, 83 Gao et al, 55 Ebrahimi-Mameghani et al, 51 Zhu et al, 103 and Campbell et al 46 ), >84.5 cm (Hancerliogullari et al 58 ), >78.5 cm (Han et al 57 ), and not defined (He et al 60 ). CI, confidence interval; OR, odds ratio; RE, random effect study reported WHR as a continuous measure 88 and found no significant association with GDM per 1 SD increase (AOR 1.65, 95% CI 0.94, 2.91) (Table S6A).…”

Section: Whr and Gdmmentioning

confidence: 99%

“…Units of measurement for increase in waist circumference reported by the included studies: 1 standard deviation (Sina et al, 88 Han et al, 57 and Harville et al 59 ) and 1 cm (White et al 97 ). CI, confidence interval; OR, odds ratio; RE, random effect Five studies reported case control data for mean neck circumference and GDM, 52,58,60,69,97 which was significantly higher among cases of GDM compared with controls (mean difference 0.77 cm, 95% CI 0.28, 1.26) with significant heterogeneity (I 2 84.4%) (Figure S8). Five studies 58,60,66,69,76 reported associations between early pregnancy neck circumference and GDM but could not be pooled in meta-analysis (Table S6A).…”

Section: Fm and Gdmmentioning

confidence: 99%

“…CI, confidence interval; OR, odds ratio; RE, random effect Five studies reported case control data for mean neck circumference and GDM, 52,58,60,69,97 which was significantly higher among cases of GDM compared with controls (mean difference 0.77 cm, 95% CI 0.28, 1.26) with significant heterogeneity (I 2 84.4%) (Figure S8). Five studies 58,60,66,69,76 reported associations between early pregnancy neck circumference and GDM but could not be pooled in meta-analysis (Table S6A). Three studies 60,76,105 reported significantly increased AORs for higher neck circumference category or per 1-cm increase (AOR ranging from 1.15, 95% CI 1.06, 1.24 76 to 1.84, 95% CI 1.04, 3.25 60 ), whereas one study found no significant association between neck circumference category and GDM (AOR 0.83, 95% CI 0.36, 1.91 58 ).…”

Section: Fm and Gdmmentioning

confidence: 99%

See 4 more Smart Citations

Association between maternal adiposity measures and adverse maternal outcomes of pregnancy: Systematic review and meta‐analysis

et al. 2022

View full text Add to dashboard Cite

Summary Maternal obesity increases pregnancy‐related risks. Women with a body mass index (BMI) ≥ 30 kg/m2 are considered to be at risk and should receive additional care, although approximately half will have uncomplicated pregnancies. This systematic review aimed to identify early pregnancy measures of adiposity associated with adverse maternal health outcomes. Searches included six databases, reference lists, citations, and contacting authors. Screening and quality assessment were carried out by two authors independently. Random effects meta‐analysis and narrative synthesis were conducted. Seventy studies were included with a pooled sample of 89,588 women. Meta‐analysis showed significantly increased odds of gestational diabetes mellitus (GDM) with higher waist circumference (WC) categories (1.40, 95% confidence interval [CI] 1.04, 1.88) and per unit increase in WC (1.31, 95% CI 1.03, 1.67). Women with GDM had higher WC than controls (mean difference [MD] 6.18 cm, 95% CI 3.92, 8.44). WC was significantly associated with hypertensive disorders, delivery‐related outcomes, metabolic syndrome, and composite pregnancy outcomes. Waist to hip ratio was significantly associated with GDM, hypertensive disorders, and delivery‐related outcomes. Fat mass, neck circumference, skinfolds, and visceral fat were significantly associated with adverse outcomes, although limited data were available. Our findings identify the need to explore how useful adiposity measures are at predicting risk in pregnancy, compared with BMI, to direct care to women with the greatest need.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Whr and Gdmmentioning

confidence: 99%

Section: Fm and Gdmmentioning

confidence: 99%

Section: Fm and Gdmmentioning

confidence: 99%

See 3 more Smart Citations

Association between maternal adiposity measures and adverse maternal outcomes of pregnancy: Systematic review and meta‐analysis

et al. 2022

View full text Add to dashboard Cite

show abstract

Maternal metabolic factors and the association with gestational diabetes: A systematic review and meta‐analysis

Habibi

Mousa

Tay

et al. 2022

Diabetes Metabolism Res

View full text Add to dashboard Cite

Gestational diabetes (GDM) is associated with several adverse outcomes for the mother and child. Higher levels of individual lipids are associated with risk of GDM and metabolic syndrome (MetS), a clustering of risk factors also increases risk for GDM. Metabolic factors can be modified by diet and lifestyle. This review comprehensively evaluates the association between MetS and its components, measured in early pregnancy, and risk for GDM. Databases (Cumulative Index to Nursing and Allied Health Literature, PubMed, Embase, and Cochrane Library) were searched from inception to 5 May 2021. Eligible studies included ≥1 metabolic factor (waist circumference, blood pressure, fasting plasma glucose (FPG), triglycerides, and high-density lipoprotein cholesterol), measured at <16 weeks' gestation. At least two authors independently screened potentially eligible studies. Heterogeneity was quantified using I 2 . Data were pooled by random-effects models and expressed as odds ratio and 95% confidence intervals (CIs). Of 7213 articles identified, 40 unique articles were included in meta-analysis. In analyses adjusting for maternal age and body mass index, GDM was increased with increasing FPG (odds ratios [OR] 1.92; 95% CI 1.39-2.64, k = 7 studies) or having MetS (OR 2.52; 1.65, 3.84, k = 3). Women with overweight (OR 2.17; 95% CI 1.89, 2.50, k = 12) or obesity (OR 4.34; 95% CI 2.79-6.74, k = 9) also were at increased risk for GDM.Early pregnancy assessment of glucose or the MetS, offers a potential opportunity to detect and treat individual risk factors as an approach towards GDM prevention; weight loss for pregnant women with overweight or obesity is not recommended. Systematic review registration: PROSPERO CRD42020199225.

show abstract

Appropriate neck/waist circumference cut-off points for gestational diabetes prediction in Iranian pregnant women: The baseline analysis of the Qazvin maternal and neonatal metabolic study (QMNMS), Iran

Ghorbani

Hashemipour

Mohammadi

et al. 2022

Diabetes & Metabolic Syndrome: Clinical Research & Revi

View full text Add to dashboard Cite

Optimal maternal neck and waist circumference cutoff values for prediction of gestational diabetes mellitus at the first trimester in Turkish population; a prospective cohort study

Cited by 8 publications

References 23 publications

Association between maternal adiposity measures and adverse maternal outcomes of pregnancy: Systematic review and meta‐analysis

Association between maternal adiposity measures and adverse maternal outcomes of pregnancy: Systematic review and meta‐analysis

Maternal metabolic factors and the association with gestational diabetes: A systematic review and meta‐analysis

Appropriate neck/waist circumference cut-off points for gestational diabetes prediction in Iranian pregnant women: The baseline analysis of the Qazvin maternal and neonatal metabolic study (QMNMS), Iran

Contact Info

Product

Resources

About