Prevalence of and risk factors for gestational diabetes using 1999, 2013 WHO and IADPSG criteria upon implementation of a universal one-step screening and diagnostic strategy in a sub-Saharan African population

Olagbuji, Biodun Nelson; Atiba, Adeniran Samuel; Olofinbiyi, Babatunde Ajayi; Akintayo, Akinyemi A.; Awoleke, Jacob Olumuyiwa; Ade-Ojo, Idowu Pius; Fasubaa, OB

doi:10.1016/j.ejogrb.2015.02.030

Cited by 49 publications

(59 citation statements)

References 22 publications

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“…Studies have been done in several countries to determine the prevalence of GDM in accordance with the new IADPSG criteria. The prevalence of GDM diagnosed by IADPSG criteria has been reported as 17.6%, 4.2%, 11.8%, 9.5%, 23.3%, 8.6%, and 45% in Singapore, Greenland, Switzerland, South Korea, Sri Lanka, Sub‐Saharan Africa, and the United Arab Emirates, respectively. By contrast, a two‐step approach for diagnosis determined a GDM prevalence of 3.3% in Switzerland and 12% in the United Arab Emirates .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of gestational diabetes mellitus evaluated by universal screening with a 75‐g, 2‐hour oral glucose tolerance test and IADPSG criteria

Karçaaltıncaba

Çalış

Ocal

et al. 2017

Intl J Gynecology & Obste

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Objective To determine the prevalence of gestational diabetes mellitus (GDM) and its association with maternal age among Turkish women diagnosed by International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria. Methods A cross‐sectional study was conducted in 2013–2015 among non‐diabetic pregnant women aged 18–49 years who were universally screened for GDM by IADPSG criteria. The percentage of women meeting each diagnostic threshold and the prevalence of GDM by age group were calculated. Linear trends were evaluated by logistic regression. Results Among 1434 women screened, 159 (11.1%, 95% confidence interval 9.5%–12.7%) were diagnosed with GDM; eleven of these women had been diagnosed according to a fasting glucose level in the first trimester. The prevalence of GDM was 6.6% (10/151), 7.3% (37/507), 8.8% (42/479), 16.7% (45/270), and 35.2% (25/71) among women aged younger than 25, 25–29, 30–34, 35–39, and 40 years or older, respectively. GDM prevalence increased with age (P<0.001). The numbers of women diagnosed with GDM in the second trimester who exceeded one, two, and three thresholds of the 2‐hour oral glucose tolerance test were 66 (44.6%), 52 (35.1%), and 30 (20.3%), respectively. Conclusion Prevalence of GDM was correlated with maternal age. Most women diagnosed in the second trimester exceeded the threshold at only one of the three timepoints.

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Section: Discussionmentioning

confidence: 99%

Prevalence of gestational diabetes mellitus evaluated by universal screening with a 75‐g, 2‐hour oral glucose tolerance test and IADPSG criteria

Karçaaltıncaba

Çalış

Ocal

et al. 2017

Intl J Gynecology & Obste

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“…Lower prevalence has been reported in African countries including Ghana (9.3%) [16], South African (9.1%) [21] and Nigeria (8.6%) [22] compared with developed regions like North America (12%) and Europe (14%) [2]. But Africa appears to be catching-up fast as pockets of high cases have recently been reported in Tanzania (19.5%) [23], South Africa (25.8%) [24] and Morocco (23.7%) [25].…”

Section: Discussionmentioning

confidence: 90%

Gestational diabetes using diverse diagnostic criteria, risk factors including dietary intakes, pregnancy outcomes and postpartum glycemic status: a nested case-control study in Ghana

Agbozo

Abubakari

Zotor

et al. 2019

Preprint

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Organization delivery (aOR:4.01 CI:1.08-14.76) and antenatal care in a primary facility (aOR:4.951 CI:1.87-3.76). A unit rise in blood glucose significantly increased maternal blood loss and birthweight. Adjusting for covariates, adverse birth outcomes were perineal tear (Aor:2.91 CI:1.08-5.57) and birth asphyxia (aOR:3.24 CI:1.01-10.44). Cesarean section (aOR:1.9 CI:0.97-3.68), large for gestational age (aOR:2.7 CI:0.86-5.05) and newborn resuscitation (aOR:2.91 CI 0.94-9.01) were significant at 10%. At 12 weeks postpartum, 30% of the GDM cases were unable to achieve euglycemia. Different estimates could be obtained if other diagnostic criteria were used. ConclusionsFindings show an increasing prevalence of GDM in peri-urban and rural settings highlighting the need to strengthen primary facilities to test and refer cases for management. Diet and adiposity are key risk factors necessitating lifestyle modification interventions focusing on nutrition education and weight control. GDM-exposed newborn need close monitoring as birth asphyxia which is a key outcome is likely to compromise neonatal survival. Postpartum follow-up of cases is crucial to avert transition of GDM into active diabetes.

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“…Based on a maternal hyperglycemia prevalence rate of 8.6% from a local study that assessed maternal hyperglycemia based on IADPSG criteria, a cohort size of 269 patients was estimated as necessary to test the specificity of the 50‐g GCT relative to that of the 75‐g OGTT with 80% power. Recruitment continued until the number of patients recruited who had undergone both the 50‐g GCT and 75‐g OGTT exceeded the estimated sample size by approximately 5%.…”

Section: Methodsmentioning

confidence: 99%

Accuracy of 50‐g glucose challenge test to detect International Association of Diabetes and Pregnancy Study Groups criteria‐defined hyperglycemia

Olagbuji

Aderoba²,

Kayode

et al. 2017

Intl J Gynecology & Obste

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Prevalence of and risk factors for gestational diabetes using 1999, 2013 WHO and IADPSG criteria upon implementation of a universal one-step screening and diagnostic strategy in a sub-Saharan African population

Cited by 49 publications

References 22 publications

Prevalence of gestational diabetes mellitus evaluated by universal screening with a 75‐g, 2‐hour oral glucose tolerance test and IADPSG criteria

Prevalence of gestational diabetes mellitus evaluated by universal screening with a 75‐g, 2‐hour oral glucose tolerance test and IADPSG criteria

Gestational diabetes using diverse diagnostic criteria, risk factors including dietary intakes, pregnancy outcomes and postpartum glycemic status: a nested case-control study in Ghana

Accuracy of 50‐g glucose challenge test to detect International Association of Diabetes and Pregnancy Study Groups criteria‐defined hyperglycemia

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