Prevalence of gestational diabetes mellitus and its determinants among pregnant women in Beijing

Wang, Cheng; Jin, Lei; Tong, Mingkun; Jie, Zhang; Yu, Jianhua; Wu, Meng

doi:10.1080/14767058.2020.1754395

Cited by 27 publications

(20 citation statements)

References 31 publications

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“…The eastern and southern parts of China, characterized by relatively better economic development, have a much higher prevalence of GDM. A study according to 27,119 pregnant women in Tongzhou district of Beijing during 2013–2018 showed that the overall prevalence of GDM was 24.24% according to the IADPSG criteria [ 21 ]. The higher prevalence in Tongzhou district might due to the traditional dietary and lifestyle of individuals in this suburb area of Beijing, as they still lack of knowledge on how to keep a balanced diet and healthy lifestyle during pregnancy, which raised an urgent need for education on healthy diet and lifestyle around China.…”

Section: Prevalence Of Gdm In Chinamentioning

confidence: 99%

Prevalence, Prevention, and Lifestyle Intervention of Gestational Diabetes Mellitus in China

Juan

Yang

2020

IJERPH

183

128

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Gestational diabetes mellitus (GDM) has become an epidemic and has caused a tremendous healthy and economic burden in China, especially after the “two-child policy” put into effect on October 2015. The prevalence of GDM has continued to increase during the past few decades and is likely to see a further rise in the future. The public health impact of GDM is becoming more apparent in China and it might lead to the development of chronic non-communicable diseases in the long-term for both mothers and their children. Early identification of high-risk individuals could help to take preventive and intervention measures to reduce the risk of GDM and adverse perinatal outcomes. Therefore, a focus on prevention and intervention of GDM in China is of great importance. Lifestyle interventions, including dietary and physical exercise intervention, are effective and first-line preventive strategies for GDM prevention and intervention. The GDM One-day Care Clinic established in 2011, which educates GDM patients on the basic knowledge of GDM, dietary intervention, physical exercise, weight management, and blood glucose self-monitoring methods, sets a good model for group management of GDM and has been implemented throughout the hospitals as well as maternal and child health centers in China. The current review focus on the prevalence, risk factors, as well as prevention and lifestyle intervention of GDM in China for better understanding of the latest epidemiology of GDM in China and help to improve maternal and neonatal pregnancy outcomes and promote long-term health for women with GDM.

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Section: Prevalence Of Gdm In Chinamentioning

confidence: 99%

Prevalence, Prevention, and Lifestyle Intervention of Gestational Diabetes Mellitus in China

Juan

Yang

2020

IJERPH

183

128

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“…Of note, the incidence of GDM in China displayed substantial differences across cities and regions. For example, in the Tongzhou district of Beijing, the overall prevalence of GDM was 24.24%, and the trend increased from 21.63% to 25.49% during 2013-2018 ( 9 ). In the same period, a population-based study in Xiamen reported that the rate of GDM ranged from 15.5% to 19.9% ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

The prevalence of gestational diabetes mellitus before and after the implementation of the universal two-child policy in China

Zhu

Zhao

et al. 2022

Front. Endocrinol.

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BackgroundAfter the universal two-child policy has been fully implemented, challenges regarding pregnancy complications seemed to be more severe in China. This study aimed to evaluate the prevalence of gestational diabetes mellitus (GDM) and the main risk factors for GDM before and after the implementation of the universal two-child policy in China.MethodsA retrospective study was performed with 128,270 pregnant women who delivered at Ningbo Women & Children’s Hospital from January 2010 to December 2020. Univariate and multivariate logistic regression analysis was applied to estimate the risk factors associated with GDM prevalence. Segmented regression analyses of interrupted time series (ITS) were conducted to assess the effect of the universal two-child policy on the trends of GDM.ResultsThe prevalence of GDM increased remarkably from 4% in 2010 to 21% in 2020. ITS analysis presented that the prevalence of GDM increased by 0.190% (β1) per month from 2010 to 2016 (P<0.05), and by 0.044% (β1+β3) per month after the implementation of the universal two-child policy; the rate of elevation of GDM slowed down significantly (β3=-0.146, P=0.004). Advanced maternal age (>30 years), multigravidity, multiparity, multiple gestation and gestational hypertension were significantly associated with GDM. Advanced age remained an independent risk factor for GDM even after cross stratification with gravidity and parity. The proportion of women with advanced maternal age (>30 years) increased by 0.161% per month before the implementation of the universal two-child policy and increased by 5.25% during the policy took effect month, and gradually increased by 0.124% (β1+β3) per month after then.ConclusionsThe prevalence of GDM has sharply increased in the past decade. The growth rate of GDM slowed down after the implementation of the universal two-child policy in China, but the rate would maintain at a high plateau. The rise in the proportion of older pregnant women could increase the GDM rate. We recommend having children at a relatively optimal reproductive age when encouraging childbearing.

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“…8 Factors including obesity and a family history of diabetes mellitus have been reported to associate with GDM. 6,[9][10][11] Due to the relevancy of carbohydrate and lipid metabolism pathways, the association between serum lipid profiles and GDM has recently gained attention. 12,13 A systematic review by Ryckman et al found significantly elevated serum triglyceride (TG) levels in women with GDM across all three trimesters of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…In current clinical practice, GDM is usually diagnosed based on results of the 75 g two‐hour oral glucose tolerance test (OGTT) performed between 24 and 28 gestational weeks, which leads to a very limited time for treatment before delivery, 7 Studies have found that early recognition of pregnant women at high risk of GDM would allow for appropriate interventions and the improvement of pregnancy outcomes 8 . Factors including obesity and a family history of diabetes mellitus have been reported to associate with GDM 6,9‐11 . Due to the relevancy of carbohydrate and lipid metabolism pathways, the association between serum lipid profiles and GDM has recently gained attention 12,13 .…”

Section: Introductionmentioning

confidence: 99%

Elevated serum triglyceride levels at first prenatal visit is associated with the development of gestational diabetes mellitus

Niu

et al. 2021

Diabetes Metabolism Res

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Aims: While several studies have indicated that maternal serum lipid profiles are associated with the development of gestational diabetes mellitus (GDM), the results have been inconsistent. This study aimed to explore the relationship between maternal lipids profiles at first prenatal visit and GDM and determine the optimal cut-off values of possible trimester-specific variables in predicting GDM. Materials and Methods:Clinical data of women with singleton pregnancies who delivered in Xinhua Hospital between January 2016 and January 2017 were collected from electronic databases. Multivariate logistic regression was used to determine the potential risk factors of GDM (specific to the trimester at first prenatal visit), including age, body mass index (BMI), and serum lipid profile and fasting plasma glucose (FPG) levels. The receiver operating characteristic (ROC) curve analysis was performed to determine the cut-off values of significant variables.Results: Among the 2191 pregnant women included, 315 (14.38%) were diagnosed with GDM. Of these, 880 (40.16%) had their first prenatal visit before 14 gestational weeks. Univariate and multivariate analyses showed that both FPG and triglyceride (TG) levels in the first and second trimesters were associated with a high risk of GDM (p < 0.05). The ROC curve showed that serum TG levels >1.235 mmol/ L and >1.525 mmol/L in the first and second trimesters, respectively, were significantly associated with the development of GDM (p < 0.05).

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Prevalence of gestational diabetes mellitus and its determinants among pregnant women in Beijing

Abstract: Other minorities 1000 213 21.30 (18.76-23.84) 1.00 reference 1.00 reference Maternal age(years) ≤25 4330 721 16.

Cited by 27 publications

References 31 publications

Prevalence, Prevention, and Lifestyle Intervention of Gestational Diabetes Mellitus in China

Prevalence, Prevention, and Lifestyle Intervention of Gestational Diabetes Mellitus in China

The prevalence of gestational diabetes mellitus before and after the implementation of the universal two-child policy in China

Elevated serum triglyceride levels at first prenatal visit is associated with the development of gestational diabetes mellitus

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