The associations of anthropometric measurements with subsequent gestational diabetes in Aboriginal women

Sina, Maryam; Hoy, Wendy E.; Callaway, Leonie K.; Wang, Zhiqiang

doi:10.1016/j.orcp.2015.02.005

Cited by 12 publications

(28 citation statements)

References 25 publications

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“…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%

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

et al. 2022

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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.

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Section: Resultsmentioning

confidence: 99%

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

et al. 2022

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“…42 However, in another study performed in Aboriginal women in a study in Australia, BMI ≥ 25 kg/m 2 and waist-to-height ratio were associated with GDM. 44 The effects of maternal age ≥ 35 years on 1-h glucose sugar after 50 g GCT could be explained by the glucose intolerance which was supported by a study showing maternal age ≥ 35 years as one of the significant predictors used for screening GDM by OGTT. 4,45 High pregnancy BMI, body fat percentage, and hip circumference in the first and late second trimester increased neonatal birth weights significantly in our study which were consistent with a conclusion of the systematic review that high maternal BMI was associated with fetal macrosomia.…”

Section: Discussionmentioning

confidence: 86%

“…A study in Turkey using multiple regression analysis found that only BMI, and not subcutaneous, intraperitoneal, or perirenal adipose tissue thickness as measured by ultrasonography during the first trimester, could predict the occurrence of GDM at 24–28 weeks 42 . However, in another study performed in Aboriginal women in a study in Australia, BMI ≥ 25 kg/m 2 and waist‐to‐height ratio were associated with GDM 44 . The effects of maternal age ≥ 35 years on 1‐h glucose sugar after 50 g GCT could be explained by the glucose intolerance which was supported by a study showing maternal age ≥ 35 years as one of the significant predictors used for screening GDM by OGTT 4,45 …”

Section: Discussionmentioning

confidence: 97%

“…To date, we could not find the studies reporting the effects of body fat percentage or subscapular skinfold thickness to HbA1c or 1‐h 50 g GCT in screening GDM in pregnant women. Two previous studies used anthropometric measurements to predict GDM which examined the utility of different anthropometric measurements 43,44 . A study in Turkey using multiple regression analysis found that only BMI, and not subcutaneous, intraperitoneal, or perirenal adipose tissue thickness as measured by ultrasonography during the first trimester, could predict the occurrence of GDM at 24–28 weeks 42 .…”

Section: Discussionmentioning

confidence: 99%

“…Two previous studies used anthropometric measurements to predict GDM which examined the utility of different anthropometric measurements. 43,44 A study in Turkey using multiple regression analysis found that only BMI, and not subcutaneous, intraperitoneal, or perirenal adipose tissue thickness as measured by ultrasonography during the first trimester, could predict the occurrence of GDM at 24-28 weeks. 42 However, in another study performed in Aboriginal women in a study in Australia, BMI ≥ 25 kg/m 2 and waist-to-height ratio were associated with GDM.…”

Section: Discussionmentioning

confidence: 99%

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Relationship of anthropometric measurements with glycated hemoglobin and 1‐h blood glucose after 50 g glucose challenge test in pregnant women: A longitudinal cohort study in Southern Thailand

Liabsuetrakul

Sriwimol

Jandee

et al. 2022

J of Obstet and Gynaecol

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Aims To assess correlations of anthropometric measurements with glycated hemoglobin (HbA1c) and 1‐h blood glucose after a 50 g glucose challenge test during the first and late second trimesters and explore their relationships of anthropometric measurements with neonatal birth weight. Methods A longitudinal study was conducted among pregnant Thai women with gestational age ≤14 weeks. Anthropometric measurements, using body mass index, body compositions, and circumferences, and skinfold thickness, were measured at four‐time points: ≤14, 18–22, 24–28, and 30–34 weeks of gestation. HbA1c and 1‐h blood glucose were examined at ≤14 and 24–28 weeks. Neonatal birth weight was recorded. Results Of 312 women, HbA1c was more correlated with anthropometric measurements during pregnancy than 1‐h blood glucose. At 24–28 weeks, women with high/very high body fat percentage were more likely to have higher HbA1c. Women with high subscapular skinfold thickness were more likely to have higher 1‐h blood glucose at ≤14 and 24–28 weeks. High hip circumference significantly increased neonatal birth weights. Conclusion Anthropometric measurements were longitudinally correlated with HbA1c and 1‐h blood glucose, higher in the late second than first trimesters, as well as neonatal birth weight. The mechanisms to explain the relationship of different anthropometric measurements are required to be further studied.

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Type 2 Diabetes and Indigenous Peoples

Crowshoe¹,

Dannenbaum²,

Green³

et al. 2018

Canadian Journal of Diabetes

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The associations of anthropometric measurements with subsequent gestational diabetes in Aboriginal women

Cited by 12 publications

References 25 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

Relationship of anthropometric measurements with glycated hemoglobin and 1‐h blood glucose after 50 g glucose challenge test in pregnant women: A longitudinal cohort study in Southern Thailand

Type 2 Diabetes and Indigenous Peoples

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