Factors Prediction of Gestational Diabetes Mellitus among Thai Women, Srinagarind Hospital
Keywords:
gestational diabetes, risk factors, prediction factors, health history, health behaviorAbstract
This cohort study aimed to investigate the predictive factors of gestational diabetes mellitus (GDM) based on health history and health behaviors. The sample was 161 pregnant women who attended antenatal care in Srinagarind Hospital, Khon Kaen. Research tools involved questionnaires. The data were analyzed by using binary logistic regression for the predictors of GDM. The study found three factors prediction statistically significant(p-value<0.05) of GDM. There were: 1) history of gestational diabetes in a previous pregnancy (OR = 17.48, 95%CI 1.74-175.38); 2) history of first-degree relatives with diabetes mellitus (OR = 2.41, 95%CI 1.03-5.65); and 3) excessive fast food consumption behavior (OR = 2.45, 95%CI 1.03-5.79). Considering all these risk factors, all pregnant women should be assessed for their risk of GDM in terms of their health history and behaviors. It is recommended to avoid fast food overconsumption in pregnant women. However, it is necessary to study more extensive risk factors of GDM. Finally, the findings could lead to the development of a risk assessment tool for GDM.
References
Caissutti C, Berghella V. Scientific evidence for different options for GDM screening and management: controversies and review of the literature. Biomed Res Int 2017:1-12. doi: 10.1155/2017/2746471.
Lee KW, Ching SM, Ramachandran V, Yee A, Hoo FK, Chia YC, et al. Prevalence and risk factors of gestational diabetes mellitus in Asia: a systematic review and meta-analysis. BMC Pregnancy Childbirth 2018;18:494. doi: 10.1186/s12884-018-2131-4
Wendland EM, Torloni MR, Falavigna M, Trujillo J, Dode MA, Campos MA, et al. Schmidt MI. Gestational diabetes and pregnancy outcomes--a systematic review of the World Health Organization (WHO) and the International Association of Diabetes in Pregnancy Study Groups (IADPSG) diagnostic criteria. BMC Pregnancy Childbirth 2012;12:23. doi: 10.1186/1471-2393-12-23.
Catalano PM, McIntyre HD, Cruickshank JK, McCance DR, Dyer AR, Metzger BE, et al. Hadden DR. The hyperglycemia and adverse pregnancy outcome study: associations of GDM and obesity with pregnancy outcomes. Diabetes Care 2012;35:780-6.
Dahiya K, Sahu J, Dahiya A. Maternal and Fetal Outcome in Gestational Diabetes Mellitus-A Study at Tertiary Health Centre in Northern India. Open Access Lib J 2014;1:1-5. doi: 10.4236/oalib.1100500.
Cunningham FG, Kenneth JL, Steven LB, Catherine YS, Jodie SD, Barbara LH, Brian MC, Jeanne SS. Williams Obstretics 24th Edition. London; 2014.
Priyanka. Maternal and foetal outcome in patients of gestational diabetes mellitus. Int J Reprod Contracept Obstet Gynecol 2018;7:3831-6.
Moncrieff G. Gestational diabetes. Br J Midwifery 2018;26:506-13.
Torloni MR, Betran AP, Horta BL, Nakamura MU, Atallah AN, Moron AF, Valente O. Prepregnancy BMI and the risk of gestational diabetes: a systematic review of the literature with meta‐analysis. Obes Rev 2009;10:194-203. doi: 10.1111/j.1467-789X.2008.00541.x
Mishra S, Kishore S. Effect of physical activity during pregnancy on gestational diabetes mellitus. Indian J Endocr Metab 2018;22:661-71.
Pang WW, Colega M, Cai S, Chan YH, Padmapriya N, Chen LW, et al. Higher Maternal Dietary Protein Intake Is Associated with a Higher Risk of Gestational Diabetes Mellitus in a Multiethnic Asian Cohort. J Nutr 2017;147:653–60. doi: 10.3945/jn.116.243881
Bowers K, Tobias DK, Yeung E, Hu FB, Zhang C. A prospective study of prepregnancy dietary fat intake and risk of gestational diabetes. Am J Clin Nutr 2012;95:446-53.
Schoenaker DA, Mishra GD, Callaway LK, Soedamah-Muthu SS. The role of energy, nutrients, foods, and dietary patterns in the development of gestational diabetes mellitus: a systematic review of observational studies. Diabetes Care 2016;39:16-23.
ปิยะนันท์ ลิมเรืองรอง, ดิฐกานต์ บริบูรณ์หิรัญสาร, อภิธาน พวงศรีเจริญ, อรวรรณ พินิจเลิศสกุล. ปัจจัยที่มีอิทธิพลต่อการเกิดภาวะเบาหวานขณะตั้งครรภ์ในสตรีตั้งครรภ์ที่มี Glucose Challenge Test ผิดปกติ. วารสารพยาบาลศาสตร์ 2559;34:58-69.
Qiu C, Enquobahrie D, Frederick IO, Abetew D, Williams MA. Glucose intolerance and gestational diabetes risk in relation to sleep duration and snoring during pregnancy: A pilot study. BMC women's health 2010;10:17. doi: 10.1186/1472-6874-10-17.
Garrison A. Screening, Diagnosis, and Management of Gestational Diabetes Mellitus. Am Fam Physician 2015;91:460-7.
The Joanna Briggs Institute. New JBI Levels of Evidence [Internet]. 2013 [cited 2018 May 1]. Available from: http://joannabriggs.org/jbi-approach.html#tabbed-nav=Levels-of-Evidence
American Diabetes Association. Classification and diagnosis of diabetes: Standards of Medical Care in Diabetes 2019. Diabetes Care 2019;19:S13–S28.
อรุณ จิรวัฒน์กุล. สถิติในงานวิจัย เลือกใช้อย่างไรให้เหมาะสม. พิมพ์ครั้งที่ 2. กรุงเทพฯ: วิทยพัฒน์; 2558.
Caliskan E, Kayikcioglu F, Öztürk N, Koc S, Haberal A. A population-based risk factor scoring will decrease unnecessary testing for the diagnosis of gestational diabetes mellitus. Acta Obstet Gynecol Scand 2004;83:524–30.
Naylor CD, Sermer M, Chen E, Farine D. Selective Screening for Gestational Diabetes Mellitus. N Engl J Med 1997;337:1591-6.
พรพิมล รัตนาวิวัฒน์พงศ์, อารมย์ ขุนภาษี, ฉกาจ ผ่องอักษร,ภัทราวุธ อินทรกำแหง. ความเที่ยงตรงและความน่าเชื่อถือของแบบสอบถามสากลเรื่องกิจกรรมทางกายชุดสั้นฉบับภาษาไทย. เวชศาสตร์ฟื้นฟูสาร 2549;16:147-60.
Gao C, Sun X, Lu L, Liu F, Yuan J. Prevalence of gestational diabetes mellitus in mainland China: A systematic review and meta-analysis. J Diabetes Investig 2019; 10:154-62. doi: 10.1111/jdi.12854.
Sirirat S, Ruangvutilert P, Yapan P, Boriboonhirunsarn D. Prevalence of Gestational Diabetes Mellitus among Women with Lower Risk for Gestational Diabetes in Siriraj Hospital. Thai J Obstet Gynaecol 2022;30:313-20.
World Health Organization (WHO). International Association for the Study of Obesity (IASO) and International Obesity Task Force (IOTF). The Asia-Pacific Perspective: Redefining Obesity and its Treatment. Geneva: World Health Organization; 2000. p. 378-420.
Boden G, Chen X, Ruiz J, White JV, Rossetti L. Mechanisms of fatty acid-induced inhibition of glucose uptake. J Clin Invest 1994;93:2438–46.
Cunningham F, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM (Eds.). Endocrine disorders. Williams Obstetrics 26e. Mc Graw Hill; 2022.
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