ABSTRACT
ObjectiveTo explore the association between total iron， iron supplements， dietary total iron， heme iron intake and the risk of gestational diabetes mellitus（GDM）. MethodsA total of 668 pregnant women who gave birth in one hospital in Shanghai during January 2020 to July 2021 were included in a retrospective cohort study. Baseline characteristics and data of iron supplements in second trimester were collected through a questionnaire. A simplified dietary frequency questionnaire was used to quantify the food intake in second trimester. Total iron， iron supplements， dietary total iron， and heme iron intake was classified into groups by quintile and median. The association between iron intake from different sources and risk of GDM was determined using logistic regression analysis. ResultsAfter correction for age， family history of diabetes， overweight / obesity before pregnancy， hemoglobin（Hb）in first trimester， energy， carbohydrate energy， protein， and free sugar， it showed no association between total iron intake and risk of GDM （P>0.05）， while elevated risk of GDM among women with high iron supplements intake （OR=1.65； 95%CI： 1.14‒2.39）， and decreased risk of GDM among those with high dietary total iron intake （OR=0.53； 95%CI： 0.35‒0.81）. However， no association was found between heme iron intake and risk of GDM （P>0.05）. ConclusionHigh dietary total iron intake may be a protective factor， while high iron supplements may be a risk factor for GDM. It suggests that pregnant women should carefully choose high-dose iron-containing supplements in the absence of iron deficiency， as dietary iron intake should be the priority.
ABSTRACT
Objective To investigate risk factors of hypertension for urban residents in Zunyi city ,and to provide a useful theo-retical support to the firstly prevention of hypertension in this area .Methods A case-control study was used meanwhile samples were selected by stratified sampling method .chi-square analyse and Logistic regression analyse were used to analyse the data .Re-sults 555 pieces of effective files were collected ,including 326 hypertension files and 229 health files .Single factor analysis showed that 12 factors were meaningful to the morbidity of hypertension in people living in Zunyi city (P< 0 .05) ,Multi-factor uncondi-tioned Logistic regression analysis showed that there were 6 independent factors as age ,hyperlipidemia ,diabetes mellitus ,abdominal obesity ,high salt diet ,family history of hypertension(P<0 .05) .Conclusion In preventing people in Zunyi city from falling to hy-pertension ,ministries might particularly stronger the propaganda and education in people who has those risk factors so that we can control steerable factors on purpose ,and then to prevent complications that may caused by hypertension .