Prevalence of gestational diabetes mellitus in South India (Tamil Nadu)--a community based study.
Article
Dans Anglais
| IMSEAR
| ID: sea-89350
ABSTRACT
AIM:
Women diagnosed to have Gestational Diabetes Mellitus (GDM) are at increased risk of developing diabetes in future. Thus, diagnosis of GDM is an important public health issue. In a random survey 16.2% of pregnant women were found to have GDM in the Chennai urban population. Hence we undertook a planned community based study to ascertain the prevalence of GDM. MATERIALS ANDMETHODS:
We conducted a prospective screening for GDM in the urban, semi urban and rural areas. All pregnant women irrespective of gestational weeks underwent a 75 g glucose challenge test in the fasting state. Diagnosis of GDM was made if the 2 hr plasma glucose was > or = 140 mg/dl (WHO criteria).RESULTS:
A total of 4151, 3960 and 3945 pregnant women were screened in urban, semi urban and rural areas, respectively. GDM was detected in 739 (17.8%) women in urban, 548 (13.8%) in semi urban and 392 (9.9%) in rural areas. Out of 1679 GDM women, 1204 (72%) were detected in first visit and the remaining 28% in subsequent visits. A significant increase (P < 0.0001) in the prevalence of GDM was observed with family history of diabetes, increased maternal age and BMI. A trend for increased prevalence of GDM was observed in women with less physical activity, however, not statistically significant.CONCLUSION:
In this community based study, the prevalence of GDM varied in the urban, semi urban and rural areas. Age > or = 25 years, BMI > or = 25 and family history of diabetes were found to be risk factors for GDM.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Population rurale
/
Population urbaine
/
Femelle
/
Humains
/
Grossesse
/
Indice de masse corporelle
/
Études transversales
/
Facteurs de risque
/
Enquêtes de santé
/
Diabète gestationnel
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Étude de prévalence
Pays comme sujet:
Asie
langue:
Anglais
Année:
2008
Type:
Article
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