一个前性研究妊娠前期的孕期糖尿病的决定因素
C G Solomon1, W C Willett, V J Carey
1Section for Clinical Epidemiology, Division of General Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Mass, USA.
JAMA
|October 7, 1997
概括
孕期糖尿病 (GDM) 的风险随着母亲的年龄,家族糖尿病史,更高的BMI,体重增加和吸烟而增加. 识别这些因素有助于在怀孕前预防GDM.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 孕期糖尿病 (GDM) 影响3至5%的怀孕.
- 识别GDM风险因素对于制定预防策略至关重要.
研究的目的:
- 为了确定非胰岛素依赖性糖尿病的风险因素是否也是GDM的标志物.
- 评估生活方式和人口因素与GDM风险之间的关联.
主要方法:
- 来自护士健康研究II的14613名女性的前性队列研究.
- 通过医疗记录审查验证的自我报告的GDM诊断.
- 多变量分析控制年龄,BMI和其他风险因素.
主要成果:
- 随着母亲的年龄,家族糖尿病病史和更高的孕前BMI (25-29.9 kg/m2和≥30 kg/m2) 的增加,GDM风险显著增加.
- 在成年早期体重增加,非白人族裔和目前吸烟的人群中也观察到风险增加.
- 剧烈的运动显示,GDM风险没有显著降低.
结论:
- 晚年母亲年龄,糖尿病家族病史,非白人种族,较高的BMI,成年早期体重增加和吸烟是增加GDM风险的预测因素.
- 这些发现可以帮助识别高风险怀孕,并为怀孕前的降低风险策略提供信息.
- 改变生活方式,如避免显著的体重增加和吸烟,可能会减少GDM发病率.
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