Can we use waist circumference in the first trimester to screen for gestational diabetes?

Yıl 2019, Cilt: 36 Sayı: 1, 9 - 12, 04.12.2019

Hasan Ulubaşoğlu Kadir Bakay Ayşe Zehra Özdemir Davut Güven Sertaç Batıoglu

Öz

Maternal obesity is known to be associated with a higher risk of gestational diabetes mellitus and ad-verse perinatal outcomes. The aim of this study was to investigate whether waist circumference meas-urement is an alternative screen-ing test for gestational diabetes. This is a prospective cohort study at a single clinic at Ondokuz Mayıs University Hospital in Samsun, Turkey, between Jan-uary 2011 and September 2012. All subjects with a singleton pregnancy were eligible for the study at 11–14 weeks’ gestation. After statistical evaluation of the data we have found out that wider waist circumference measurements in the first trimester leads to an impaired 50 g oral glucose tolerance test in the second trimester. In the end waist circumference measurement is a cheap screening tool to foresee a high-risk population under threat of gestational diabetes.

Anahtar Kelimeler

glucose intolerance, Waist circumference

Kaynakça

• Bitó, T., Földesi, I., Nyári, T. 2005. Prediction of gestational diabetes mellitus in a high-risk group by insulin measurement in early pregnancy. Diabet Med.22,1434-9.Bjornholt , JV.,Erikssen , GA.,Aser, E.1999.Fasting blood glucose: an underestimated risk factor for cardiovascular death: results from a 22-year follow-up of healthy nondiabetic men. Diabetes Care. 12,245- 49.Brisson, D., Perron, P., Guay, SP., Gaudet,D., Bouchard, L.,2010. The “hypertriglyceridemic waist” phenotype and glucose intolerance in pregnancy. CMAJ.182,722-5.Ehrenberg, HM., Mercer, BM., Catalano, PM.,2004. The influence of obesity and diabetes on the prevalence of macrosomia. Am J .Obstet Gynecol. 191,964–968.Giugliano, D., Maiorino, M., Bellastella Esposito,K.,2016.Comment on American Diabetes Association. Approaches to Glycemic Treatment. Diabetes Care .39,52-59.Hoffman L, Nolan C, Wilson JD, Oats J, Simmons D. Gestational diabetes mellitus — management guidelines: the Australa- sian Diabetes in Pregnancy Society. Med J Aust 1998;169:93-7.Lemieux, I., Pascot, A., Couillard, C., Lamarche, B., Tchernof, A., Alméras, N., Bergeron, J., Hypertriglyceridemic ,Waist., 2000.A Marker of the Atherogenic Metabolic Triad (Hyperinsulinemia; Hyperapolipoprotein B; Small, Dense LDL) in Men? Circulation 2000; 102: 179-184.Lim, S., Choi, SH., Park, YJ., 2007. Visceral fatness and insulin sensitivity in women with a previous history of gestational diabetes mellitus. Diabetes Care.30,348-53.Martin, AM., Berger, H., Nisenbaum ,R., Lausman ,AY., MacGarvie, S., Crerar, C., Ray, JG.,2009. Abdominal visceral adiposity in the first trimester predicts glucose intolerance in later pregnancy. Diabetes Care.32,1308-10.Ng,CSA., Liaw, PCY., 1990.Management of diabetes mellitus in pregnancy.Med J .31,171-6.Petitt, D., Bennett, PH., Knowler, WC., Baird, HR., Aleck, KA.,1985. Gestational diabetes mellitus and impaired glucose tolerance during preg- nancy: long-term effects on obesity and glu- cose intolerance in the offspring. Diabetes Care. 2,119-22.Pridjian ,G., Benjamin, TD.,2010. Update on gestational diabetes. Obstet Gynecol Clin North Am .37,255-67. Reece, EA,, Leguizamón, G., Wiznitzer, A.,2009. Gestational diabetes: the need for a common ground. Lancet.373,1789-97.Ribeiro-Filho ,FF., Faria, AN., Azjen, S., Zanella, MT., Ferreira SR., 2003. Methods of estimation of visceral fat: advantages of ultrasonography. Obes Res Dec;11(12):1488-94.Riskin-Mashiah S., Younes G., Damti A., 2009 .First-trimester fasting hyperglycemiaand adverse pregnancy outcomes. Diabetes Care.32,1639-43.Silverman, B., Metzger, BE., Cho, NH., Loeb, CA., Impaired glucose tolerance in adoles- cent offspring of diabetic mothers: relation- ship to fetal hyperinsulinism. Diabetes Care.18,611-7.Solomon, CG., Willett ,WC., Carey, VJ., Rich-Edwards, J., Hunter, DJ., Colditz, GA.,Stampfer, MJ., Speizer, FE., Spiegelman, D., Manson, JE.,1997. A prospective study of pregravid determinants of gestational diabetes mellitus. JAMA .278,1078–1083.Surkan, PJ., Hsieh, CC., Johansson, AL., Dickman, PW., Cnattingius, S.,2004. Reasons for increasing trends in large for gestational age births. Obstet Gynecol. 104,720–726.Torloni, MR., Betrán, AP., Horta BL,.2009. Prepregnancy BMI and the risk of gestationaldiabetes: a systematic review of the literature with meta-analysis. Obes Rev.10,194-203. Wong, L., Tan A S, A.,2001. The Glucose Challenge Test for Screening Gestational Diabetes in Pregnant Women with No Risk Factors. Singapore .Med J . 42, 517-521..