Prevalence and predictors of gestational diabetes mellitus: a nationwide multicentre prospective study

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dc.authoridMELEKOGLU, RAUF / 0000-0001-7113-6691
dc.authoridANAFOROGLU, INAN / 0000-0001-8990-3713
dc.authoridUstay, Ozlem / 0000-0002-7993-955X
dc.authoridTaskiran, Bengur / 0000-0003-4842-450X
dc.authoridevren, bahri / 0000-0001-7490-2937
dc.authoridOzer, Alev / 0000-0002-0934-0226
dc.authoridOzdemir, Nilufer / 0000-0002-0719-988X
dc.authorwosidBakiner, Okan / AAK-5525-2021
dc.authorwosidUgur, Kader / W-7053-2018
dc.authorwosidTosun, Sebnem Alanya / AAC-1924-2021
dc.authorwosidMELEKOGLU, RAUF / AAF-1614-2019
dc.authorwosidemral, rifat / AAH-1386-2020
dc.authorwosidANAFOROGLU, INAN / AAG-8413-2021
dc.authorwosidUstay, Ozlem / ABI-1231-2020
dc.contributor.authorAydin, H.
dc.contributor.authorCelik, O.
dc.contributor.authorYazici, D.
dc.contributor.authorAltunok, C.
dc.contributor.authorTarcin, O.
dc.contributor.authorDeyneli, O.
dc.contributor.authorUc, Ziynet Alphan
dc.date.accessioned2021-11-01T15:03:00Z
dc.date.available2021-11-01T15:03:00Z
dc.date.issued2019
dc.department[Belirlenecek]
dc.description.abstractAim Prevalence rates of gestational diabetes mellitus (GDM) show considerable variation among different countries and regions of the world. The primary aim of this study was to determine the nationwide prevalence and predictors of GDM in Turkey. Methods We conducted prospective nationwide screening among pregnant women. Between August 2016 and November 2017, a total of 2643 pregnant women from 51 centres in 12 different regions were enrolled. A two-step screening method and Carpenter and Coustan criteria were used in the diagnosis of GDM. Clinical and biochemical data were obtained using electronic database software. Results The national prevalence of GDM was found to be 16.2% [95% confidence intervals (CI) 15.0% to 17.4%] without a significant difference between urban and rural regions. Women with GDM were older (mean age: 32 +/- 5 vs. 28 +/- 5 years, P < 0.001) and heavier (mean BMI: 27.2 +/- 5.1 vs. 24.7 +/- 4.7 kg/m(2), P < 0.001) than their counterparts without GDM. The prevalence of GDM tended to increase with age (< 25 years, 6.9%; 26-35 years, 15.6%; and 36-45 years, 32.7%; P < 0.001). Maternal age, maternal BMI, history of previous GDM and family history of diabetes mellitus were independent predictors of developing GDM (P < 0.05 for all). Low-risk women (age < 25 years, BMI < 25 kg/m(2), no family history of diabetes) comprised 10.7% of the total population and the prevalence of GDM in these women was 4.5% (95% CI 2.4% to 7.8%). Conclusion The results of this nationwide study indicate that GDM is very common, affecting one in seven pregnancies in Turkey. Implementation of international guidelines on screening and management of this public health problem is required.
dc.identifier.doi10.1111/dme.13857
dc.identifier.endpage227en_US
dc.identifier.issn0742-3071
dc.identifier.issn1464-5491
dc.identifier.issue2en_US
dc.identifier.pmid30402933
dc.identifier.startpage221en_US
dc.identifier.urihttps://doi.org/10.1111/dme.13857
dc.identifier.urihttps://hdl.handle.net/11491/6910
dc.identifier.volume36en_US
dc.identifier.wosWOS:000457530200011
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthor[Belirlenecek]
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofDiabetic Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subject[No Keywords]en_US
dc.titlePrevalence and predictors of gestational diabetes mellitus: a nationwide multicentre prospective study
dc.typeArticle

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