دورية أكاديمية
Maternal Educational Level and the Risk of Persistent Post-Partum Glucose Metabolism Disorders in Women with Gestational Diabetes Mellitus
| العنوان: | Maternal Educational Level and the Risk of Persistent Post-Partum Glucose Metabolism Disorders in Women with Gestational Diabetes Mellitus |
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| المؤلفون: | Gante, I, Ferreira, AC, Pestana, G, Pires, D, Amaral, N, Dores, J, Almeida, MC, Sandoval, JL |
| بيانات النشر: | Springer |
| سنة النشر: | 2018 |
| المجموعة: | Repositório do Centro Hospitalar de Lisboa Central EPE |
| مصطلحات موضوعية: | Adult, Blood Glucose, Cohort Studies, Diabetes Mellitus, Type 2, Diabetes, Gestational, Female, Glucose Intolerance, Glucose Metabolism Disorders, Glucose Tolerance Test, Humans, Portugal, Postpartum Period, Pregnancy, Prevalence, Puerperal Disorders, Retrospective Studies, Risk Factors, Young Adult, Educational Status, Mothers, HCC NEF |
| الوصف: | AIMS: Gestational diabetes mellitus (GDM) occurs in 5-15% of pregnancies, and lower maternal educational attainment has been associated with higher risk of GDM. We aimed to determine if maternal education level is associated with persistent post-partum glucose metabolism disorders in women with GDM. METHODS: Retrospective cohort study of women with GDM followed in 25 Portuguese health institutions between 2008 and 2012. Educational attainment was categorised into four levels. Prevalence of post-partum glucose metabolism disorders (type 2 diabetes mellitus, increased fasting plasma glucose or impaired glucose tolerance) was compared and adjusted odds ratios calculated controlling for confounders using logistic regression. RESULTS: We included 4490 women diagnosed with GDM. Educational level ranged as follows: 6.8% (n = 307) were at level 1 (≤ 6th grade), 34.6% (n = 1554) at level 2 (6-9th grade), 30.4% (n = 1364) at level 3 (10-12th grade) and 28.2% (n = 1265) at level 4 (≥ university degree). At 6 weeks post-partum re-evaluation, 10.9% (n = 491) had persistent glucose metabolism disorders. Educational levels 1 and 2 had a higher probability of persistent post-partum glucose metabolism disorders when compared to level 4 (OR = 2.37 [1.69;3.32], p < 0.001 and OR = 1.39 [1.09;1.76], p = 0.008, for level 1 and 2, respectively), an association that persisted in multivariable logistic regression adjusting for confounders (level 1 OR = 2.25 [1.53;3.33], p < 0.001; level 2 OR = 1.43 [1.09;1.89], p = 0.01). CONCLUSIONS: Persistent post-partum glucose metabolism disorders are frequent in women with GDM and associated with lower maternal educational level. Interventions aimed at this risk group may contribute towards a decrease in prevalence of post-partum glucose metabolism disorders. ; info:eu-repo/semantics/publishedVersion |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | Acta Diabetol. 2018 Mar;55(3):243-251.; http://hdl.handle.net/10400.17/3093Test |
| DOI: | 10.1007/s00592-017-1090-y |
| الإتاحة: | https://doi.org/10.1007/s00592-017-1090-yTest http://hdl.handle.net/10400.17/3093Test |
| حقوق: | openAccess |
| رقم الانضمام: | edsbas.2C3B514 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s00592-017-1090-y |
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