High Prevalence of Gestational Diabetes in Women from Ethnic Minority Groups

Diabetic Medicine - Tập 9 Số 9 - Trang 820-825 - 1992
Anne Dornhorst1, C Paterson2, J. S. D. Nicholls2, J Wadsworth3, Darryl Chiu4, R.S. Elkeles4, D. G. Johnston4, R. W. Beard2
1Unit of Metabolic Medicine, St. Mary's Hospital Medical School, Imperial College of Science, Technology and Medicine, London, UK
2Department of Obstetrics and Gynaecology, London, UK
3Academic Department of Public Health, St Mary's Hospital Medical School, Imperial College of Science, Technology and Medicine, London, UK
4Unit of Metabolic Medicine, London, UK

Tóm tắt

The influence of ethnic origin, body mass index, and parity on the frequency of gestational diabetes was assessed in 11205 consecutive women attending a multiracial antenatal clinic in London, where all women were screened for gestational diabetes. Logistic regression was used to model the relationship between gestational diabetes and ethnic origin, age, body mass index (BMI), and parity. Results were presented as adjusted odds ratios, where the reference categories are White women, age < 25 years, BMI < 27, and parity < 3. Ethnic origin was the dominant influence on the prevalence of gestational diabetes. Women from ethnic groups other than White had a higher frequency of gestational diabetes than White women (2.9% vs 0.4%, p < 0.001). Compared to White women the relative risk of gestational diabetes in the other ethnic groups was: Black 3.1 (95% confidence limits 1.8–5.5), South East Asian 7.6 (4.1–14.1), Indian 11.3 (6.8–18.8), and miscellaneous 5.9 (3.5–9.9). Increasing age was an independent risk factor. The relative risk was higher in women ≥ 35 years in all ethnic groups other than in South East Asian women. Obesity (BMI ≥ 27) was a further independent risk factor in all ethnic groups except in the Indian and South East Asian women. Parity ≥ 3 increased the relative risk of gestational diabetes in the White, Black, and South East Asian women only. Age and obesity were factors of particular importance in Black women in whom the risk was 4.1 fold greater in those ≥ 35 years compared with women ≥ 35 years, and 5.0 fold higher if the BMI was ≥ 27 compared with ≥ 27. Ethnic origin has a major influence on the prevalence of gestational diabetes and the importance of other risk factors varies between ethnic groups. These findings have important implications for the screening of women in pregnancy.

Từ khóa


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Thông tin
Thông tin xuất bản

Diabetic Medicine

Tập 9 Số 9

820-825

Thông tin tác giả