Normal glucose tolerant women with low glycemia during the oral glucose tolerance test have a higher risk to deliver a low birth weight infant

BACKGROUND: Data are limited on pregnancy outcomes of normal glucose tolerant (NGT) women with a low glycemic value measured during the 75g oral glucose tolerance test (OGTT). Our aim was to evaluate maternal characteristics and pregnancy outcomes of NGT women with low glycemia measured at fasting,...

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Veröffentlicht in:FRONTIERS IN ENDOCRINOLOGY 2023-06, Vol.14
Hauptverfasser: Raets, Lore, Van Doninck, Lore, Van Crombrugge, Paul, Moyson, Carolien, Verhaeghe, Johan, Vandeginste, Sofie, Verlaenen, Hilde, Vercammen, Chris, Maes, Toon, Dufraimont, Els, Roggen, Nele, De Block, Christophe, Jacquemyn, Yves, Mekahli, Farah, De Clippel, Katrien, Van den Bruel, Annick, Loccufier, Anne, Laenen, Annouschka, Devlieger, Roland, Mathieu, Chantal, Benhalima, Katrien
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container_title FRONTIERS IN ENDOCRINOLOGY
container_volume 14
creator Raets, Lore
Van Doninck, Lore
Van Crombrugge, Paul
Moyson, Carolien
Verhaeghe, Johan
Vandeginste, Sofie
Verlaenen, Hilde
Vercammen, Chris
Maes, Toon
Dufraimont, Els
Roggen, Nele
De Block, Christophe
Jacquemyn, Yves
Mekahli, Farah
De Clippel, Katrien
Van den Bruel, Annick
Loccufier, Anne
Laenen, Annouschka
Devlieger, Roland
Mathieu, Chantal
Benhalima, Katrien
description BACKGROUND: Data are limited on pregnancy outcomes of normal glucose tolerant (NGT) women with a low glycemic value measured during the 75g oral glucose tolerance test (OGTT). Our aim was to evaluate maternal characteristics and pregnancy outcomes of NGT women with low glycemia measured at fasting, 1-hour or 2-hour OGTT. METHODS: The Belgian Diabetes in Pregnancy-N study was a multicentric prospective cohort study with 1841 pregnant women receiving an OGTT to screen for gestational diabetes (GDM). We compared the characteristics and pregnancy outcomes in NGT women according to different groups [(4.4mmol/L)] of lowest glycemia measured during the OGTT. Pregnancy outcomes were adjusted for confounding factors such as body mass index (BMI) and gestational weight gain. RESULTS: Of all NGT women, 10.7% (172) had low glycemia (
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Our aim was to evaluate maternal characteristics and pregnancy outcomes of NGT women with low glycemia measured at fasting, 1-hour or 2-hour OGTT. METHODS: The Belgian Diabetes in Pregnancy-N study was a multicentric prospective cohort study with 1841 pregnant women receiving an OGTT to screen for gestational diabetes (GDM). We compared the characteristics and pregnancy outcomes in NGT women according to different groups [(<3.9mmol/L), (3.9-4.2mmol/L), (4.25-4.4mmol/L) and (>4.4mmol/L)] of lowest glycemia measured during the OGTT. Pregnancy outcomes were adjusted for confounding factors such as body mass index (BMI) and gestational weight gain. RESULTS: Of all NGT women, 10.7% (172) had low glycemia (<3.9 mmol/L) during the OGTT. Women in the lowest glycemic group (<3.9mmol/L) during the OGTT had compared to women in highest glycemic group (>4.4mmol/L, 29.9%, n=482), a better metabolic profile with a lower BMI, less insulin resistance and better beta-cell function. However, women in the lowest glycemic group had more often inadequate gestational weight gain [51.1% (67) vs. 29.5% (123); p<0.001]. Compared to the highest glycemia group, women in the lowest group had more often a birth weight <2.5Kg [adjusted OR 3.41, 95% CI (1.17-9.92); p=0.025]. CONCLUSION: Women with a glycemic value <3.9 mmol/L during the OGTT have a higher risk for a neonate with birth weight < 2.5Kg, which remained significant after adjustment for BMI and gestational weight gain.]]></description><identifier>ISSN: 1664-2392</identifier><identifier>EISSN: 1664-2392</identifier><language>eng</language><publisher>FRONTIERS MEDIA SA</publisher><ispartof>FRONTIERS IN ENDOCRINOLOGY, 2023-06, Vol.14</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,316,782,786,27869</link.rule.ids></links><search><creatorcontrib>Raets, Lore</creatorcontrib><creatorcontrib>Van Doninck, Lore</creatorcontrib><creatorcontrib>Van Crombrugge, Paul</creatorcontrib><creatorcontrib>Moyson, Carolien</creatorcontrib><creatorcontrib>Verhaeghe, Johan</creatorcontrib><creatorcontrib>Vandeginste, Sofie</creatorcontrib><creatorcontrib>Verlaenen, Hilde</creatorcontrib><creatorcontrib>Vercammen, Chris</creatorcontrib><creatorcontrib>Maes, Toon</creatorcontrib><creatorcontrib>Dufraimont, Els</creatorcontrib><creatorcontrib>Roggen, Nele</creatorcontrib><creatorcontrib>De Block, Christophe</creatorcontrib><creatorcontrib>Jacquemyn, Yves</creatorcontrib><creatorcontrib>Mekahli, Farah</creatorcontrib><creatorcontrib>De Clippel, Katrien</creatorcontrib><creatorcontrib>Van den Bruel, Annick</creatorcontrib><creatorcontrib>Loccufier, Anne</creatorcontrib><creatorcontrib>Laenen, Annouschka</creatorcontrib><creatorcontrib>Devlieger, Roland</creatorcontrib><creatorcontrib>Mathieu, Chantal</creatorcontrib><creatorcontrib>Benhalima, Katrien</creatorcontrib><title>Normal glucose tolerant women with low glycemia during the oral glucose tolerance test have a higher risk to deliver a low birth weight infant</title><title>FRONTIERS IN ENDOCRINOLOGY</title><description><![CDATA[BACKGROUND: Data are limited on pregnancy outcomes of normal glucose tolerant (NGT) women with a low glycemic value measured during the 75g oral glucose tolerance test (OGTT). Our aim was to evaluate maternal characteristics and pregnancy outcomes of NGT women with low glycemia measured at fasting, 1-hour or 2-hour OGTT. METHODS: The Belgian Diabetes in Pregnancy-N study was a multicentric prospective cohort study with 1841 pregnant women receiving an OGTT to screen for gestational diabetes (GDM). We compared the characteristics and pregnancy outcomes in NGT women according to different groups [(<3.9mmol/L), (3.9-4.2mmol/L), (4.25-4.4mmol/L) and (>4.4mmol/L)] of lowest glycemia measured during the OGTT. Pregnancy outcomes were adjusted for confounding factors such as body mass index (BMI) and gestational weight gain. RESULTS: Of all NGT women, 10.7% (172) had low glycemia (<3.9 mmol/L) during the OGTT. Women in the lowest glycemic group (<3.9mmol/L) during the OGTT had compared to women in highest glycemic group (>4.4mmol/L, 29.9%, n=482), a better metabolic profile with a lower BMI, less insulin resistance and better beta-cell function. However, women in the lowest glycemic group had more often inadequate gestational weight gain [51.1% (67) vs. 29.5% (123); p<0.001]. Compared to the highest glycemia group, women in the lowest group had more often a birth weight <2.5Kg [adjusted OR 3.41, 95% CI (1.17-9.92); p=0.025]. CONCLUSION: Women with a glycemic value <3.9 mmol/L during the OGTT have a higher risk for a neonate with birth weight < 2.5Kg, which remained significant after adjustment for BMI and gestational weight gain.]]></description><issn>1664-2392</issn><issn>1664-2392</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>FZOIL</sourceid><recordid>eNqVjcFugzAMhqOplYZa3sHnSkwhUFrO06addto9SsGQlJBUSYDtJfbMi6oeJu2y-uLf8ufPDyTJq6rMWFGz1a_8SFLvzzRWSfO6Pibk-926UWjo9dRYjxCsRidMgMWOaGBRQYK2S9x_NTgqAe3klOkhSATr_h42MaEPIMWMIECqXqIDp_wQCWhRqznO4uo8KRftC0YmgDJdfLsl605oj-mtb8ju9eXj-S0bJo3TjIa3_iIa5IzyPaU8Z3XJ-IHlJSuKDXn6N8zDZyjusv8A_-tpPA</recordid><startdate>20230602</startdate><enddate>20230602</enddate><creator>Raets, Lore</creator><creator>Van Doninck, Lore</creator><creator>Van Crombrugge, Paul</creator><creator>Moyson, Carolien</creator><creator>Verhaeghe, Johan</creator><creator>Vandeginste, Sofie</creator><creator>Verlaenen, Hilde</creator><creator>Vercammen, Chris</creator><creator>Maes, Toon</creator><creator>Dufraimont, Els</creator><creator>Roggen, Nele</creator><creator>De Block, Christophe</creator><creator>Jacquemyn, Yves</creator><creator>Mekahli, Farah</creator><creator>De Clippel, Katrien</creator><creator>Van den Bruel, Annick</creator><creator>Loccufier, Anne</creator><creator>Laenen, Annouschka</creator><creator>Devlieger, Roland</creator><creator>Mathieu, Chantal</creator><creator>Benhalima, Katrien</creator><general>FRONTIERS MEDIA SA</general><scope>FZOIL</scope></search><sort><creationdate>20230602</creationdate><title>Normal glucose tolerant women with low glycemia during the oral glucose tolerance test have a higher risk to deliver a low birth weight infant</title><author>Raets, Lore ; Van Doninck, Lore ; Van Crombrugge, Paul ; Moyson, Carolien ; Verhaeghe, Johan ; Vandeginste, Sofie ; Verlaenen, Hilde ; Vercammen, Chris ; Maes, Toon ; Dufraimont, Els ; Roggen, Nele ; De Block, Christophe ; Jacquemyn, Yves ; Mekahli, Farah ; De Clippel, Katrien ; Van den Bruel, Annick ; Loccufier, Anne ; Laenen, Annouschka ; Devlieger, Roland ; Mathieu, Chantal ; Benhalima, Katrien</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-kuleuven_dspace_20_500_12942_7214233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Raets, Lore</creatorcontrib><creatorcontrib>Van Doninck, Lore</creatorcontrib><creatorcontrib>Van Crombrugge, Paul</creatorcontrib><creatorcontrib>Moyson, Carolien</creatorcontrib><creatorcontrib>Verhaeghe, Johan</creatorcontrib><creatorcontrib>Vandeginste, Sofie</creatorcontrib><creatorcontrib>Verlaenen, Hilde</creatorcontrib><creatorcontrib>Vercammen, Chris</creatorcontrib><creatorcontrib>Maes, Toon</creatorcontrib><creatorcontrib>Dufraimont, Els</creatorcontrib><creatorcontrib>Roggen, Nele</creatorcontrib><creatorcontrib>De Block, Christophe</creatorcontrib><creatorcontrib>Jacquemyn, Yves</creatorcontrib><creatorcontrib>Mekahli, Farah</creatorcontrib><creatorcontrib>De Clippel, Katrien</creatorcontrib><creatorcontrib>Van den Bruel, Annick</creatorcontrib><creatorcontrib>Loccufier, Anne</creatorcontrib><creatorcontrib>Laenen, Annouschka</creatorcontrib><creatorcontrib>Devlieger, Roland</creatorcontrib><creatorcontrib>Mathieu, Chantal</creatorcontrib><creatorcontrib>Benhalima, Katrien</creatorcontrib><collection>Lirias (KU Leuven Association)</collection><jtitle>FRONTIERS IN ENDOCRINOLOGY</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Raets, Lore</au><au>Van Doninck, Lore</au><au>Van Crombrugge, Paul</au><au>Moyson, Carolien</au><au>Verhaeghe, Johan</au><au>Vandeginste, Sofie</au><au>Verlaenen, Hilde</au><au>Vercammen, Chris</au><au>Maes, Toon</au><au>Dufraimont, Els</au><au>Roggen, Nele</au><au>De Block, Christophe</au><au>Jacquemyn, Yves</au><au>Mekahli, Farah</au><au>De Clippel, Katrien</au><au>Van den Bruel, Annick</au><au>Loccufier, Anne</au><au>Laenen, Annouschka</au><au>Devlieger, Roland</au><au>Mathieu, Chantal</au><au>Benhalima, Katrien</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Normal glucose tolerant women with low glycemia during the oral glucose tolerance test have a higher risk to deliver a low birth weight infant</atitle><jtitle>FRONTIERS IN ENDOCRINOLOGY</jtitle><date>2023-06-02</date><risdate>2023</risdate><volume>14</volume><issn>1664-2392</issn><eissn>1664-2392</eissn><abstract><![CDATA[BACKGROUND: Data are limited on pregnancy outcomes of normal glucose tolerant (NGT) women with a low glycemic value measured during the 75g oral glucose tolerance test (OGTT). Our aim was to evaluate maternal characteristics and pregnancy outcomes of NGT women with low glycemia measured at fasting, 1-hour or 2-hour OGTT. METHODS: The Belgian Diabetes in Pregnancy-N study was a multicentric prospective cohort study with 1841 pregnant women receiving an OGTT to screen for gestational diabetes (GDM). We compared the characteristics and pregnancy outcomes in NGT women according to different groups [(<3.9mmol/L), (3.9-4.2mmol/L), (4.25-4.4mmol/L) and (>4.4mmol/L)] of lowest glycemia measured during the OGTT. Pregnancy outcomes were adjusted for confounding factors such as body mass index (BMI) and gestational weight gain. RESULTS: Of all NGT women, 10.7% (172) had low glycemia (<3.9 mmol/L) during the OGTT. Women in the lowest glycemic group (<3.9mmol/L) during the OGTT had compared to women in highest glycemic group (>4.4mmol/L, 29.9%, n=482), a better metabolic profile with a lower BMI, less insulin resistance and better beta-cell function. However, women in the lowest glycemic group had more often inadequate gestational weight gain [51.1% (67) vs. 29.5% (123); p<0.001]. Compared to the highest glycemia group, women in the lowest group had more often a birth weight <2.5Kg [adjusted OR 3.41, 95% CI (1.17-9.92); p=0.025]. CONCLUSION: Women with a glycemic value <3.9 mmol/L during the OGTT have a higher risk for a neonate with birth weight < 2.5Kg, which remained significant after adjustment for BMI and gestational weight gain.]]></abstract><pub>FRONTIERS MEDIA SA</pub><oa>free_for_read</oa></addata></record>
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title Normal glucose tolerant women with low glycemia during the oral glucose tolerance test have a higher risk to deliver a low birth weight infant
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