Follow-up of women with gestational diabetes in the Tehran Lipid and Glucose Study (TLGS): A population-based cohort study
Aim: Women with gestational diabetes (GDM) are at increased risk of developing type 2 diabetes mellitus (T2DM), but there is disagreement regarding this conversion rate or its cardiovascular consequences. We investigated the metabolic and cardiovascular consequences of women with GDM in a populatio...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2012-04, Vol.38 (4), p.698-704 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Ramezani Tehrani, Fahimeh Hashemi, Somayeh Hasheminia, Mitra Azizi, Freidoon |
| description | Aim: Women with gestational diabetes (GDM) are at increased risk of developing type 2 diabetes mellitus (T2DM), but there is disagreement regarding this conversion rate or its cardiovascular consequences. We investigated the metabolic and cardiovascular consequences of women with GDM in a population‐based cohort study.
Material and Methods: Three groups of women were selected from the Tehran Lipid and Glucose Study (TLGS) and followed up for an average 9 years: women with prior history of GDM (n = 29); women with history of macrosomia or stillbirth without GDM (MC‐ST) (n = 570), and age‐ and BMI‐matched controls (n = 628). The incidence of T2DM, hypertension (HTN) and dyslipidemia were compared between these groups. Statistical significance was set at P |
| doi_str_mv | 10.1111/j.1447-0756.2011.01767.x |
| format | Article |
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Material and Methods: Three groups of women were selected from the Tehran Lipid and Glucose Study (TLGS) and followed up for an average 9 years: women with prior history of GDM (n = 29); women with history of macrosomia or stillbirth without GDM (MC‐ST) (n = 570), and age‐ and BMI‐matched controls (n = 628). The incidence of T2DM, hypertension (HTN) and dyslipidemia were compared between these groups. Statistical significance was set at P < 0.05.
Results: During the 9‐year follow‐up, T2DM was diagnosed in 27.3% of women with GDM in comparison to 9.5% among the control group (P < 0/001); 7.4% of the MC‐ST group versus 8.9% of control group developed T2DM during the study follow‐up (P = 0/03). There was no significant difference in the incidence of HTN or dyslipidemia between these groups (P > 0/05).
Conclusion: Women with a history of GDM are at higher risk for developing T2DM later in life. The timely recognition of GDM may provide a ‘teachable moment’ during which women could be motivated to implement lifestyle modifications to reduce their T2DM risk.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.2011.01767.x</identifier><identifier>PMID: 22380591</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adolescent ; Adult ; Body Mass Index ; Cohort Studies ; diabetes mellitus ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes, Gestational - physiopathology ; Dyslipidemias - epidemiology ; Female ; Follow-Up Studies ; gestational diabetes ; Humans ; hypertension ; Hypertension - epidemiology ; Incidence ; macrosomia ; Middle Aged ; Pregnancy ; Risk ; stillbirth ; Tehran Lipid and Glucose Study</subject><ispartof>The journal of obstetrics and gynaecology research, 2012-04, Vol.38 (4), p.698-704</ispartof><rights>2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology</rights><rights>2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4307-c9045cf0128c2239b306419afb26b8a78deb509bb2a48171f7d7af1236540f203</citedby><cites>FETCH-LOGICAL-c4307-c9045cf0128c2239b306419afb26b8a78deb509bb2a48171f7d7af1236540f203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0756.2011.01767.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0756.2011.01767.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22380591$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ramezani Tehrani, Fahimeh</creatorcontrib><creatorcontrib>Hashemi, Somayeh</creatorcontrib><creatorcontrib>Hasheminia, Mitra</creatorcontrib><creatorcontrib>Azizi, Freidoon</creatorcontrib><title>Follow-up of women with gestational diabetes in the Tehran Lipid and Glucose Study (TLGS): A population-based cohort study</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Aim: Women with gestational diabetes (GDM) are at increased risk of developing type 2 diabetes mellitus (T2DM), but there is disagreement regarding this conversion rate or its cardiovascular consequences. We investigated the metabolic and cardiovascular consequences of women with GDM in a population‐based cohort study.
Material and Methods: Three groups of women were selected from the Tehran Lipid and Glucose Study (TLGS) and followed up for an average 9 years: women with prior history of GDM (n = 29); women with history of macrosomia or stillbirth without GDM (MC‐ST) (n = 570), and age‐ and BMI‐matched controls (n = 628). The incidence of T2DM, hypertension (HTN) and dyslipidemia were compared between these groups. Statistical significance was set at P < 0.05.
Results: During the 9‐year follow‐up, T2DM was diagnosed in 27.3% of women with GDM in comparison to 9.5% among the control group (P < 0/001); 7.4% of the MC‐ST group versus 8.9% of control group developed T2DM during the study follow‐up (P = 0/03). There was no significant difference in the incidence of HTN or dyslipidemia between these groups (P > 0/05).
Conclusion: Women with a history of GDM are at higher risk for developing T2DM later in life. The timely recognition of GDM may provide a ‘teachable moment’ during which women could be motivated to implement lifestyle modifications to reduce their T2DM risk.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Body Mass Index</subject><subject>Cohort Studies</subject><subject>diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes, Gestational - physiopathology</subject><subject>Dyslipidemias - epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>gestational diabetes</subject><subject>Humans</subject><subject>hypertension</subject><subject>Hypertension - epidemiology</subject><subject>Incidence</subject><subject>macrosomia</subject><subject>Middle Aged</subject><subject>Pregnancy</subject><subject>Risk</subject><subject>stillbirth</subject><subject>Tehran Lipid and Glucose Study</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9v0zAYhy0EYmPwFZBvwCHBf2MHicM0sRQo7LAipF0sO3GoixtncaK2fHqcdfSML36l9_m9r_0AADHKcTrvNzlmTGRI8CInCOMcYVGIfP8EnJ8aT1NNGc4kEsUZeBHjBiWqxPI5OCOESsRLfA7-XAfvwy6behhauAtb28GdG9fwl42jHl3otIeN08aONkLXwXFt4cquB93BpetdA3XXwMpPdYgW3o5Tc4BvV8vq9t0HeAn70E_-YUpmdLQNrMM6DCOMM_cSPGu1j_bV430Bflx_Wl0tsuVN9fnqcpnVjCKR1SVivG4RJrJO7y4NRQXDpW4NKYzUQjbWcFQaQzSTWOBWNEK3mNCCM9QSRC_Am-Pcfgj3U_qW2rpYW-91Z8MUVckpwRwxmkh5JOshxDjYVvWD2-rhoDBSs3i1UbNfNftVs3j1IF7tU_T145LJbG1zCv4znYCPR2DnvD3892D15aaaq5TPjnkXR7s_5fXwW6Wu4Orn90rhr3Lx7W5xpzj9CzXpoCA</recordid><startdate>201204</startdate><enddate>201204</enddate><creator>Ramezani Tehrani, Fahimeh</creator><creator>Hashemi, Somayeh</creator><creator>Hasheminia, Mitra</creator><creator>Azizi, Freidoon</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201204</creationdate><title>Follow-up of women with gestational diabetes in the Tehran Lipid and Glucose Study (TLGS): A population-based cohort study</title><author>Ramezani Tehrani, Fahimeh ; Hashemi, Somayeh ; Hasheminia, Mitra ; Azizi, Freidoon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4307-c9045cf0128c2239b306419afb26b8a78deb509bb2a48171f7d7af1236540f203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Body Mass Index</topic><topic>Cohort Studies</topic><topic>diabetes mellitus</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes, Gestational - physiopathology</topic><topic>Dyslipidemias - epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>gestational diabetes</topic><topic>Humans</topic><topic>hypertension</topic><topic>Hypertension - epidemiology</topic><topic>Incidence</topic><topic>macrosomia</topic><topic>Middle Aged</topic><topic>Pregnancy</topic><topic>Risk</topic><topic>stillbirth</topic><topic>Tehran Lipid and Glucose Study</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ramezani Tehrani, Fahimeh</creatorcontrib><creatorcontrib>Hashemi, Somayeh</creatorcontrib><creatorcontrib>Hasheminia, Mitra</creatorcontrib><creatorcontrib>Azizi, Freidoon</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ramezani Tehrani, Fahimeh</au><au>Hashemi, Somayeh</au><au>Hasheminia, Mitra</au><au>Azizi, Freidoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Follow-up of women with gestational diabetes in the Tehran Lipid and Glucose Study (TLGS): A population-based cohort study</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2012-04</date><risdate>2012</risdate><volume>38</volume><issue>4</issue><spage>698</spage><epage>704</epage><pages>698-704</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Aim: Women with gestational diabetes (GDM) are at increased risk of developing type 2 diabetes mellitus (T2DM), but there is disagreement regarding this conversion rate or its cardiovascular consequences. We investigated the metabolic and cardiovascular consequences of women with GDM in a population‐based cohort study.
Material and Methods: Three groups of women were selected from the Tehran Lipid and Glucose Study (TLGS) and followed up for an average 9 years: women with prior history of GDM (n = 29); women with history of macrosomia or stillbirth without GDM (MC‐ST) (n = 570), and age‐ and BMI‐matched controls (n = 628). The incidence of T2DM, hypertension (HTN) and dyslipidemia were compared between these groups. Statistical significance was set at P < 0.05.
Results: During the 9‐year follow‐up, T2DM was diagnosed in 27.3% of women with GDM in comparison to 9.5% among the control group (P < 0/001); 7.4% of the MC‐ST group versus 8.9% of control group developed T2DM during the study follow‐up (P = 0/03). There was no significant difference in the incidence of HTN or dyslipidemia between these groups (P > 0/05).
Conclusion: Women with a history of GDM are at higher risk for developing T2DM later in life. The timely recognition of GDM may provide a ‘teachable moment’ during which women could be motivated to implement lifestyle modifications to reduce their T2DM risk.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>22380591</pmid><doi>10.1111/j.1447-0756.2011.01767.x</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 1341-8076 |
| ispartof | The journal of obstetrics and gynaecology research, 2012-04, Vol.38 (4), p.698-704 |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adolescent Adult Body Mass Index Cohort Studies diabetes mellitus Diabetes Mellitus, Type 2 - epidemiology Diabetes, Gestational - physiopathology Dyslipidemias - epidemiology Female Follow-Up Studies gestational diabetes Humans hypertension Hypertension - epidemiology Incidence macrosomia Middle Aged Pregnancy Risk stillbirth Tehran Lipid and Glucose Study |
| title | Follow-up of women with gestational diabetes in the Tehran Lipid and Glucose Study (TLGS): A population-based cohort study |
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