2021, Number 2
Maternal lipid profile as predictor of gestational diabetes
Language: Spanish
References: 20
Page: 267-276
PDF size: 479.89 Kb.
ABSTRACT
Background: searchers had shown that abnormalities on maternal lipid profile due to resistance to insulin.` Objective: to evaluate the relationship between maternal lipid profile and the development of gestational diabetes mellitus.
Methods: an analytic, cross-sectional, study was carried out with a sample of 180 pregnant women. Total cholesterol, triglycerides, LDLc, HDLc, LDLc/HDLc and triglycerides/HDLc were done to all pregnant women in two moments: at the begin of the pregnancy (less than 12 weeks) and during the third trimester; glucose tolerance test with 75 grams of anhydrate glucose between 24-26 weeks was done too, according to its results the sample was divided in two groups: healthy pregnant women and pregnant women with gestational diabetes mellitus. Inferential and descriptive statistics were used.
Results: main values of total cholesterol and triglycerides increases the first trimester to third trimester, regardless the health state of the pregnant women. Pregnant women who suffer from gestational diabetes mellitus had increases of all parameters on lipid profile. Odds Ratio for the development of gestational diabetes mellitus was 1.46 times higher on obese pregnant women with high cholesterol and 1.55 times higher on obese pregnant women with high triglycerides.
Conclusions: pregnant women who had high levels of triglycerides, LDLc/HDLc or triglycerides/HDLc at the beginning of pregnancy had more risk of developing gestational diabetes.
REFERENCES
Ywaskewycz LR, Bonneau GA, Castillo MS, López DL, Pedrozo W. Perfil lipídico por trimestre de gestación en una población de mujeres adultas. Rev Chil Obstet Ginecol [Internet]. 2010 [citado 11 Ene 2019];75(4):[aprox. 6 p.]. Disponible en: Disponible en: http://www.scielo.cl/pdf/rchog/v75n4/art03.pdf
Geraghty AA, Alberdi G, O’Sullivan EJ, O’Brien EC, Crosbie B, Twomey PJ, et al. Maternal blood lipid profile during pregnancy and associations with child adiposity: findings from the ROLO Study. PLoS ONE [Internet]. 2016 [citado 11 Ene 2019];11(8):[aprox. 13 p.] Disponible en: Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0161206
Pollak F, Araya V, Lanas A, Sapunar J. II Consenso de la Sociedad Chilena de Endocrinología y Diabetes sobre resistencia a la insulina. Rev Med Chile [Internet]. 2015 [citado 11 Ene 2019];143:[aprox. 14 p.] Disponible en: Disponible en: https://scielo.conicyt.cl/pdf/rmc/v143n5/art12.pdf http://dx.doi.org/10.4067/S0034-98872015000500012
González DJ, Vásquez EM, Romero E, Rolón JC, Troyo R, Hidalgo JJ. Composición corporal y perfil de lípidos en mujeres en el tercer trimestre del embarazo. Ginecol Obstet Mex [Internet]. 2014 [citado 11 Ene 2019];82:[aprox. 8 p.]. Disponible en: Disponible en: www.medigraphic.com/pdfs/ginobsmex/gom-2014/gom1412e.pdf
Becerra AV, Salas A, Buelab L, Sosac MA, Arata-Bellabarbad G, Valeria L, et al. Índice triglicéridos/cHDL en el embarazo. Interrelación con índices de resistencia a la insulina y antropometría fetal. Rev Venez Endocrinol Metab [Internet]. 2013 [citado 11 Ene 2019];11(3):[aprox. 5 p.]. Disponible en: Disponible en: www.scielo.org.ve/pdf/rvdem/v11n3/art05.pdf
Chen W, Weiwei Z, Yumei W, Rina S, Hui F, Li L, et al. The predictive effects of early pregnancy lipid profiles and fasting glucose on the risk of gestational diabetes mellitus stratified by body mass index. J Diabetes Res [Internet]. 2016 [citado 11 Ene 2019];2016(8):[aprox. 8 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770134/pdf/JDR2016-3013567.pdf DOI:10.1155/2016/3013567
Gasevic D, Frohlich J, Mancini GB, Lear SA. The association between triglyceride tohigh-density-lipoprotein colesterol ratio and insulin resistance in a multiethnic primary prevention cohort. Metabolism: Clind Experim [Internet]. 2012 [citado 11 Ene 2019];61(4):[aprox. 7 p.]. Disponible en: Disponible en: https://www.metabolismjournal.com/article/S0026-0495(11)00305-2/pdf
Guanghui L, Lijun K, Li Z, Ling F, Yixin S, James R, et al. Early pregnancy maternal lipid profiles and the risk of gestational diabetes mellitus stratified for body mass index. Reprod Sci [Internet]. 2015 [citado 11 Ene 2019];22(6):[aprox. 6 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502803/pdf/10.1177_193371911457896.pdf doi: 10.1177/1933719114557896
Sánchez I, Bonet B, Viana M. Changes in plasma lipids and increased low-density lipoprotein susceptibility to oxidation in pregnancies complicated by gestational diabetes: consequences of obesity. Metabolism [Internet]. 2007 [citado 13 Mar 2019];56(11):[aprox. 7 p.]. Disponible en: Disponible en: https://www.metabolismjournal.com/article/S0026-0495(07)00239-9/fulltext
Farah A, Rana Z, Ashjan S, Amani R, Rahma K. Glycated hemoglobin and lipid profile association among pregnant women in Saudi Arabian population. Int J Women's Health Reprod Sci [Internet]. 2019 [citado 05 May 2019];7(2):[aprox. 7 p.] Disponible en: Disponible en: http://www.ijwhr.net/pdf/pdf_IJWHR_421.pdf doi:10.15296/IJWHR.2019.36
Atiba AS, Olofinbiyi BA, Akintunde AR, Peter AO, Clementinah OO, Ibikunle A. Maternal plasma lipid profile in women screened for gestational diabetes mellitus (GDM). Open J Obstet Gynecol [Internet]. 2017 [citado 05 May 2019];7:[aprox. 7 p.]. Disponible en: Disponible en: https://www.scirp.org/pdf/OJOG_2017112815465775.pdf https://doi.org/10.4236/ojog.2017.712123
Harrison CL, Lombard CB, East C, Boyle J, Teede HJ. Risk stratification in early pregnancy for women at increased risk of gestational diabetes. Diabetes Res Clin Pract [Internet]. 2015 [citado 05 May 2019];107(1):61-8. Disponible en: Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0168822714004069?via%3Dihub doi: 10.1016/j.diabres.2014.09.006
Wei Z, Hui Y, Yu W, Jie Y, Zi W, Xue L, et al. Evaluation of the value of fasting plasma glucose in the first prenatal visit to diagnose gestational diabetes mellitus in China. Diabetes Care [Internet]. 2013 [citado 05 May 2019];36:586-90. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3579369/pdf/586.pdf doi: 10.2337/dc12-1157