2014, Number s1
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Gac Med Mex 2014; 150 (s1)
Pregnancy and obesity: risk of developing gestational diabetes in the northern border area of Mexico
Flores-Padilla L, Solorio-Páez IC, Melo-Rey ML, Trejo-Franco J
Language: Spanish
References: 16
Page: 73-78
PDF size: 227.27 Kb.
ABSTRACT
Introduction: The United Sates-Mexico border area has the highest prevalence of overweight and obesity in women
of reproductive age and family history of T2DM in the world, contributing to the risk of developing GDM.
Population
and methods: 58 pregnant women with GDM and 174 without GDM. Clinical records, O’Sullivan test and oral glucose
tolerance test was used for diagnosis from 24 weeks of gestation.
Results: Average BMI 31.78 with GDM, 27.96 without
GDM, O’Sullivan (GDM = 192.0
vs. 108.9 mg/dl), confirmatory test OGTT 100 g basal (88.4
vs. 82.5 mg/dl), at one hour
(191.
vs. 142.76 mg/dl), women with multiple births have 13 times the risk of overweight and obesity and 10.1 times of
suffering GDM (p ‹ 0.0001). Morbid obesity contributed 170% on display GDM.
Conclusions: Women with GDM during
pregnancy were overweight and obese. Multiparous and with overweight and obesity are at risk for the occurrence of
GDM; as BMI increases the greater the occurrence of GDM.
REFERENCES
American Diabetes Association. Standards of Medical Care in Diabetes- 2007. Diabetes Care. 2007:30(1):S4-S51.
Marcinkevage JA, Narayan KM. Gestational diabetes mellitus: taking it to heart. Prim Care Diabetes. 2011;5(2):81-8.
Jensen DM, Damm P, Sørensen B, et al. Pregnancy outcome and prepregnancy body mass index in 2459 glucose-tolerant Danish women. Am J Obstet Gynecol. 2003:189(1):239-44.
Shah A, Stotland NE, Cheng YW, Ramos GA, Caughey AB. The association between body mass index and gestational diabetes mellitus varies by race/ethnicity. Am J Perinatol. 2011:28(7):515.
Centers for Disease Control and Prevention. Diabetes& Women’s Health Life Stages Across the a Public Health perspective Department of Health and Human Services. Consultado el 30 de agosto de 2010. Disponible en: http://www.cdc.gov/diabetes/pubs/pdf/womenshort.pdf.
Centers for Disease Control and Prevention. Diabetes Public Health Resource. 2011 National Diabetes fact Sheet. Department of Health and Human Services. Consultado el 12 de septiembre de 2012. Disponible en: http://www.cdc.gov/diabetes/pubs/pdf/ndfsSpanish.pdf.
Huidobro MA, Fulford A, Carrasco E. Incidencia de diabetes gestacional y su relación con obesidad en embarazadas chilenas. Rev Med Chile. 2004;132(8):931-8.
Secretaría de Salud de México. México Sano. Consultdo el 2 de septiembre de 2010. Disponible en: http://portal.salud.gob.mx/descargas/ pdf/period_mexsano/mexicosano_oct08.pdf.
INEGI. Hombres y mujeres en México 2008. Disponible en: http://www. emujeres.gob.mx/images/stories/Liferay/eMujeres/mujeres_cifras/PDF/ Mujeres_y_hombres_en_Mexico.pdf.
Organización Panamericana de la Salud. Proyecto de prevención y control de Diabetes en la Frontera – Estados Unidos Fase 1. Estudio de prevalencia de la diabetes tipo 2 y sus factores de riesgo. Reporte técnico, 2010. Consultado el 2 de febrero de 2014. Disponible en: http://www.paho.org/fep/index.php?option=com_content&view=article& id=214.
Moreno-Martínez S, Tufiño-Olivares E, Chávez-Loya V, Rodríguez-Morán M, Guerrero-Romero F, Levario-Carrillo M. Composición corporal en mujeres con diabetes mellitus gestacional. Ginecol Obstet Mex. 2009; 77(6):270-6.
Sánchez S, Sánchez A, Hernández M, Solorio E, Torres R, Guillen J. Diabetes gestacional comportamiento de los factores de riesgo en un población mexicana. Rev Med Mex Seguro Soc. 2008;46(6)659-62.
García C. Diabetes mellitus gestacional. Med Int Mex. 2008;24(2):148-56.
Zarate A, Hernández-Valencia, M, Basurto L, Saucedo R. Tratamiento de la diabetes en mujeres embarazadas. Ginecol Obstet Mex. 2008; 76(4):211-6.
Monroy R, Reeves C, Naves J, Macias AE. Influencia de una dieta individualizada en el control de la diabetes mellitus gestacional. Ginecol Obstret Mex. 2008;76(12):722-9.
Rimbau TG, Safora EO, Rodríguez IA, Cruz J. Diabetes gestacional en embarazadas adolescentes. Rev Centroamericana Obstetricia y Ginecología 2008;13(1):19-23.