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Maternal anthropometric measures of risk for gestational diabetes mellitus in Mexican pregnant woman
Author(s) -
Perez Marcela,
Casanueva Esther,
Haene Jessica de,
Parra Adalberto,
King Janet C
Publication year - 2008
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.22.1_supplement.1086.4
Subject(s) - medicine , gestational diabetes , anthropometry , overweight , obstetrics , pregnancy , waist , diabetes mellitus , obesity , waist–hip ratio , birth weight , gynecology , gestation , endocrinology , genetics , biology
The prevalence of overweight and obesity is rising in pregnant as well as non‐pregnant Mexican women. A pre‐pregnancy BMI ≥ 25 increases the risk of adverse pregnancy outcomes. Simple anthropometric measurements may help identify pregnant women at risk of metabolic diseases, such as impaired glucose tolerance (IGT) and gestational diabetes mellitus (GDM). The aim of this study was to determine if anthropometric measurements are associated with the diagnosis of GDM among pregnant Mexican women. We collected anthropometric data (weight, height, skin folds, hip and waist perimeters) at 20, 24 and 28 wks in 34 women without any metabolic disease at booking. Nine of the 34 women were diagnosed with GDM at 28 wks. At all time points, body fat percentage (BFP), estimated by the Durnin equation with the sum of 4 skin folds, was significantly higher among women with GDM (Normal (n=25) 36.2% ± 0.8, 36.2% ± 0.7, 36.6% ± 0.7 vs GDM (n=9) 37.9% ± 1.3, 38.4% ± 1.3, 38.5% ± 1.2; p<0.001). Waist and hip perimeters at 20 wks correlated with BFP at 28 wks (r=0.547, p≤0.001; r=0.655, p≤0.001). The BFP at 28 wks was also associated with a GDM diagnosis (r=0.400, p=0.026). These data show that simple anthropometric measurements are useful tools for identifying Mexican pregnant women at risk for developing GDM. Partially support by UCMEXUS and Bristol Myers Squibb.