Prevalence and predictors of gestational diabetes mellitus: a nationwide multicentre prospective study

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dc.authoridKeles, Elif Cigdem/0000-0002-2479-1236
dc.authoridSimsek, yasin/0000-0003-1654-6422
dc.authoridMert, Meral/0000-0003-3431-0915
dc.authoridUSTAY, Ozlem/0000-0002-7993-955X
dc.authoridUGUR, KADER/0000-0003-4028-2041
dc.authoridAKBAS, EMIN MURAT/0000-0002-3033-0073
dc.authoridOzdemir, Nilufer/0000-0002-0719-988X
dc.contributor.authorAydin, H.
dc.contributor.authorCelik, O.
dc.contributor.authorYazici, D.
dc.contributor.authorAltunok, C.
dc.contributor.authorTarcin, O.
dc.contributor.authorDeyneli, O.
dc.contributor.authorSancak, S.
dc.date.accessioned2024-09-18T21:05:13Z
dc.date.available2024-09-18T21:05:13Z
dc.date.issued2019
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractAim Prevalence rates of gestational diabetes mellitus (GDM) show considerable variation among different countries and regions of the world. The primary aim of this study was to determine the nationwide prevalence and predictors of GDM in Turkey. Methods We conducted prospective nationwide screening among pregnant women. Between August 2016 and November 2017, a total of 2643 pregnant women from 51 centres in 12 different regions were enrolled. A two-step screening method and Carpenter and Coustan criteria were used in the diagnosis of GDM. Clinical and biochemical data were obtained using electronic database software. Results The national prevalence of GDM was found to be 16.2% [95% confidence intervals (CI) 15.0% to 17.4%] without a significant difference between urban and rural regions. Women with GDM were older (mean age: 32 +/- 5 vs. 28 +/- 5 years, P < 0.001) and heavier (mean BMI: 27.2 +/- 5.1 vs. 24.7 +/- 4.7 kg/m(2), P < 0.001) than their counterparts without GDM. The prevalence of GDM tended to increase with age (< 25 years, 6.9%; 26-35 years, 15.6%; and 36-45 years, 32.7%; P < 0.001). Maternal age, maternal BMI, history of previous GDM and family history of diabetes mellitus were independent predictors of developing GDM (P < 0.05 for all). Low-risk women (age < 25 years, BMI < 25 kg/m(2), no family history of diabetes) comprised 10.7% of the total population and the prevalence of GDM in these women was 4.5% (95% CI 2.4% to 7.8%). Conclusion The results of this nationwide study indicate that GDM is very common, affecting one in seven pregnancies in Turkey. Implementation of international guidelines on screening and management of this public health problem is required.en_US
dc.identifier.doi10.1111/dme.13857
dc.identifier.endpage227en_US
dc.identifier.issn0742-3071
dc.identifier.issn1464-5491
dc.identifier.issue2en_US
dc.identifier.pmid30402933en_US
dc.identifier.startpage221en_US
dc.identifier.urihttps://doi.org/10.1111/dme.13857
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13453
dc.identifier.volume36en_US
dc.identifier.wosWOS:000457530200011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofDiabetic Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRisk-Factorsen_US
dc.subjectPregnancyen_US
dc.subjectWomenen_US
dc.subjectEpidemiologyen_US
dc.subjectAssociationen_US
dc.subjectCriteriaen_US
dc.subjectTurkeyen_US
dc.titlePrevalence and predictors of gestational diabetes mellitus: a nationwide multicentre prospective studyen_US
dc.typeArticleen_US

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