Heterogeneity of gestational diabetes (GDM) and long-term risk of diabetes and metabolic syndrome : findings from the RADIEL study follow-up

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Huvinen , E , Eriksson , J G , Koivusalo , S B , Grotenfelt , N , Tiitinen , A , Stach-Lempinen , B & Rono , K 2018 , ' Heterogeneity of gestational diabetes (GDM) and long-term risk of diabetes and metabolic syndrome : findings from the RADIEL study follow-up ' , Acta Diabetologica , vol. 55 , no. 5 , pp. 493-501 . https://doi.org/10.1007/s00592-018-1118-y

Title: Heterogeneity of gestational diabetes (GDM) and long-term risk of diabetes and metabolic syndrome : findings from the RADIEL study follow-up
Author: Huvinen, Emilia; Eriksson, Johan G.; Koivusalo, Saila B.; Grotenfelt, Nora; Tiitinen, Aila; Stach-Lempinen, Beata; Rono, Kristiina
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Department of Obstetrics and Gynecology
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Clinicum
University of Helsinki, HYKS erva
University of Helsinki, Clinicum
Date: 2018-05
Language: eng
Number of pages: 9
Belongs to series: Acta Diabetologica
ISSN: 0940-5429
URI: http://hdl.handle.net/10138/301264
Abstract: To assess the metabolic health of obese and non-obese women at high GDM risk 5 years postpartum. This is a secondary analysis of the 5-year follow-up of the RADIEL GDM prevention study including 333 women at high GDM risk (BMI ae 30 kg/m(2) and/or previous GDM). Five years postpartum metabolic health was assessed including anthropometric measurements, oral glucose tolerance test, lipid metabolism, and body composition as well as medical history questionnaires. For the analysis, we divided the women into four groups based on parity, BMI, and previous history of GDM. Five years postpartum impaired glucose regulation (IFG, IGT, or diabetes) was diagnosed in 15% of the women; 3.6% had type 2 diabetes. The highest prevalence was observed among obese women with a history of GDM (26%), and the lowest prevalence (8%) among primiparous obese women (p = 0.021). At follow-up 25-39% of the obese women fulfilled the diagnostic criteria for the metabolic syndrome, in the non-obese group 11% (p <0.001). This was associated with body fat percentage. The non-obese group, however, faced metabolic disturbances (IFG, IGT, diabetes, or metabolic syndrome) at a significantly lower BMI (p <0.001). Among women who were non-obese before pregnancy, 5 years postpartum, the obesity prevalence based on BMI was 14% and based on body fat percentage 58%. The prevalence of impaired glucose regulation and metabolic syndrome is high 5 years postpartum among women at high risk of GDM. There are high-risk women also among the non-obese, who develop metabolic derangements already at a lower BMI.
Subject: Gestational diabetes
Type 2 diabetes
Metabolic syndrome
Heterogeneity
Normal weight obesity
Body composition
NORMAL-WEIGHT OBESITY
INSULIN-RESISTANCE
MELLITUS
WOMEN
PREGNANCY
DISEASE
HYPERGLYCEMIA
INFLAMMATION
METAANALYSIS
PREVALENCE
3121 General medicine, internal medicine and other clinical medicine
3123 Gynaecology and paediatrics
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