Cited by 51Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsMaternal and Neonatal Healthcare

Trends and predictors of gestational diabetes mellitus in Chile

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Garmendia, María L., Mondschein, Susana, Montiel, Braulio, Kusanovic, Juan P.·2020·International Journal of Gynecology & Obstetrics

Abstract

Objective: To examine the temporal trends in gestational diabetes mellitus (GDM) prevalence in Chile, and to determine the main predictors of GDM. Methods: A secondary analysis was conducted of all birth records at Hospital Dr. Sótero del Río, Chile, from January 1, 2002, to December 31, 2015. We excluded those women with pre‐existing type 2 diabetes, those with missing data, and those with unlikely data. GDM was defined as fasting glucose levels >5.55 mmol/L [>100 mg/dL] or >7.77 mmol/L [>140 mg/dL] 2 hours after glucose load in the oral glucose tolerance test. Potential predictors were selected based on prior research and ease of evaluation. Results: From the original database of 100 758 records, 86 362 women were included in the final cohort. The mean GDM prevalence was 7.6% (95% CI [confidence interval] 7.5%–7.8%), increasing from 4.4% (95% CI 4.0%–4.9%) in 2002 to 13.0% (95% CI 12.0%–13.9%) in 2015. Age, education, marital status, parity, family history of type 2 diabetes, personal history of GDM, hypertension and pre‐eclampsia, alcohol consumption, smoking, and pre‐gestational nutritional status performed well in the prediction of GDM. Conclusion: One out of eight Chilean pregnant women of medium‐ to low socio‐economic status were found to develop GDM. We identified a set of easy‐to‐capture predictors in the primary health care system that may allow for the early identification of women at high‐risk for the development of GDM.

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Crossref · 10.1002/ijgo.13023

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  • In Chile, the mean prevalence of gestational diabetes mellitus between 2002 and 2015 was 7.6% (95% CI: 7.5-7.8), increasing from 4.4% in 2002 to 13.0% in 2015.

    “The mean prevalence of GDM was 7.6% (95% CI: 7.5–7.8) with increasing values from 4.4% in 2002 to 13.0% in 2015.”
  • In Chile, risk factors for gestational diabetes mellitus included age, civil status, education, family history of type 2 diabetes mellitus, personal history of GDM, preeclampsia, hypertension, pre-gestational nutritional status, smoking, and alcohol.

    “Additionally, researchers presented the risk factors for GDM: age, civil status, education, family history of T2DM, personal history of GDM, preeclampsia, hypertension, pre-gestational nutritional status, smoking, and alcohol [87].”

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Authors
Garmendia, M. L., Mondschein, S., Montiel, B., & Kusanovic, J. P.
Affiliations
  • University of Chile (CL)
  • Adolfo Ibáñez University (CL)
  • Pontificia Universidad Católica de Chile (CL)
Corresponding author
Garmendia, María L.
Venue
International Journal of Gynecology & Obstetrics
Publisher
Wiley
Published
2019-11-24
Volume
148
Issue
2
Pages
210-218
ISSN
  • 0020-6695 (ISSN-L)
  • 0020-7292
  • 1879-3479
OpenAlex
W2982708479
Cited by
51
References
36
Citations by year
2026: 6 · 2025: 5 · 2024: 13 · 2023: 14 · 2022: 10 · 2021: 1 · 2020: 2
FWCI
3.54
Type
journal article
Language
en
Open access
Locations
  • International Journal of Gynecology & Obstetrics (publishedVersion)
  • PubMed (publishedVersion)
  • Universidad de Chile (submittedVersion, cc-by-nc-nd)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
gestational diabetes mellitus, temporal trends, GDM prevalence, risk factors, birth records, oral glucose tolerance test, socioeconomic status, parity, family history of type 2 diabetes, hypertension in pregnancy, preeclampsia, alcohol consumption, smoking, Chile
MeSH terms
Adult, Blood Glucose, Chile, Female, Humans, Pregnancy, Risk Factors, Socioeconomic Factors, Cohort Studies, Prevalence, Diabetes, Gestational

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