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Dyslipidemia incidence and the trend of lipid parameters changes in women with history of gestational diabetes: a 15-year follow-up study
Abstract
Purpose Evidence shows that patients with gestational diabetes mellitus (GDM) may exhibit features of dyslipidemic phenotype later in life. We aimed to examine and compare dyslipidemia incidence rate and the trend of lipid changes over a 15-years follow-up between the women with the history of GDM and their healthy peers. Methods This longitudinal study included 289 patients with GDM and 1183 women without GDM, aged 20-50 years. Pooled logistic regression model was utilized to estimate odds ratio of dyslipidemia. The generalized estimating equation was used to evaluate the trend of lipid parameters changes over time. Results Person-time dyslipidemia incidence rate in women with previous GDM was 0.067 (CI: 0.038, 0.096) with a median progression time of 2.13 years and for those without GDM was 0.059 (CI: 0.046, 0.072) with the median time of 2.31 years ([Formula: see text] = 0.214). The generalized estimating equation (GEE) analysis revealed no significant difference in trend changes of lipid profiles between two groups. Conclusions Lipid disorder after GDM might be more influenced by other variables (BMI, anthropometric features, and smoking/lifestyle habits) rather than by the GDM status alone. Lipid profile changes of GDM women do not become significantly worse than their non-GDM counterparts, as time progresses.
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The trend of VAI decrease may highly correlate with the increasing trend of TG, BMI and WC overtime reported by other studies.
“Our findings showed that while LAP and ABSI had an increasing trend over time, the trend of VAI significantly decreased in both GDM and non-GDM groups, results which may highly correlate with the increasing trend of TG, BMI and WC overtime reported by other studies [28–30].”
From Trend of various adiposity indices in women with and without history of gestational diabetes: a population-based cohort study (2019) · cites this paper as [28]
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Behboudi-Gandevani, S., Ramezani Tehrani, F., Rahmati, M., Amiri, M., & Azizi, F. (2019) · BMC Endocrine Disorders · doi:10.1186/s12902-019-0348-5 · Cited by 14
Self-citation
Metadata
- Authors
- Minooee, S., Ramezani Tehrani, F., Rahmati, M., Mansournia, M. A., & Azizi, F.
- Affiliations
- Research Institute for Endocrine Sciences (IR)
- Venue
- Endocrine
- Published
- 2017-09-07
- Volume
- 58
- Issue
- 2
- Pages
- 228-235
- ISSN
- 0969-711X (ISSN-L)
- 1355-008X
- 1559-0100
- OpenAlex
- W2751237323
- Cited by
- 12
- References
- 2
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2020: 1 · 2019: 2
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Endocrine (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- 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 › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- gestational diabetes mellitus, dyslipidemia, lipid profile, long-term follow-up, incidence, postpartum women, cardiovascular risk, body mass index, smoking, lifestyle factors
- MeSH terms
- Adult, Female, Follow-Up Studies, Humans, Life Style, Longitudinal Studies, Middle Aged, Pregnancy, Risk Factors, Body Mass Index, Incidence, Diabetes, Gestational, Dyslipidemias, Young Adult
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