Cited by 9Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsMaternal and Neonatal Healthcare

Is gestational diabetes mellitus an important contributor to metabolic disorders in Trinidad and Tobago?

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Clapperton, M., Jarvis, J., Mungrue, K.·2009·Obstetrics and Gynecology International

Abstract

Objective. To investigate the incidence of Gestational Diabetes Mellitus at the Mt. Hope Women's Hospital and to describe its epidemiological pattern.Design. A retrospective observational study (Jan 2005 to Dec 2007).Setting. A teaching hospital of The University of the West Indies.Population/Sample. Pregnant women who gave birth.Methods. A sample size of 720. The variables analyzed were: age, ethnicity, BMI of mother, family history of diabetes; history of GDM, obstetric history, birth weight and APGAR score of infant.Main Outcome Measures. (1) Incidence of cases of GDM. (2) Impact of the measured variable. Chi-squares, odds ratios and logistic regression were performed.Results. The incidence of GDM was 4.31% (95% C.I. 2.31%, 6.31%). The proportion of GDM patients for the years 2005, 2006, and 2007 were 1.67%, 4.58%, and 6.67%, respectively. Age, Obesity Ethnicity, Family history of diabetes and a history of GDM were determined risk factors. Associations between GDM and (1) Mode of Delivery and (2) APGAR score of the baby were found.Discussion & Conclusion. There was an apparent increase in the incidence of GDM. Additional studies should be conducted to measure the occurrence of GDM in Trinidad and Tobago. Efforts to promote public awareness and a healthy lifestyle should be made to reverse this trend.

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  • In Trinidad and Tobago, the gestational diabetes mellitus frequency in 2005, 2006, and 2007 was 1.67%, 4.58%, and 6.67% respectively, with a mean incidence of 4.31% and a predicted value of 9.31% for 2008.

    “The GDM frequency in 2005, 2006, and 2007 was 1.67%, 4.58%, and 6.67% respectively with a mean incidence of 4.31%, and a predicted value of 9.31% for 2008.”

    From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [98]

    The Results report all three annual percentages, the overall 4.31%, and the predicted 9.31% for 2008. However, the Methodology says these figures come from a sample at Mt. Hope Women’s Hospital, which mainly serves northern Trinidad; the paper does not establish them as frequencies for Trinidad and Tobago as a whole. The Results also caution that the actual 2008 value was expected to lie between 6.67% and 9.31%. (LLM, conf=0.85)

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  • In Trinidad and Tobago, age, ethnicity, family history, gestational diabetes mellitus in previous pregnancies, and obesity were risk factors for GDM.

    “In addition, they found that age, ethnicity, family history, GDM in previous pregnancies, and obesity were risk factors for GDM [98].”

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Research works printed but not linked: 14

  1. [1]Roopnarinesingh S Bassaw B Textbook of Obstetrics 1999 2nd edition Port of Spain, Trinidad Trinidad
  2. [4]Peters RK Xiang A Kjos SL Buchahan TA Long-term diabetogenic effect of single pregnancy in women with previous gestational diabetes mellitus The Lancet 1996 347 8996 227 230 8551882
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  11. [15]Thorngren-Jerneck K Herbst A Low 5-minute Apgar score: a population-based register study of 1 million term births Obstetrics & Gynecology 2001 98 1 65 70 11430958
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  14. [19]Cockburn BN Bermano G Boodram L-LG Insulin promoter factor-1 mutations and diabetes in Trinidad: identification of a novel diabetes-associated mutation (E224K) in an indo-Trinidadian family The Journal of Clinical Endocrinology & Metabolism 2004 89 2 971 978 14764823

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Authors
Clapperton, M., Jarvis, J., & Mungrue, K.
Affiliations
University of the West Indies (TT)
Corresponding author
Mungrue, K.
Venue
Obstetrics and Gynecology International
Publisher
Wiley
Published
2009
Volume
2009
Pages
1-6
ISSN
  • 1687-9589 (ISSN-L)
  • 1687-9597
OpenAlex
W2035533522
Cited by
9
References
0
Citations by year
2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2016: 1 · 2013: 1
FWCI
1.15
Type
journal article
Language
en
Open access
Locations
  • Obstetrics and Gynecology International (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
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, incidence, risk factors, maternal obesity, family history of diabetes, ethnicity, mode of delivery, Apgar score, birth weight, Trinidad and Tobago, metabolic disorders

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