Prevalence and factors associated to gestational diabetes mellitus among pregnant women in Libreville: A cross-sectional study
Open accessAbstract
Introduction: mainly occurring in low and middle income countries, gestational diabetes mellitus (GDM) represents 84% of hyperglycemia during pregnancy throughout the world. Moreover, being black is a risk factor to develop the disease. Our objective was to determine the prevalence and the associated factors of GDM in Libreville (Gabon). Methods: a cross-sectional study was carried out. Known diabetic women were excluded from the study and we had submitted asymptomatic pregnant women to a 2 steps 75g oral glucose tolerance test (T0-T2H), regardless of the stage of pregnancy at the moment of recruitment. The threshold for positivity was set at blood glucose level ≥ 8.5mmol/L World Health Organization (WHO 2013 threshold) and ≥ 7.8mmol/L (WHO 1999 threshold). Data were analyzed using Statview® for descriptive statistics, for both bivariate and multivariate analysis. Results: among 245 participants, we have found a GDM prevalence of 10.2% according to WHO 1999 threshold and 4.5% according to WHO 2013 threshold. Applying the WHO 1999 threshold, the associated factors were high maternal weight (p= 0.0498), overweight at recruitment (p=0.0246), personal history of GDM (p< 0.0001), age becomes an associated factor only if it is combined with high parity (p=0.0061). ceaserian-section and macrosomia were the two outcomes of GDM. Conclusion: Libreville has a high prevalence of GDM when the WHO 1999 criteria is compared to the WHO 2013 criteria. Discordance is also found with the identified associated factors. Further studies are needed to better appreciate gestational diabetes in Gabon.
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In Gabon, the gestational diabetes mellitus prevalence was higher using WHO 1999 criteria (10.4%) than using WHO/IADPSG 2013 criteria (4.5%).
“They showed that the GDM prevalence was higher using the WHO 1999 (10.4%) than using the WHO/IADPSG 2013 criteria (4.5%).”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [41]
The Discussion and Abstract Results report a higher GDM prevalence under WHO 1999 criteria than under WHO 2013 criteria. But they give the WHO 1999 figure as 10.2%, not the cited 10.4%; the 4.5% figure matches. (LLM, conf=0.94)
Experimental — accuracy not yet measuredIn Gabon, gestational diabetes mellitus was associated with overweight/obesity, GDM in previous pregnancy, frequency of C-section, and macrosomia.
“The researchers also found an association between GDM and overweight/obesity (p = 0.0498), GDM in previous pregnancy (p < 0.0001), and frequency of C-section (p = 0.0334) and macrosomia (p = 0.0082).”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [41]
The Discussion (page unavailable) identifies overweight or obesity at screening and a personal history of GDM as associated factors. The Results section on delivery outcomes (page unavailable) reports C-section at p=0.0334 under WHO 1999 criteria and macrosomia at p=0.0082 under WHO 2013 criteria. The cited p=0.0498 is assigned to high maternal weight, whereas overweight at recruitment is reported at p=0.0246, so that numerical attribution is not supported. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIn Gabon, advanced maternal age was connected with gestational diabetes mellitus only with high parity.
“Additionally, their data showed that advanced maternal age was connected with GDM only with high parity [41].”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [41]
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Evolution of Gestational Diabetes Mellitus across Continents in 21st Century
Dłuski, D. F., Ruszała, M., Rudziński, G., Pożarowska, K., Brzuszkiewicz, K., & Leszczyńska-Gorzelak, B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192315804 · Cited by 41 · see citing works
- Authors
- Lendoye, E., Ngoungou, E. B., Komba, O. M., Ollomo, B., N’negue-Mezui, M.-A., Bekale, S., Yacka-Mouele, L., Obiang Obounou, B. W., Ntyonga-Pono, M.-P., & Ngou-Milama, E.
- Affiliations
- Université des Sciences de la Santé (GA)
- Libreville Hospital (GA)
- Centre International de Recherches Médicales de Franceville (GA)
- Corresponding author
- Lendoye, Elisabeth
- Venue
- Pan African Medical Journal
- Publisher
- Pan African Medical Journal
- Published
- 2022
- Volume
- 41
- Pages
- 129-129
- ISSN
- 1937-8688 (ISSN-L)
- PMC
- PMC9011905
- OpenAlex
- W4226186649
- Cited by
- 12
- References
- 0
- Citations by year
- 2026: 2 · 2024: 7 · 2023: 2 · 2022: 1
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Pan African Medical Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (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 › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- gestational diabetes mellitus, prevalence, risk factors, oral glucose tolerance test, maternal overweight, maternal weight, parity, cesarean section, macrosomia, Libreville, Gabon
- MeSH terms
- Cross-Sectional Studies, Female, Humans, Parity, Pregnancy, Prevalence, Diabetes, Gestational, Pregnant Women, Pregnant People, Overweight
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