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Cited by 11Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsMaternal and Neonatal Healthcare

Prevalence and associated factors of gestational diabetes mellitus among rural pregnant women in southern Tanzania

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Mghanga, Fabian, Maduhu, Elia, Nyawale, Helmut·2020·Ghana Medical Journal
DOI 10.4314/gmj.v54i2.5PMC PMC7829049
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Abstract

Introduction: Gestational diabetes mellitus (GDM) is a potential risk factor for both maternal and foetal complications during pregnancy. This study aimed to determine the prevalence and factors associated with GDM among pregnant women in Southern Tanzania.Methods: A cross-sectional study was conducted among 612 randomly selected pregnant women attending routine antenatal clinics in Southern Tanzania from September to October 2017. Detailed medical and gynaecological history was taken using pre-tested questionnaires. Blood samples were collected for fasting and oral glucose tolerance tests. We diagnosed GDM using the World Health Organization 2013 diagnostic criteria for diabetes mellitus. We performed statistical analysis using SPSS v24.0. Possible associations and statistical significance were measured using odds ratio at 95% confidence interval, and p-values of <0.05 were considered statistically significant.Results: The mean age and standard deviation of the study subjects was 24.5±6.9 years. The prevalence of GDM was 4.3%. GDM was significantly associated with: being overweight or obese (p<0.001), past history of pre-term delivery (p<0.001), past history of stillbirths (p<0.001), history of macrosmia (p<0.001), alcohol consumption (p=0.001), and having a first degree relative with diabetes mellitus (p<0.001). Conclusion: Prevalence of Gestational Diabetes Mellitus is low in this study setting. We recommend close attentionto at risk women to prevent development of GDM.Keywords: Diabetes mellitus; Gestational diabetes mellitus; risk factors.Funding: None declared

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  • In southern Tanzania, the gestational diabetes mellitus prevalence was 4.3%, lower than the pooled prevalence in all of Africa.

    “The GDM prevalence was lower (4.3%) than the pooled prevalence in all of Africa.”

    From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [38]

    The Abstract Results report a GDM prevalence of 4.3% among pregnant women in southern Tanzania. The Introduction cites a meta-analysis reporting a 2–6% range for sub-Saharan Africa, and the Discussion says the study's prevalence was lower than rates in other African studies. Neither passage establishes that 4.3% was lower than a pooled prevalence for all of Africa. (LLM, conf=0.87)

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  • In southern Tanzania, overweight/obesity, past history of preterm delivery, macrosomia, stillbirth, alcohol consumption, and family history of diabetes mellitus were significantly correlated with gestational diabetes mellitus.

    “They also found significant correlations between overweight/obesity (p < 0.001), past history of preterm delivery (p < 0.001), macrosomia (p < 0.001), stillbirth (p < 0.001), alcohol consumption (p < 0.001), and family history of DM (p < 0.001) and GDM [38].”

    From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [38]

    The Results (Table 3; page not provided) report significant associations with GDM for all six listed factors. The citing sentence gives alcohol consumption a p-value of <0.001, but Table 3 and the Abstract Results report p=0.001. (LLM, conf=0.94)

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Authors
Mghanga, F., Maduhu, E., & Nyawale, H.
ORCID
Venue
Ghana Medical Journal
Publisher
African Journals Online (AJOL)
Published
2020-06-30
Volume
54
Issue
2
Pages
82-87
ISSN
0016-9560 (ISSN-L)
DOI
10.4314/gmj.v54i2.5
PMC
PMC7829049
OpenAlex
W3083617306
Cited by
11
References
2
Citations by year
2026: 1 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 2
FWCI
0.46
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Ghana Medical Journal (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
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, rural pregnant women, maternal obesity, preterm birth, stillbirth, macrosomia, alcohol consumption, family history of diabetes, southern Tanzania
MeSH terms
Adolescent, Adult, Blood Glucose, Cross-Sectional Studies, Female, Glucose Tolerance Test, Humans, Obesity, Pregnancy, Pregnancy Outcome, Surveys and Questionnaires, Risk Factors, Rural Population, Tanzania, Prevalence, Diabetes, Gestational, Pregnant People, Pregnant Women, Stillbirth, Young Adult

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