Document Detail


Impaired glucose tolerance and pregnancy outcome in Chinese women with high body mass index.
MedLine Citation:
PMID:  10920111     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine if impaired glucose tolerance (IGT) impacts on the outcome of singleton pregnancies in Chinese women with a high (>26 kg/m(2)) body mass index (BMI), a retrospective case-control study was performed on 128 women with IGT and 128 controls with normal oral glucose tolerance test results, who were matched for pre-pregnancy BMI (within 0.1 kg/m(2)) and delivered within the same 3 year period. The IGT group was older, with more multiparae, a higher incidence of previous gestational diabetes mellitus, higher booking haemoglobin and fasting glucose concentrations, but no difference in the pre-pregnancy weight, gestational weight gain, or weight or BMI at delivery. There was no difference in the obstetric complications, mode of delivery, or the gestational age or mean infant birthweight. However, the birthweight ratio (relative to mean birthweight for gestation), incidence of large-for-gestational-age (birthweight >90th percentile) and macrosomic (birthweight > or =4000 g) infants, and treatment for neonatal jaundice, were significantly higher in the IGT group. The results suggest that some of the complications attributed to gestational diabetes mellitus are probably related to maternal weight excess/obesity in the affected subjects, but IGT could still affect infant birthweight outcome despite diet treatment which has normalized gestational weight gain.
Authors:
T T Lao; L F Ho
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  15     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2000-09-06     Completed Date:  2000-09-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1826-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynaecology, The University of Hong Kong and Tsan Yuk Hospital, PRC. laotth@hkucc.hku.hk
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight
Body Weight*
Case-Control Studies
China
Diabetes, Gestational
Female
Gestational Age
Glucose Intolerance*
Hemoglobins / analysis
Humans
Incidence
Infant, Newborn
Obesity / complications
Pregnancy
Pregnancy Complications
Pregnancy Outcome*
Prospective Studies
Chemical
Reg. No./Substance:
0/Hemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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