Prevalence and predictors of gestational diabetes mellitus: a nationwide multicentre prospective study

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dc.authoridAydin, Hasan/0000-0003-4246-0681
dc.authoridKARAKILIC, ERSEN/0000-0003-3590-2656
dc.authoridAygun, Elif Ganime/0000-0003-3737-7250
dc.authoridUGUR, KADER/0000-0003-4028-2041
dc.authoridOzdemir, Nilufer/0000-0002-0719-988X
dc.authoridSimsek, yasin/0000-0003-1654-6422
dc.authoridALPHAN UC, ZIYNET/0000-0002-0008-2742
dc.contributor.authorAydin, H.
dc.contributor.authorCelik, O.
dc.contributor.authorYazici, D.
dc.contributor.authorAltunok, C.
dc.contributor.authorTarcin, O.
dc.contributor.authorDeyneli, O.
dc.contributor.authorSancak, S.
dc.date.accessioned2025-01-27T20:55:54Z
dc.date.available2025-01-27T20:55:54Z
dc.date.issued2019
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractAim Prevalence rates of gestational diabetes mellitus (GDM) show considerable variation among different countries and regions of the world. The primary aim of this study was to determine the nationwide prevalence and predictors of GDM in Turkey. Methods We conducted prospective nationwide screening among pregnant women. Between August 2016 and November 2017, a total of 2643 pregnant women from 51 centres in 12 different regions were enrolled. A two-step screening method and Carpenter and Coustan criteria were used in the diagnosis of GDM. Clinical and biochemical data were obtained using electronic database software. Results The national prevalence of GDM was found to be 16.2% [95% confidence intervals (CI) 15.0% to 17.4%] without a significant difference between urban and rural regions. Women with GDM were older (mean age: 32 +/- 5 vs. 28 +/- 5 years, P < 0.001) and heavier (mean BMI: 27.2 +/- 5.1 vs. 24.7 +/- 4.7 kg/m(2), P < 0.001) than their counterparts without GDM. The prevalence of GDM tended to increase with age (< 25 years, 6.9%; 26-35 years, 15.6%; and 36-45 years, 32.7%; P < 0.001). Maternal age, maternal BMI, history of previous GDM and family history of diabetes mellitus were independent predictors of developing GDM (P < 0.05 for all). Low-risk women (age < 25 years, BMI < 25 kg/m(2), no family history of diabetes) comprised 10.7% of the total population and the prevalence of GDM in these women was 4.5% (95% CI 2.4% to 7.8%). Conclusion The results of this nationwide study indicate that GDM is very common, affecting one in seven pregnancies in Turkey. Implementation of international guidelines on screening and management of this public health problem is required.
dc.identifier.doi10.1111/dme.13857
dc.identifier.endpage227
dc.identifier.issn0742-3071
dc.identifier.issn1464-5491
dc.identifier.issue2
dc.identifier.pmid30402933
dc.identifier.startpage221
dc.identifier.urihttps://doi.org/10.1111/dme.13857
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26234
dc.identifier.volume36
dc.identifier.wosWOS:000457530200011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofDiabetic Medicine
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectRisk-Factors
dc.subjectPregnancy
dc.subjectWomen
dc.subjectEpidemiology
dc.subjectAssociation
dc.subjectCriteria
dc.subjectTurkey
dc.titlePrevalence and predictors of gestational diabetes mellitus: a nationwide multicentre prospective study
dc.typeArticle

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