Artículos de revistas
Waist circumference in predicting gestational diabetes mellitus
Fecha
2014-06-01Registro en:
Journal Of Maternal-fetal & Neonatal Medicine. London: Informa Healthcare, v. 27, n. 9, p. 943-948, 2014.
1476-7058
10.3109/14767058.2013.847081
WOS:000336567700015
6758680388835078
0679387622604743
2966846406062836
0000-0002-9227-832X
0000-0001-6895-372X
Autor
Escola Super Ciencias Saude
Universidade Estadual Paulista (Unesp)
Institución
Resumen
Background: To evaluate waist circumference (WC) measured at 20-24 weeks of gestation as a predictor of gestational diabetes mellitus (GDM).Methods: This cross-sectional study included 240 women at 20-24 weeks of gestation. At enrollment, WC was measured, and both prepregnancy and gestational body mass index (BMI) were estimated. According to the results of 75-g oral glucose tolerance test (OGTT) performed at 24-28 weeks, subjects were allocated into two groups, non-GDM and GDM. WC sensitivity and specificity, and odds ratios (OR) and 95% confidence intervals for BMI and WC were estimated, and a receiver operating characteristics curve was generated.Results: Of the 240 pregnant women enrolled, 31 (13%) had GDM. Prepregnancy BMI (OR = 4.21), gestational BMI (OR = 3.17) and WC at 20-24 weeks (OR = 4.02) correlated with GDM risk. At 20-24 weeks, a WC of 85.5-88.5 cm was the optimal cutoff point for predicting GDM (Sens/Spec balance between 87.1/41.1% and 77.4/56.9%).Conclusion: At 20-24 weeks of gestation, WC values in the range of 86-88 cm showed to be a good performance in predicting GDM.