Gestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy Outcomes
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2001 |
| Outros Autores: | , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UFBA |
| Texto Completo: | http://repositorio.ufba.br/ri/handle/ri/18107 |
Resumo: | Texto completo: acesso restrito. p. 1151-1155 |
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Schmidt, Maria InêsDuncan, Bruce BartholowReichelt, Angela J.Branchtein, LeandroMatos, Maria C.Forti, Adriana Costa eSpichler, Ethel R.Pousada, Judith Maria Dias CarreiroTeixeira, Margareth M.Yamashita, Tsuyoshi2015-10-13T12:25:00Z20010149-5992http://repositorio.ufba.br/ri/handle/ri/18107v. 24, n. 7Texto completo: acesso restrito. p. 1151-1155OBJECTIVE—To evaluate American Diabetes Association (ADA) and World Health Organization (WHO) diagnostic criteria for gestational diabetes mellitus (GDM) against pregnancy outcomes. RESEARCH DESIGN AND METHODS—This cohort study consecutively enrolled Brazilian adult women attending general prenatal clinics. All women were requested to undertake a standardized 2-h 75-g oral glucose tolerance test (OGTT) between their estimated 24th and 28th gestational weeks and were then followed to delivery. New ADA criteria for GDM require two plasma glucose values ≥5.3 mmol/l (fasting), ≥10 mmol/l (1 h), and ≥8.6 mmol/l (2 h). WHO criteria require a plasma glucose ≥7.0 mmol/l (fasting) or ≥7.8 mmol/l (2 h). Individuals with hyperglycemia indicative of diabetes outside of pregnancy were excluded. RESULTS—Among the 4,977 women studied, 2.4% (95% CI 2.0–2.9) presented with GDM by ADA criteria and 7.2% (6.5–7.9) by WHO criteria. After adjustment for the effects of age, obesity, and other risk factors, GDM by ADA criteria predicted an increased risk of macrosomia (RR 1.29, 95% CI 0.73–2.18), preeclampsia (2.28, 1.22–4.16), and perinatal death (3.10, 1.42–6.47). Similarly, GDM by WHO criteria predicted increased risk for macrosomia (1.45, 1.06–1.95), preeclampsia (1.94, 1.22–3.03), and perinatal death (1.59, 0.86–2.90). Of women positive by WHO criteria, 260 (73%) were negative by ADA criteria. Conversely, 22 (18%) women positive by ADA criteria were negative by WHO criteria. CONCLUSIONS—GDM based on a 2-h 75-g OGTT defined by either WHO or ADA criteria predicts adverse pregnancy outcomes.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2014-01-31T13:22:15Z No. of bitstreams: 1 Judith M.D.C. Pousada.pdf: 105835 bytes, checksum: 043c7a42a4639300650718ff39f9ee04 (MD5)Approved for entry into archive by Flávia Ferreira (flaviaccf@yahoo.com.br) on 2015-10-13T12:25:00Z (GMT) No. of bitstreams: 1 Judith M.D.C. Pousada.pdf: 105835 bytes, checksum: 043c7a42a4639300650718ff39f9ee04 (MD5)Made available in DSpace on 2015-10-13T12:25:00Z (GMT). No. of bitstreams: 1 Judith M.D.C. Pousada.pdf: 105835 bytes, checksum: 043c7a42a4639300650718ff39f9ee04 (MD5) Previous issue date: 2001http://dx.doi.org/ 10.2337/diacare.24.7.1151reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBADiabetes MellitusGlucoseDiabetes, GestationalHypertensionGestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy OutcomesDiabetes Careinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINALJudith M.D.C. Pousada.pdfJudith M.D.C. Pousada.pdfapplication/pdf105835https://repositorio.ufba.br/bitstream/ri/18107/1/Judith%20M.D.C.%20Pousada.pdf043c7a42a4639300650718ff39f9ee04MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/18107/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTJudith M.D.C. Pousada.pdf.txtJudith M.D.C. 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| dc.title.pt_BR.fl_str_mv |
Gestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy Outcomes |
| dc.title.alternative.pt_BR.fl_str_mv |
Diabetes Care |
| title |
Gestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy Outcomes |
| spellingShingle |
Gestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy Outcomes Schmidt, Maria Inês Diabetes Mellitus Glucose Diabetes, Gestational Hypertension |
| title_short |
Gestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy Outcomes |
| title_full |
Gestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy Outcomes |
| title_fullStr |
Gestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy Outcomes |
| title_full_unstemmed |
Gestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy Outcomes |
| title_sort |
Gestational Diabetes Mellitus Diagnosed With a 2-h 75-g Oral Glucose Tolerance Test and Adverse Pregnancy Outcomes |
| author |
Schmidt, Maria Inês |
| author_facet |
Schmidt, Maria Inês Duncan, Bruce Bartholow Reichelt, Angela J. Branchtein, Leandro Matos, Maria C. Forti, Adriana Costa e Spichler, Ethel R. Pousada, Judith Maria Dias Carreiro Teixeira, Margareth M. Yamashita, Tsuyoshi |
| author_role |
author |
| author2 |
Duncan, Bruce Bartholow Reichelt, Angela J. Branchtein, Leandro Matos, Maria C. Forti, Adriana Costa e Spichler, Ethel R. Pousada, Judith Maria Dias Carreiro Teixeira, Margareth M. Yamashita, Tsuyoshi |
| author2_role |
author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Schmidt, Maria Inês Duncan, Bruce Bartholow Reichelt, Angela J. Branchtein, Leandro Matos, Maria C. Forti, Adriana Costa e Spichler, Ethel R. Pousada, Judith Maria Dias Carreiro Teixeira, Margareth M. Yamashita, Tsuyoshi |
| dc.subject.por.fl_str_mv |
Diabetes Mellitus Glucose Diabetes, Gestational Hypertension |
| topic |
Diabetes Mellitus Glucose Diabetes, Gestational Hypertension |
| description |
Texto completo: acesso restrito. p. 1151-1155 |
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2001 |
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2001 |
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2015-10-13T12:25:00Z |
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0149-5992 |
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v. 24, n. 7 |
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