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Author Garmendia, M.L.; Mondschein, S.; Montiel, B.; Kusanovic, J.P.
Title Trend and predictors of gestational diabetes mellitus in Chile Type
Year 2020 Publication International Journal of Gynecology and Obstetrics Abbreviated Journal Int. J. Gynecol. Obstet.
Volume 148 Issue 2 Pages 210-218
Keywords
Abstract Objective

To examine the temporal trends in gestational diabetes mellitus (GDM) prevalence in Chile, and to determine the main predictors of GDM.

Methods

A secondary analysis was conducted of all birth records at Hospital Dr. Sótero del Río, Chile, from January 1, 2002, to December 31, 2015. We excluded those women with pre‐existing type 2 diabetes, those with missing data, and those with unlikely data. GDM was defined as fasting glucose levels >5.55 mmol/L [>100 mg/dL] or >7.77 mmol/L [>140 mg/dL] 2 hours after glucose load in the oral glucose tolerance test. Potential predictors were selected based on prior research and ease of evaluation.

Results

From the original database of 100 758 records, 86 362 women were included in the final cohort. The mean GDM prevalence was 7.6% (95% CI [confidence interval] 7.5%�7.8%), increasing from 4.4% (95% CI 4.0%�4.9%) in 2002 to 13.0% (95% CI 12.0%�13.9%) in 2015. Age, education, marital status, parity, family history of type 2 diabetes, personal history of GDM, hypertension and pre‐eclampsia, alcohol consumption, smoking, and pre‐gestational nutritional status performed well in the prediction of GDM.

Conclusion

One out of eight Chilean pregnant women of medium‐ to low socio‐economic status were found to develop GDM. We identified a set of easy‐to‐capture predictors in the primary health care system that may allow for the early identification of women at high‐risk for the development of GDM.
Address
Corporate Author Thesis
Publisher Place of Publication Editor
Language Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0020-7292 ISBN Medium
Area Expedition Conference
Notes Approved
Call Number UAI @ eduardo.moreno @ Serial 1045
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Author Garmendia, M.L.; Matus, O.; Mondschein, S.; Kusanovic, J.P.
Title Gestational weight gain recommendations for Chilean women: a mathematical optimization approach Type
Year 2018 Publication Public Health Abbreviated Journal Public Health
Volume 163 Issue Pages 80-86
Keywords Pregnancy; Weight gain; Obesity; Pregnancy high risk; Chile
Abstract Objectives: We examined if the guidelines for gestational weight gain (GWG) proposed by the Institute of Medicine (IOM) are the most suitable for Chilean women. Study design: Secondary analysis of records of single full-term births at the Dr. Sotero del Rio Hospital, Santiago, Chile, during 2003-2012 (n = 62,579). Methods: From clinical records, we obtained data regarding maternal age, height, prepregnancy and at delivery weights, pathologies during pregnancy such as gestational diabetes (GDM) and pre-eclampsia, gestational age at delivery, and number of infants born small for gestational age (SGA) and large for gestational age (LGA). We formulated a mathematical model (MM) to determine the GWG range that maximizes the likelihood of a healthy pregnancy (HP) if the recommendation is followed. We defined an HP as one where the mother has no complications such as pre-eclampsia, GDM, SGA, or LGA. Results: Forty-six percent of women had prepregnancy overweight or obesity. The prevalence of GDM, pre-eclampsia, SGA, and LGA were 3%, 1.2%, 9%, and 12%, respectively. An HP was present in 76% of pregnancies, 79% in the underweight group, 79% in normal weight group, 74% in the overweight group, and 67% in obese women. The GWG recommendations given by the MM (14-20 kg for underweight, 6-20 kg for normal weight, 9 -11 kg for overweight, and 6-7 kg for obese) led to higher probabilities of achieving an HP than the ones obtained with the IOM recommendations. Conclusion: The adoption of GWG recommendations based on characteristics of the Chilean population might lead to better short- and long-term health results for pregnant women. (C) 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
Address [Garmendia, M. L.] Univ Chile, Inst Nutr & Food Technol, Avda Libano 5524, Santiago, Chile, Email: susana.mondschein@uai.cl
Corporate Author Thesis
Publisher W B Saunders Co Ltd Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0033-3506 ISBN Medium
Area Expedition Conference
Notes WOS:000446680400014 Approved
Call Number UAI @ eduardo.moreno @ Serial 918
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Author Garmendia, M.L.; Mondschein, S.; Matus, O.; Murrugarra, R.; Uauy, R.
Title Predictors of gestational weight gain among Chilean pregnant women: The Chilean Maternal and Infant Nutrition Cohort study Type
Year 2017 Publication Health Care For Women International Abbreviated Journal Health Care Women Int.
Volume 38 Issue 8 Pages 892-904
Keywords
Abstract We identified factors associated with gestational weight gain (GWG) in 1,654 Chilean pregnant women with full-term pregnancies. At baseline, we collected information about sociodemographic, gyneco-obstetric, anthropometric, and health-care-related factors. We found that prepregnancy nutritional body mass index was the most important factor related to GWG above recommendations (overweight: ratio of relative risks [RRR] = 2.31, 95% confidence interval [CI, 1.73, 3.09] and obesity: RRR = 2.90, 95% CI [2.08, 4.03]). We believe that women who are overweight/obese at the beginning of pregnancy should be identified because of their higher risk, and that adequate strategies should be designed and implemented to help them achieve a healthy GWG.
Address [Luisa Garmendia, Maria; Uauy, Ricardo] Univ Chile, Inst Nutr & Food Technol, Libano 5524, Santiago, Chile, Email: mgarmendia@inta.uchile.cl
Corporate Author Thesis
Publisher Taylor & Francis Inc Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0739-9332 ISBN Medium
Area Expedition Conference
Notes WOS:000407518400009 Approved
Call Number UAI @ eduardo.moreno @ Serial 758
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