المؤلفون: Safiness Simon, Msollo, Haikael David, Martin, Akwilina Wendelin, Mwanri, Pammla, Petrucka

المصدر: BMC Pregnancy and Childbirth. 22

مصطلحات موضوعية: Diabetes, Gestational, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Pregnancy, Risk Factors, Humans, Obstetrics and Gynecology, Female, Tanzania

الوصف: Background Screening for gestational diabetes mellitus in Tanzania is challenged by limited resources. Therefore, this study aimed to develop a simple method for identification of women at risk of gestational diabetes mellitus in Arusha urban, Tanzania. Methods This study used data from a cross sectional study, that was conducted between March and December 2018 in Arusha District involving 468 pregnant women who were not known to have diabetes before pregnancy. Urine glucose was tested using urine multistics and blood glucose levels by Gluco-Plus™ and diagnosed in accordance with the World Health Organization’s criteria. Anthropometrics were measured using standard procedures and maternal characteristics were collected through face-to-face interviews using a questionnaire with structured questions. Univariate analysis assessed individual variables association with gestational diabetes mellitus where variables with p-value of p-value Results The risk score included body fat ≥ 38%, delivery to macrosomic babies, mid-upper arm circumference ≥ 28 cm, and family history of type 2 diabetes mellitus. The score correctly identified 98% of women with gestational diabetes with an area under the receiver operating characteristic curve of 0.97 (95% CI 0.96–0.99, p Conclusion The developed screening tool is highly sensitive and correctly differentiates women with and without gestational diabetes mellitus in a Tanzanian sub-population.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f72abf62cbefa61c91c068b5dbd4b021
https://doi.org/10.1186/s12884-022-04838-1

المؤلفون: Pammla Petrucka, Haikael Martin, Safiness Simon Msollo, Akwilina Wendelin Mwanri

المصدر: Metabolic Syndrome and Related Disorders. 17:512-517

مصطلحات موضوعية: Adult, Urban Population, Endocrinology, Diabetes and Metabolism, Pregnancy in Diabetics, Gestational Age, 030209 endocrinology & metabolism, 030204 cardiovascular system & hematology, Tanzania, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Insulin resistance, Pregnancy, Risk Factors, Environmental health, Internal Medicine, medicine, Humans, biology, business.industry, medicine.disease, biology.organism_classification, Pregnancy Complications, Gestational diabetes, Diabetes, Gestational, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Insulin Resistance, business

الوصف: Aim: To establish the prevalence of insulin resistance (IR) and its determinants among selected pregnant women in urban Arusha for taking preventive measures. Methods: A cross-sectional st...

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e8b6d692b43e58bfdd43cdcf9b594562
https://doi.org/10.1089/met.2019.0077

المؤلفون: Haikael Martin, Safiness Simon Msollo, Akwilina Wendelin Mwanri, Pammla Petrucka

المصدر: BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-9 (2019)
BMC Pregnancy and Childbirth

مصطلحات موضوعية: Adult, medicine.medical_specialty, Urban Population, Overweight, Body fat percentage, Tanzania, lcsh:Gynecology and obstetrics, Arusha, Body Mass Index, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Insulin resistance, Pregnancy, Diabetes mellitus, medicine, Prevalence, Humans, 030212 general & internal medicine, lcsh:RG1-991, 030219 obstetrics & reproductive medicine, Obstetrics, business.industry, Obstetrics and Gynecology, Type 2 Diabetes Mellitus, Hyperglycemia in pregnancy, medicine.disease, Gestational diabetes, Pregnancy Complications, Diabetes, Gestational, Cross-Sectional Studies, Adipose Tissue, Diabetes Mellitus, Type 2, Risk factors, Body fat, Hyperglycemia, Female, medicine.symptom, business, Body mass index, Research Article

الوصف: Background Hyperglycemia in pregnancy is a medical condition resulting from either pre-existing diabetes or insulin resistance developed during pregnancy. This study aimed to determine the prevalence of hyperglycemia in pregnancy and influence of body fat percentage and other determinants on developing hyperglycemia in pregnancy among women in Arusha District, Tanzania. Methods A cross–sectional study was conducted between March and December 2018 at selected health facilities in Arusha District involving 468 pregnant women who were not known to have diabetes before pregnancy. Blood glucose was tested by Gluco-Plus™ using the World Health Organization criteria at fasting and 2 h after consuming 75 g of glucose dissolved in 300 ml of water. Body fat was measured using a bioelectric impedance analyzer, mid-upper arm circumference using a regulated tape, weight using SECA™, blood pressure using a GT-868UF Geratherm™ machine, and height using a stadiometer. Demographic and maternal characteristics were collected through face to face interviews using a structured questionnaire. Results The participants’ mean age was 28 years (SD ± 6), mid-upper arm circumference 27 cm (SD ± 3.7), body fat 33.72% (SD ± 7.2) and pre-pregnancy body mass index 25.6 kg/m2 (SD ± 5.5). One-third of participants had mid-upper arm circumferences ≥28 cm with 25% being overweight and 22.7% obese before pregnancy. Prevalence of hyperglycemia in pregnancy was 16.2% (n = 76) of which 13% had gestational diabetes and 3.2% diabetes in pregnancy. Hyperglycemia in pregnancy was significantly associated with body fat percentage (AOR 1.33; 95% CI: 1.22–1.44), family history of Type 2 diabetes mellitus (AOR 6.95, 95% CI: 3.11–15.55), previous delivery of babies ≥4 kg (AOR 2.3, 95% CI: 1.00–5.28), mid-upper arm circumference ≥ 28 cm (AOR 1.2, 95% CI: 1.09–1.32), and Type 2 diabetes mellitus symptoms (AOR 2.83, 95% CI: 1.53–6.92). Conclusion The prevalence of hyperglycemia in pregnancy was high, particularly among women with history of delivering ≥4-kg babies, increased body fat, mid-upper arm circumference, symptoms and/or family history of Type 2 diabetes mellitus. These findings identify opportunities to further explore the utility of body fat percentage and other determinants for rapid screening and management of hyperglycemia in pregnancy.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::686f32e5003b3230873ce9b2f8a291b2
http://link.springer.com/article/10.1186/s12884-019-2463-8