Prevalence of hyperglycemia in pregnancy and influence of body fat on development of hyperglycemia in pregnancy among pregnant women in urban areas of Arusha region, Tanzania
| العنوان: | Prevalence of hyperglycemia in pregnancy and influence of body fat on development of hyperglycemia in pregnancy among pregnant women in urban areas of Arusha region, Tanzania |
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| 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 |
| بيانات النشر: | BMC, 2019. |
| سنة النشر: | 2019 |
| 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. |
| اللغة: | English |
| تدمد: | 1471-2393 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::686f32e5003b3230873ce9b2f8a291b2 http://link.springer.com/article/10.1186/s12884-019-2463-8 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....686f32e5003b3230873ce9b2f8a291b2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712393 |
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