medigraphic.com
ISSN 2448-5640 (Impreso)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2020, Número 2

Siguiente >>

Cir Card Mex 2020; 5 (2)


Higher blood pressure and heart rate are associated with a higher incidence of gestational diabetes mellitus in early pregnancy

Zhang P, Qi Jin-dan, Jin Ai-ying, Ojo O, Jiang Q, Zhang W, Feng Q, Wang Xiao-hua

Idioma: Ingles.
Referencias bibliográficas: 35
Paginas: 28-33
Archivo PDF: 170.52 Kb.


RESUMEN

Objetivo. Explorar si la presión arterial y la frecuencia cardiaca son factores de riesgo para la diabetes mellitus gestacional en el embarazo temprano, y destacar las estrategias para el manejo de esta entidad lo más pronto posible. Métodos. Este es un estudio transversal en un solo cetro hospitalario, realizado de Febrero a Agosto de 2019 en el primer hospital afiliado de la Universidad de Soochow. Se incluyen los datos demográficos y clínicos de 796 mujeres embarazadas entre 8 a 12 semanas de gestación que fueron analizados. Resultados. La incidencia de la diabetes mellitus gestacional en el embarazo temprano fue de 9.5%. Los resultados del análisis con regresión logística fueron: presión arterial sistólica ≥110 mmHg (OR 2.638, 95% CI 1.305-5.334, p = 0.007), frecuencia cardiaca ≥80 latidos/min (OR 2.146, 95% CI 1.214- 3.794, p = 0.009), Hemoglobina más alta (OR 1.041, 95% CI 1.011-1.072, p = 0.007), multiparidad (OR 1.749, 95% CI 1.053-2.906, p = 0.031), obesidad o sobrepeso previos al embarazo (OR 2.850, 95% CI 1.661-4.889, p‹0.001) y embarazo gemelar (OR 3.768, 95% CI 1.195-11.883, p = 0.024) son los factores de riesgo para el desarrollo de diabetes mellitus gestacional en el embarazo temprano. Conclusión. La presión arterial sistólica ≥110 mmHg, frecuencia cardiaca ≥80 latidos por minuto, Hemoglobina elevada, multiparidad, y la obesiad y sobrepeso previos al embarazo son factores de riesgo para la aparición de la diabetes mellitus gestacional en el embarazo temprano.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Hod M, Kapur A, Sacks DA, et al. The International Federation of Gynecologyand Obstetrics(FIGO) Initiative on gestational diabetes mellitus: A pragmaticguide for diagnosis, management, and care. Int J Gynaecol Obstet 2015;131:S173-211.

  2. Zhu Y, Zhang C. Prevalence of gestational diabetes and risk of progression to type2 diabetes: a global perspective. Curr Diab Rep 2016;16:7.

  3. He XJ, Qin FY, Hu CL, Zhu M, Tian CQ, Li L. Is gestational diabetes mellitus anindependent risk factor for macrosomia: a meta-analysis? Arch Gynecol Obstet2015;291:729-35.

  4. Mortier I, Blanc J, Tosello B, Gire C, Bretelle F, Carcopino X. Is gestationaldiabetes an independent risk factor of neonatal severe respiratory distress syndromeafter 34 weeks of gestation? A prospective study. Arch Gynecol Obstet2017;296:1071-7.

  5. Shah BR, Sharifi F. Perinatal outcomes for untreated women with gestational diabetesby IADPSG criteria: a population-based study. BJOG 2020;127(1):116-22.

  6. Farahvar S, Walfisch A, Sheiner E. Gestational diabetes risk factors and long-termconsequences for both mother and offspring: a literature review. Expert Rev EndocrinolMetab 2019;14:63-74.

  7. Beharier O, Sergienko R, Kessous R, et al. Gestational diabetes mellitus is asignificant risk factor for long-term ophthalmic morbidity. Arch Gynecol Obstet2017;295:1477-82.

  8. Perrin MC, Terry MB, Kleinhaus K, , et al. Gestational diabetes as a risk factor forpancreatic cancer: a prospective cohort study. BMC Med 2007;5:25.

  9. Damm P, Houshmand-Oeregaard A, Kelstrup L, Lauenborg J, Mathiesen ER,Clausen TD. Gestational diabetes mellitus and long-term consequences for motherand offspring: a view from Denmark. Diabetologia 2016;59:1396-9.

  10. Nahum Sacks K, Friger M, Shoham-Vardi I, et al. Prenatal exposure to gestationaldiabetes mellitus as an independent risk factor for long-term neuropsychiatricmorbidity of the offspring. Am J Obstet Gynecol 2016;215:380.e1-7.

  11. Perera MJ, Reina SA, Elfassy T, et al. Gestational diabetes and cardiovascular riskfactors and disease in U.S. Hispanics/Latinas in the Hispanic Community HealthStudy/Study of Latinos (HCHS/SOL). Women Health 2019;59:481-95.

  12. World Health Organisation. Diagnostic criteria and classification of hyperglycaemiafirst detected in pregnancy: A World Health Organization Guideline. DiabetesRes Clin Pract 2014;103(3):341-63.

  13. Sesmilo G, Meler E, Perea V, et al. Maternal fasting glycemia and adverse pregnancyoutcomes in a Mediterranean population. Acta Diabetol 2017;54:293-9.

  14. Koivusalo SB, Rönö K, Klemetti MM, et al. Gestational diabetes mellitus can beprevented by lifestyle intervention: The Finnish Gestational Diabetes PreventionStudy (RADIEL): A Randomized Controlled Trial. Diabetes Care 2016;39:24-30.

  15. Song C, Li J, Leng J, Ma RC, Yang X. Lifestyle intervention can reduce the riskof gestational diabetes: a meta-analysis of randomized controlled trials. Obes Rev2016;17:960-9.

  16. Chatzi L, Plana E, Pappas A, et al. The metabolic syndrome in early pregnancyand risk of gestational diabetes mellitus. Diabetes Metab 2009;35:490-4.

  17. Yan B, Yu Y, Lin M, et al. High, but stable, trend in the prevalence of gestationaldiabetes mellitus: A population-based study in Xiamen, China. J Diabetes Investig2019;10:1358-64.

  18. Leng J, Shao P, Zhang C, et al. Prevalence of gestational diabetes mellitus and itsrisk factors in Chinese pregnant women: a prospective population-based study inTianjin, China. PLoS One 2015;10:e0121029.

  19. Godwin M, Muirhead M, Huynh J, Helt B, Grimmer J. Prevalence of gestationaldiabetes mellitus among Swampy Cree women in Moose Factory, James Bay.CMAJ 1999;160:1299-302.

  20. Aune D, Ó Hartaigh B, Vatten LJ. Resting heart rate and the risk of type 2 diabetes:A systematic review and dose-response meta-analysis of cohort studies. NutrMetab Cardiovasc Dis 2015;25:526-34.

  21. Wang L, Cui L, Wang Y, et al. Resting heart rate and the risk of developing impairedfasting glucose and diabetes: the Kailuan prospective study. Int J Epidemiol2015;44:689-99.

  22. Zhang X, Shu XO, Xiang YB, et al. Resting heart rate and risk of type 2 diabetesin women. Int J Epidemiol 2010;39:900-6.

  23. Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validityof a two-item depression screener. Med Care 2003;41:1284-92.

  24. Hosseini E, Janghorbani M, Shahshahan Z. Comparison of risk factors and pregnancyoutcomes of gestational diabetes mellitus diagnosed during early and latepregnancy. Midwifery 2018;66:64-9.

  25. Leon MG, Moussa HN, Longo M, et al. Rate of gestational diabetes mellitusand pregnancy outcomes in patients with chronic hypertension. Am J Perinatol2016;33:745-50.

  26. Landsberg L. Insulin resistance and hypertension. Clin Exp Hypertens 1999;21(5-6):885-94.

  27. Kim G, Lee YH, Jeon JY, et al. Increase in resting heart rate over 2 years predictsincidence of diabetes: A 10-year prospective study. Diabetes Metab 2017;43:25-32.

  28. Sydo N, Sydo T, Merkely B, et al. Impaired heart rate response to exercise indiabetes and its long-term significance. Mayo Clin Proc 2016;91:157-65.

  29. Wang C, Lin L, Su R, et al. Hemoglobin levels during the first trimester of pregnancyaremassociated with the risk of gestational diabetes mellitus, pre-eclampsiaand preterm birth in Chinese women: a retrospective study. BMC PregnancyChildbirth 2018;18:263. doi: 10.1186/s12884-018-1800-7

  30. Mehrabian F, Hosseini SM. Comparison of gestational diabetes mellitus andpre-eclampsia in women with high hemoglobin in the first trimester of pregnancy:A longitudinal study. Pak J Med Sci 2013;29:986-90.

  31. Abualhamael S, Mosli H, Baig M, Noor AM, Alshehri FM. Prevalence and associatedrisk factors of gestational diabetes mellitus at a University Hospital in SaudiArabia. Pak J Med Sci 2019;35:325-9.

  32. Lee KW, Ching SM, Ramachandran V, et al. Prevalence and risk factors of gestationaldiabetes mellitus in Asia: a systematic review and meta-analysis. BMCPregnancy Childbirth 2018;18:494. doi: 10.1186/s12884-018-2131-4

  33. Kouhkan A, Khamseh ME, Moini A, et al. Diagnostic accuracy of body massindex and fasting glucose for the prediction of gestational diabetes mellitus afterassisted reproductive technology. Int J Fertil Steril 2019;13:32-7.

  34. Adane AA, Tooth LR, Mishra GD. Pre-pregnancy weight change and incidence ofgestational diabetes mellitus: A finding from a prospective cohort study. DiabetesRes Clin Pract 2017;124:72-80.

  35. Hiersch L, Berger H, Okby R, et al. Incidence and risk factors for gestationaldiabetes mellitus in twin versus singleton pregnancies. Arch Gynecol Obstet2018;298:579-87.




2020     |     www.medigraphic.com