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Maternal Educational Level and the Risk of Persistent Post-Partum Glucose Metabolism Disorders in Women with Gestational Diabetes Mellitus

2018-03Journal article Open access
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dc.contributor.authorGante, I
dc.contributor.authorFerreira, AC
dc.contributor.authorPestana, G
dc.contributor.authorPires, D
dc.contributor.authorAmaral, N
dc.contributor.authorDores, J
dc.contributor.authorAlmeida, MC
dc.contributor.authorSandoval, JL
dc.date.accessioned2018-11-06T15:51:28Z
dc.date.available2018-11-06T15:51:28Z
dc.date.issued2018-03
dc.description.abstractAIMS: Gestational diabetes mellitus (GDM) occurs in 5-15% of pregnancies, and lower maternal educational attainment has been associated with higher risk of GDM. We aimed to determine if maternal education level is associated with persistent post-partum glucose metabolism disorders in women with GDM. METHODS: Retrospective cohort study of women with GDM followed in 25 Portuguese health institutions between 2008 and 2012. Educational attainment was categorised into four levels. Prevalence of post-partum glucose metabolism disorders (type 2 diabetes mellitus, increased fasting plasma glucose or impaired glucose tolerance) was compared and adjusted odds ratios calculated controlling for confounders using logistic regression. RESULTS: We included 4490 women diagnosed with GDM. Educational level ranged as follows: 6.8% (n = 307) were at level 1 (≤ 6th grade), 34.6% (n = 1554) at level 2 (6-9th grade), 30.4% (n = 1364) at level 3 (10-12th grade) and 28.2% (n = 1265) at level 4 (≥ university degree). At 6 weeks post-partum re-evaluation, 10.9% (n = 491) had persistent glucose metabolism disorders. Educational levels 1 and 2 had a higher probability of persistent post-partum glucose metabolism disorders when compared to level 4 (OR = 2.37 [1.69;3.32], p < 0.001 and OR = 1.39 [1.09;1.76], p = 0.008, for level 1 and 2, respectively), an association that persisted in multivariable logistic regression adjusting for confounders (level 1 OR = 2.25 [1.53;3.33], p < 0.001; level 2 OR = 1.43 [1.09;1.89], p = 0.01). CONCLUSIONS: Persistent post-partum glucose metabolism disorders are frequent in women with GDM and associated with lower maternal educational level. Interventions aimed at this risk group may contribute towards a decrease in prevalence of post-partum glucose metabolism disorders.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Diabetol. 2018 Mar;55(3):243-251.pt_PT
dc.identifier.doi10.1007/s00592-017-1090-ypt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3093
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.subjectAdultpt_PT
dc.subjectBlood Glucosept_PT
dc.subjectCohort Studiespt_PT
dc.subjectDiabetes Mellitus, Type 2pt_PT
dc.subjectDiabetes, Gestationalpt_PT
dc.subjectFemalept_PT
dc.subjectGlucose Intolerancept_PT
dc.subjectGlucose Metabolism Disorderspt_PT
dc.subjectGlucose Tolerance Testpt_PT
dc.subjectHumanspt_PT
dc.subjectPortugalpt_PT
dc.subjectPostpartum Periodpt_PT
dc.subjectPregnancypt_PT
dc.subjectPrevalencept_PT
dc.subjectPuerperal Disorderspt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectRisk Factorspt_PT
dc.subjectYoung Adultpt_PT
dc.subjectEducational Statuspt_PT
dc.subjectMotherspt_PT
dc.subjectHCC NEFpt_PT
dc.titleMaternal Educational Level and the Risk of Persistent Post-Partum Glucose Metabolism Disorders in Women with Gestational Diabetes Mellituspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage251pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage243pt_PT
oaire.citation.titleActa Diabetologicapt_PT
oaire.citation.volume55pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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