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Percentage of gestational diabetes mellitus attributable to overweight and obesity

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  • Kim, S.Y.
  • England, L.
  • Wilson, H.G.
  • Bish, C.
  • Satten, G.A.
  • Dietz, P.

Abstract

Objectives. We calculated the percentage of gestational diabetes mellitus (GDM) attributable to overweight and obesity. Methods. We analyzed 2004 through 2006 data from 7 states using the Pregnancy Risk Assessment Monitoring System linked to revised 2003 birth certificate information. We used logistic regression to estimate the magnitude of the association between prepregnancy body mass index (BMI) and GDM and calculated the percentage of GDM attributable to overweight and obesity. Results. GDM prevalence rates by BMI category were as follows: underweight (13-18.4 kg/m2), 0.7%; normal weight (18.5-24.9 kg/m2), 2.3%; overweight (25-29.9 kg/m2), 4.8%; obese (30-34.9 kg/m2), 5.5%; and extremely obese (35-64.9 kg/m 2), 11.5%. Percentages of GDM attributable to overweight, obesity, and extreme obesity were 15.4% (95% confidence interval [Cl] =8.6, 22.2), 9.7% (95% Cl=5.2, 14.3), and 21.1% (Cl=15.2, 26.9), respectively. The overall population-attributable fraction was 46.2% (95% Cl =36.1, 56.3). Conclusions. If all overweight and obese women (BMI of 25 kg/m2 or above) had a GDM risk equal to that of normal-weight women, nearly half of GDM cases could be prevented. Public health efforts to reduce prepregnancy BMI by promoting physical activity and healthy eatinq among women of reproductive aqe should be intensified.

Suggested Citation

  • Kim, S.Y. & England, L. & Wilson, H.G. & Bish, C. & Satten, G.A. & Dietz, P., 2010. "Percentage of gestational diabetes mellitus attributable to overweight and obesity," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1047-1052.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.172890_1
    DOI: 10.2105/AJPH.2009.172890
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    Cited by:

    1. Kristy L. Gray & Mayya Grebenshchikova & Sharleen L. O’Reilly & Lois McKellar & Peter M. Clifton & Jennifer B. Keogh, 2021. "Development and Validation of an Online Survey to Assess Perception of Diabetes Risk and Barriers and Facilitators to Weight Loss Following Gestational Diabetes," IJERPH, MDPI, vol. 18(2), pages 1-14, January.
    2. Michelle Lende & Asha Rijhsinghani, 2020. "Gestational Diabetes: Overview with Emphasis on Medical Management," IJERPH, MDPI, vol. 17(24), pages 1-12, December.
    3. Kataryna Jaworsky & Jeffrey L. Ebersole & Petar Planinic & Arpita Basu, 2021. "Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    4. Kristy L. Gray & Lois McKellar & Sharleen L. O’Reilly & Peter M. Clifton & Jennifer B. Keogh, 2020. "Women’s Barriers to Weight Loss, Perception of Future Diabetes Risk and Opinions of Diet Strategies Following Gestational Diabetes: An Online Survey," IJERPH, MDPI, vol. 17(24), pages 1-12, December.

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