Obesity and gestational diabetes

被引:30
作者
Sathyapalan, T. [1 ]
Mellor, D. [2 ]
Atkin, S. L. [1 ]
机构
[1] Hull York Med Sch, Dept Diabet Endocrinol & Metab, Kingston Upon Hull, N Humberside, England
[2] Univ Hull, Dept Diabet Endocrinol & Metab, Kingston Upon Hull HU6 7RX, N Humberside, England
关键词
Gestational diabetes; Obesity; Oral glucose tolerance test; Pregnancy; MATERNAL OBESITY; RISK-FACTORS; PREGNANCY; INSULIN; WOMEN; MELLITUS; WEIGHT; RECURRENCE; METFORMIN; POSTPARTUM;
D O I
10.1016/j.siny.2009.09.002
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The prevalence of both obesity and gestational diabetes mellitus (GDM) is increasing worldwide. GDM affects about 7% of all pregnancies and is defined as any degree of impaired glucose tolerance during gestation. The presence of obesity has a significant impact on both maternal and fetal complications associated with GDM. These complications can be addressed, at least in part, by good glycaemic control during pregnancy. The significance and impact of obesity in women with GDM are discussed in this article, together with treatment options, the need for long-term risk modification and postpartum follow-up. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:89 / 93
页数:5
相关论文
共 49 条
[1]  
American Diabetes Association, 2004, Diab Rev (Alexandria, VA), V27, pS88, DOI [10.2337/diacare.27.2007.s88, DOI 10.2337/DIACARE.27.2007.S88]
[2]  
BARLEY CM, 2005, PEDIATRICS, V115, pE290
[3]   Metabolic syndrome in childhood: Association with birth weight, maternal obesity, and gestational diabetes mellitus [J].
Boney, CM ;
Verma, A ;
Tucker, R ;
Vohr, BR .
PEDIATRICS, 2005, 115 (03) :E290-E296
[4]   Flexible treatment of Gestational Diabetes modulated on ultrasound evaluation of intrauterine growth: a controlled randomized clinical trial [J].
Bonomo, M ;
Cetin, I ;
Pisoni, MP ;
Faden, D ;
Mion, E ;
Taricco, E ;
de Santis, MN ;
Radaelli, T ;
Motta, G ;
Costa, M ;
Solerte, L ;
Morabito, A .
DIABETES & METABOLISM, 2004, 30 (03) :237-243
[5]   INCIDENCE AND RISK-FACTORS ASSOCIATED WITH ABNORMAL POSTPARTUM GLUCOSE-TOLERANCE IN WOMEN WITH GESTATIONAL DIABETES [J].
CATALANO, PM ;
VARGO, KM ;
BERNSTEIN, IM ;
AMINI, SB .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1991, 165 (04) :914-919
[6]   Gestational Weight Gain and Gestational Diabetes Mellitus Perinatal Outcomes [J].
Cheng, Yvonne W. ;
Chung, Judith H. ;
Kurbisch-Block, Ingrid ;
Inturrisi, Maribeth ;
Shafer, Sherri ;
Caughey, Aaron B. .
OBSTETRICS AND GYNECOLOGY, 2008, 112 (05) :1015-1022
[7]   Population health significance of gestational diabetes [J].
Cheung, NW ;
Byth, K .
DIABETES CARE, 2003, 26 (07) :2005-2009
[8]   Perinatal mortality in Type 2 diabetes mellitus [J].
Cundy, T ;
Gamble, G ;
Townend, K ;
Henley, PG ;
MacPherson, P ;
Roberts, AB .
DIABETIC MEDICINE, 2000, 17 (01) :33-39
[9]   The predisposition to obesity and diabetes in offspring of diabetic mothers [J].
Dabelea, Danna .
DIABETES CARE, 2007, 30 :S169-S174
[10]   POSTPRANDIAL VERSUS PREPRANDIAL BLOOD-GLUCOSE MONITORING IN WOMAN WITH GESTATIONAL DIABETES-MELLITUS REQUIRING INSULIN THERAPY [J].
DEVECIANA, M ;
MAJOR, CA ;
MORGAN, MA ;
ASRAT, T ;
TOOHEY, JS ;
LIEN, JM ;
EVANS, AT .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (19) :1237-1241