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题名

Prothrombotic state and calcium deficiency in early pregnancy are risk factors for gestational diabetes mellitus: a retrospective cohort study

作者
通讯作者Wang, Feng
发表日期
2022-03-01
DOI
发表期刊
ISSN
0951-3590
EISSN
1473-0766
卷号38期号:5
摘要
Objectives To investigate whether the prothrombotic state (PTS), calcium deficiency and iron deficiency anemia (IDA) in early pregnancy is associated with the risk of gestational diabetes mellitus (GDM). Methods We conducted a retrospective cohort study, including consecutive pregnant women tested for PTS, calcium deficiency and IDA before 20 weeks' gestation between September 1, 2017 and March 21, 2021. For routine prenatal care, pregnant women underwent a 75-g oral glucose tolerance test (OGTT) to make a GDM diagnosis during 24-28 weeks of gestation. Testing data and relevant clinical information were obtained from Shenzhen Baoan Women's and Children's Hospital. To estimate GDM risk of exposures (PTS, calcium deficiency and IDA) in early pregnancy, we used logistic regression to obtain odds ratio (OR) adjusted for maternal age, parity, family history of diabetes and pre-pregnancy body mass index. Results The cohort included 8396 pregnant women with complete data of exposures and GDM outcomes. Baseline characteristics were not comparable between exposure and control groups. PTS (adjusted OR 2.38, 95% CI 1.61-3.52) or calcium deficiency (adjusted OR 1.23, 95% CI 1.02-1.49) in early pregnancy was independently associated with increased GDM risk after adjusting covariates. There was no significant association between IDA status and GDM risk (adjusted OR 0.86, 95% CI 0.63-1.18). Conclusions PTS and calcium deficiency in early pregnancy may be independent risk factors of GDM. These findings need further validation in well-designed prospective cohorts.
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语种
英语
学校署名
第一
资助项目
Shenzhen Municipal Government of China[JCYJ20180703093402288] ; China Postdoctoral Science Foundation[2020M683201] ; Guangdong Basic and Applied Basic Research Foundation[2020A1515110116]
WOS研究方向
Endocrinology & Metabolism ; Obstetrics & Gynecology
WOS类目
Endocrinology & Metabolism ; Obstetrics & Gynecology
WOS记录号
WOS:000773870000001
出版者
ESI学科分类
CLINICAL MEDICINE
来源库
Web of Science
引用统计
被引频次[WOS]:1
成果类型期刊论文
条目标识符http://sustech.caswiz.com/handle/2SGJ60CL/328452
专题南方科技大学医院
作者单位
1.Southern Univ Sci & Technol Hosp, Dept Prevent & Hlth Care, Shenzhen, Peoples R China
2.Sun Yat Sen Univ, Affiliated Hosp 8, Gastrointestinal Endoscopy Ctr, Shenzhen, Peoples R China
3.Jinan Univ, Shenzhen Baoan Womens & Childrens Hosp, Dept Clin Lab, Shenzhen, Guangdong, Peoples R China
第一作者单位南方科技大学医院
第一作者的第一单位南方科技大学医院
推荐引用方式
GB/T 7714
Liu, Qingyun,Wei, Shanshan,Wang, Feng. Prothrombotic state and calcium deficiency in early pregnancy are risk factors for gestational diabetes mellitus: a retrospective cohort study[J]. GYNECOLOGICAL ENDOCRINOLOGY,2022,38(5).
APA
Liu, Qingyun,Wei, Shanshan,&Wang, Feng.(2022).Prothrombotic state and calcium deficiency in early pregnancy are risk factors for gestational diabetes mellitus: a retrospective cohort study.GYNECOLOGICAL ENDOCRINOLOGY,38(5).
MLA
Liu, Qingyun,et al."Prothrombotic state and calcium deficiency in early pregnancy are risk factors for gestational diabetes mellitus: a retrospective cohort study".GYNECOLOGICAL ENDOCRINOLOGY 38.5(2022).
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