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Exploring abnormal glucose metabolism in pregnancy among Australian Chinese migrants.
- Source :
-
BMJ open diabetes research & care [BMJ Open Diabetes Res Care] 2020 Feb; Vol. 8 (1). - Publication Year :
- 2020
-
Abstract
- Objective: Gestational diabetes mellitus (GDM) is a metabolic disorder of pregnancy that is increasingly prevalent among Chinese women. Few studies have examined whether the migration status of Chinese women contributes to the risks of developing GDM during pregnancy.<br />Research Design and Methods: In this observational, cross-sectional and hospital-based study, we examined the prevalence of GDM and glycemic levels at oral glucose tolerance test (OGTT) among 491 Australian Chinese migrants (n=491) and native Chinese (n=1000). We defined GDM using the International Association of Diabetes and Pregnancy Study Groups guidelines. We collected data on maternal age, body mass index (BMI) and gestational age (GA) at booking and GA at delivery from medical records. We used multiple logistic and linear regression models to calculate the OR of having GDM and mean differences in glycemic levels in Australian Chinese migrants, relative to native Chinese.<br />Results: Age-at-booking and BMI-at-booking adjusted GDM prevalence was significantly higher in Australian Chinese migrants than native Chinese (19.7% vs 14.6%; p=0.01). After adjusting for age, BMI at booking and GA at booking, fasting glucose levels were significantly lower (β -0.08 mmol/L; 95% CI -0.14 to 0.02), while 2-hour glucose levels were significantly higher (0.22 mmol/L; 0.02 to 0.43) in Australian Chinese immigrants than native Chinese.<br />Conclusions: Migration status may be a marker for abnormal glucose metabolism during pregnancy among Australian Chinese migrants, possibly due to socio-economic disadvantages and lifestyle changes associated with migration.<br />Competing Interests: Competing interests: None declared.<br /> (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Adult
Australia epidemiology
Blood Glucose analysis
Body Mass Index
China epidemiology
China ethnology
Cohort Studies
Cross-Sectional Studies
Diabetes, Gestational epidemiology
Female
Gestational Age
Glucose Tolerance Test
Humans
Maternal Age
Pregnancy
Prevalence
Risk Factors
Blood Glucose metabolism
Diabetes, Gestational blood
Diabetes, Gestational ethnology
Transients and Migrants
Subjects
Details
- Language :
- English
- ISSN :
- 2052-4897
- Volume :
- 8
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMJ open diabetes research & care
- Publication Type :
- Academic Journal
- Accession number :
- 32075811
- Full Text :
- https://doi.org/10.1136/bmjdrc-2019-000903