Ethnic differences in gestational oral glucose screening in a large US population.
作者： Kathryn L Pedula , Teresa A Hillier , Mark M Schmidt , Judith A Mullen , Marie-Aline Charles
DOI:
关键词: Obstetrics 、 Epidemiology 、 Internal medicine 、 Prevalence 、 Gestational diabetes 、 Diabetes mellitus 、 Medicine 、 Blood sugar 、 Medical record 、 Glucose tolerance test 、 Population 、 Endocrinology
摘要: Objective: To estimate gestational diabetesmellitus (GDM) prevalence and hyperglycemiain a large multi-ethnic population evaluatethe differences in glucose measures by age andethnicity.Participants Setting: All singleton birthsin Kaiser Permanente Hawaii (KPH) during1995–2003.Measurements: Ethnicity classifications frombirth certificate data were linked to KPH’selectronic medical records that included lab-oratory-screening results. GDM screening wasperformed using the 50-g, 1-hour oral glucosechallenge test (GCT) 100-g, 3-houroral tolerance (OGTT). wasascertained both National DiabetesData Group (NDDG) Carpenter andCoustan (CC88% underwent 3-hour OGTT. Age-adjusted was 4.4% (NDDG)and 6.6% (C&C). Koreans (6.2%) Filipinos(6.1%) had highest age-adjusted NDDGGDM. African Americans (1.5%), Caucasians(2.5%), Vietnamese (2.8%) lowest.Conclusions: This is first population-basedstudy report largegroup of ethnicities represented Hawaii. Wefound very diverse rates prevalenceand elevated among these groups.These findings point need for furtherresearch along several avenues, such asmaternal-child outcome per-haps ethnic-specific guidelines diag-nosis. (Ethn Dis. 2009: 414–419)Key Words: Gestational Diabetes Mellitus,Ethnicity
cabdirect.org参考文章(16)
Coustan Dr, Carpenter Mw, The diagnosis of gestational diabetes. Diabetes Care. ,vol. 21, ,(1998)
Heng Bh, Ling Sl, Ray R, Lim C, Gestational diabetes in Singaporean women: use of the glucose challenge test as a screening test and identification of high risk factors. Annals Academy of Medicine Singapore. ,vol. 25, pp. 504- 508 ,(1996)
R.N.M. Weijers, D.J. Bekedam, H. Oosting, The prevalence of type 2 diabetes and gestational diabetes mellitus in an inner city multi-ethnic population. European Journal of Epidemiology. ,vol. 14, pp. 693- 699 ,(1998) , 10.1023/A:1007597623897
Marshall W. Carpenter, Donald R. Coustan, Criteria for screening tests for gestational diabetes American Journal of Obstetrics and Gynecology. ,vol. 144, pp. 768- 773 ,(1982) , 10.1016/0002-9378(82)90349-0
Gertrud S. Berkowitz, Robert H. Lapinski, Rosemary Wein, Deborah Lee, Race/Ethnicity and Other Risk Factors for Gestational Diabetes American Journal of Epidemiology. ,vol. 135, pp. 965- 973 ,(1992) , 10.1093/OXFORDJOURNALS.AJE.A116408
D. Dabelea, J. K. Snell-Bergeon, C. L. Hartsfield, K. J. Bischoff, R. F. Hamman, R. S. McDuffie, Increasing Prevalence of Gestational Diabetes Mellitus (GDM) Over Time and by Birth Cohort: Kaiser Permanente of Colorado GDM Screening Program Diabetes Care. ,vol. 28, pp. 579- 584 ,(2005) , 10.2337/DIACARE.28.3.579
D.K. Yue, L.M. Molyneaux, G.P. Ross, M.I. Constantino, A.G. Child, J.R. Turtle, Why Does Ethnicity Affect Prevalence of Gestational Diabetes? The Underwater Volcano Theory Diabetic Medicine. ,vol. 13, pp. 748- 752 ,(1996) , 10.1002/(SICI)1096-9136(199608)13:8<748::AID-DIA164>3.0.CO;2-I
O. A. Henry, N. A. Beischer, M. T. Sheedy, J. E. Walstab, Gestational Diabetes and Follow‐up Among Immigrant Vietnam‐born Women Australian & New Zealand Journal of Obstetrics & Gynaecology. ,vol. 33, pp. 109- 113 ,(1993) , 10.1111/J.1479-828X.1993.TB02370.X
A. Grandinetti, H. K. Chang, M. K. Mau, J. D. Curb, E. K. Kinney, R. Sagum, R. F. Arakaki, Prevalence of Glucose Intolerance Among Native Hawaiians in Two Rural Communities Diabetes Care. ,vol. 21, pp. 549- 554 ,(1998) , 10.2337/DIACARE.21.4.549
A. Dornhorst, C.M. Paterson, J.S.D. Nicholls, J. Wadsworth, D.C. Chiu, R.S. Elkeles, D.G. Johnston, R.W. Beard, High prevalence of gestational diabetes in women from ethnic minority groups. Diabetic Medicine. ,vol. 9, pp. 820- 825 ,(1992) , 10.1111/J.1464-5491.1992.TB01900.X