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Gestational diabetes mellitus among Sub-Saharan African and Surinamese women in the Netherlands.
Rademaker, D; van Schaijik, C I; Oostvogels, A J J M; van Rijn, B B; Evers, I; DeVries, J H; Agyemang, C; Vrijkotte, T G M; Painter, R C.
Afiliação
  • Rademaker D; Department of Obstetrics and Gynaecology, Amsterdam University Medical Centres, Amsterdam, the Netherlands. Electronic address: d.rademaker@amsterdamumc.nl.
  • van Schaijik CI; Department of Obstetrics and Gynaecology, Amsterdam University Medical Centres, Amsterdam, the Netherlands; Department of Public Health, Amsterdam University Medical Centres, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
  • Oostvogels AJJM; Department of Public Health, Amsterdam University Medical Centres, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
  • van Rijn BB; Department of Obstetrics and Fetal Medicine, Erasmus MC University Medical Centre, Rotterdam, the Netherlands.
  • Evers I; Department of Obstetrics and Gynaecology, Meander Medical Centre, Amersfoort, the Netherlands.
  • DeVries JH; Department of Endocrinology, Amsterdam University Medical Centres, Amsterdam, the Netherlands.
  • Agyemang C; Department of Public Health, Amsterdam University Medical Centres, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
  • Vrijkotte TGM; Department of Public Health, Amsterdam University Medical Centres, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
  • Painter RC; Department of Obstetrics and Gynaecology, Amsterdam University Medical Centres, Amsterdam, the Netherlands.
Diabetes Res Clin Pract ; 168: 108367, 2020 Oct.
Article em En | MEDLINE | ID: mdl-32791160
AIM: We assessed the association between ethnicity and the risk of gestational diabetes mellitus (GDM) in the Netherlands. METHODS: A cohort of 7815 women with known GDM status and ethnicity, including women of Sub-Saharan African ethnicity who are currently not identified as high-risk in guidelines. We compared GDM rates among participants of ethnicity to those of ethnic Dutch participants. We employed multivariable regression to correct for possible confounders, including maternal age, pre-pregnancy body mass index (BMI), and education. GDM prevalence and odds ratios based on ethnicity were the main outcome measures. RESULTS: The prevalence rates of GDM according to ethnicity were: Dutch 0.6%, South-Asian Surinamese 6.9%, African-Surinamese 3.5%, Antillean 1.0%, Turkish 1.0%, Moroccan 1.4%, Ghanaian 6.8%, Sub-Saharan African 3.5%, other Western 0.5% and other non-Western 2.8%. After adjustment for age, pre-pregnancy BMI, and education duration, compared with the reference Dutch-ethnicity population, adjusted odds ratios (aOR) for GDM were statistically significantly higher in South-Asian Surinamese (aOR 10.9; 95% Confidence Interval (CI), 4.7-25.0), African-Surinamese (4.3; 2.0-9.2), Ghanaian (6.5; 3.0-14.5), Sub-Saharan African (5.7; 2.0-16.0), and other non-Western women (4.5; 2.2-9.0). GDM was not significantly increased among Antillean (1.4; 0.2-10.3), Turkish (1.4; 0.4-4.2), Moroccan (1.8; 0.8-4.0), and other Western women (0.8; 0.3-2.2). CONCLUSIONS: This study shows for the first time in the Netherlands that women of Ghanaian or other Sub-Saharan African ethnicity have an increased risk of developing GDM than the Dutch. This calls for adaptation of the Dutch guidelines of screening high-risk groups for GDM and more awareness amongst obstetric caregivers.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Gestacional Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa / America do sul / Caribe ingles / Europa / Suriname Idioma: En Revista: Diabetes Res Clin Pract Assunto da revista: ENDOCRINOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de publicação: Irlanda
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diabetes Gestacional Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: Africa / America do sul / Caribe ingles / Europa / Suriname Idioma: En Revista: Diabetes Res Clin Pract Assunto da revista: ENDOCRINOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de publicação: Irlanda