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J Pain Palliat Care Pharmacother. 2015 Jun;29(2):133-9. doi: 10.3109/15360288.2015.1037530.
2
Racial/ethnic differences in the percentage of gestational diabetes mellitus cases attributable to overweight and obesity, Florida, 2004-2007.2004-2007 年佛罗里达州妊娠糖尿病病例归因于超重和肥胖的种族/民族差异。
Prev Chronic Dis. 2012;9:E88. doi: 10.5888/pcd9.110249. Epub 2012 Apr 19.
3
Gestational weight gain and long-term postpartum weight retention: a meta-analysis.妊娠体重增加与长期产后体重滞留：一项荟萃分析。
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Determinants of changes in dietary patterns among Chinese immigrants: a cross-sectional analysis.中国移民饮食模式变化的决定因素：一项横断面分析。
Int J Behav Nutr Phys Act. 2011 May 18;8:42. doi: 10.1186/1479-5868-8-42.
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Ethnicity modifies the relationships of insulin resistance, inflammation, and adiponectin with obesity in a multiethnic Asian population.在一个多民族的亚洲人群中，种族修饰了胰岛素抵抗、炎症和脂联素与肥胖的关系。
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Gestational diabetes: risk of recurrence in subsequent pregnancies.妊娠糖尿病：再次妊娠的复发风险。
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Gestational diabetes mellitus: all Asians are not alike.妊娠糖尿病：并非所有亚洲人都一样。
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按种族/族裔划分的、归因于超重和肥胖的妊娠糖尿病比例，加利福尼亚州，2007-2009 年。

Fraction of gestational diabetes mellitus attributable to overweight and obesity by race/ethnicity, California, 2007-2009.

机构信息

Shin Y. Kim, Hoyt G. Wilson, Lucinda England, and Andrea J. Sharma are with the Division of Reproductive Health, National Center for Chronic Disease Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Carina Saraiva, Michael Curtis, and Jennifer Troyan are with the California Department of Public Health, Surveillance, Assessment, and Program Development, Sacramento.

出版信息

Am J Public Health. 2013 Oct;103(10):e65-72. doi: 10.2105/AJPH.2013.301469. Epub 2013 Aug 15.

DOI:10.2105/AJPH.2013.301469
PMID:23947320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3780749/
Abstract

OBJECTIVES

We calculated the racial/ethnic-specific percentages of gestational diabetes mellitus (GDM) attributable to overweight and obesity.

METHODS

We analyzed 1 228 265 records of women aged 20 years or older with a live, singleton birth in California during 2007 to 2009. Using logistic regression, we estimated the magnitude of the association between prepregnancy body mass index and GDM and calculated the percentages of GDM attributable to overweight and obesity overall and by race/ethnicity.

RESULTS

The overall estimated GDM prevalence ranged from 5.4% among White women to 11.9% among Asian/Pacific Islander women. The adjusted percentages of GDM deliveries attributable to overweight and obesity were 17.8% among Asians/Pacific Islander, 41.2% among White, 44.2% among Hispanic, 51.2% among Black, and 57.8% among American Indian women. Select Asian subgroups, such as Vietnamese (13.0%), Asian Indian (14.0%), and Filipino (14.2%), had the highest GDM prevalence, but the lowest percentage attributable to obesity.

CONCLUSIONS

Elevated prepregnancy body mass index contributed to GDM in all racial/ethnic groups, which suggests that decreasing overweight and obesity among women of reproductive age could reduce GDM, associated delivery complications, and future risk of diabetes in both the mother and offspring.

摘要

目的

我们计算了超重和肥胖导致妊娠糖尿病（GDM）的特定种族/民族比例。

方法

我们分析了 2007 年至 2009 年期间加利福尼亚州 20 岁及以上活产单胎女性的 1228265 份记录。使用逻辑回归，我们估计了孕前体重指数与 GDM 之间的关联程度，并计算了超重和肥胖导致 GDM 的总体比例以及按种族/民族划分的比例。

结果

总体估计 GDM 患病率从白人女性的 5.4%到亚裔/太平洋岛民女性的 11.9%不等。调整后的超重和肥胖导致 GDM 分娩的百分比分别为：亚裔/太平洋岛民 17.8%，白人 41.2%，西班牙裔 44.2%，黑人 51.2%，美国印第安人 57.8%。一些特定的亚洲群体，如越南裔（13.0%）、印度裔（14.0%）和菲律宾裔（14.2%），GDM 患病率最高，但归因于肥胖的比例最低。

结论

所有种族/民族群体的孕前体重指数升高都与 GDM 有关，这表明降低育龄妇女的超重和肥胖可以降低 GDM、相关分娩并发症以及母婴未来患糖尿病的风险。