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孕期维生素D缺乏与妊娠期糖尿病低风险孕妇患糖尿病无关。

Vitamin D deficiency in pregnancy is not associated with diabetes mellitus development in pregnant women at low risk for gestational diabetes.

作者信息

Bal Mehmet, Şahin Ersoy Gülçin, Demirtaş Ömer, Kurt Sefa, Taşyurt Abdullah

机构信息

Tepecik Education and Research Hospital, Department of Obstetrics and Gynecology, İzmir, Turkey.

出版信息

Turk J Obstet Gynecol. 2016 Mar;13(1):23-26. doi: 10.4274/tjod.10170. Epub 2016 Mar 10.

Abstract

OBJECTIVE

We aimed to investigate the effect of vitamin D deficiency as a risk factor for the development of gestational diabetes mellitus (GDM) among pregnant women without known risk factors.

MATERIALS AND METHODS

The study was conducted on pregnant women who had been under regular follow-up and had low risk for GDM development. The patients were divided into two groups according to the presence of GDM; GDM and no GDM (control) group. Body mass index (BMI), sociodemographic data including level of education and nutritional habits were recorded. Serum 25 (OH) vitamin D levels, hemoglobin, hematocrit, and mean corpuscular volume (MCV) values were measured. An oral glucose tolerance test was performed, between 24 and 28 weeks of pregnancy.

RESULTS

GDM ratio was calculated as 4.6%. The false positive rate of 50 g oral glucose load screening test was found to be 16.5%. The BMI levels of women diagnosed as having GDM and those with no GDM group at the beginningof the pregnancy period were calculated as 24.3±2.6 and 22.8±1.6 kg/m2 respectively, exhibiting a statistically significant difference between the two groups (p=0.001). Hemoglobin, hematocrit, and MCV values did not show a statistically significant difference between the two groups (p>0.05). The levels of 25 (OH) vitamin D of the study groups were found comparable in both groups (p=0.13).

CONCLUSION

Plasma levels of vitamin D may not be a contributing factor for the development of GDM in women with a low risk for GDM.

摘要

目的

我们旨在研究维生素D缺乏作为无已知危险因素的孕妇发生妊娠期糖尿病(GDM)的风险因素的影响。

材料与方法

本研究针对接受定期随访且发生GDM风险较低的孕妇进行。根据是否患有GDM将患者分为两组;GDM组和无GDM组(对照组)。记录体重指数(BMI)、社会人口统计学数据,包括教育程度和营养习惯。测量血清25(OH)维生素D水平、血红蛋白、血细胞比容和平均红细胞体积(MCV)值。在妊娠24至28周之间进行口服葡萄糖耐量试验。

结果

GDM发生率计算为4.6%。发现50 g口服葡萄糖负荷筛查试验的假阳性率为16.5%。妊娠初期被诊断为患有GDM的女性和无GDM组女性的BMI水平分别计算为24.3±2.6和22.8±1.6 kg/m²,两组之间存在统计学显著差异(p = 0.001)。两组之间的血红蛋白、血细胞比容和MCV值未显示出统计学显著差异(p>0.05)。研究组的25(OH)维生素D水平在两组中相当(p = 0.13)。

结论

对于发生GDM风险较低的女性,血浆维生素D水平可能不是GDM发生的促成因素。

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本文引用的文献

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PLoS One. 2015 Apr 21;10(4):e0123763. doi: 10.1371/journal.pone.0123763. eCollection 2015.
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Vitamin D and diabetes.维生素 D 与糖尿病。
Endocrinol Metab Clin North Am. 2010 Jun;39(2):419-46, table of contents. doi: 10.1016/j.ecl.2010.02.013.
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Iron status in women with and without gestational diabetes mellitus.患有和未患有妊娠期糖尿病的女性的铁状态。
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