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比利时妊娠糖尿病随访研究(BEDIP-FUS):一项关于不同程度妊娠糖耐量异常长期代谢风险的多中心前瞻性队列研究:方法与设计

The Belgian Diabetes in Pregnancy Follow-Up Study (BEDIP-FUS): A Multi-Centric Prospective Cohort Study on the Long-Term Metabolic Risk across Different Degrees of Gestational Glucose Intolerance: Methodology and Design.

作者信息

Raets Lore, Van Hoorenbeeck Kim, Maes Toon, Vercammen Chris, De Block Christophe, Dirinck Eveline, Van Pottelbergh Inge, Wierckx Katrien, Laenen Annouschka, Bogaerts Annick, Mathieu Chantal, Benhalima Katrien

机构信息

Department of Endocrinology, University Hospital Gasthuisberg, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.

Department of Pediatrics, Antwerp University Hospital, Drie Eikenstraat 655, 2650 Edegem, Belgium.

出版信息

J Clin Med. 2023 Jan 28;12(3):1025. doi: 10.3390/jcm12031025.

DOI:10.3390/jcm12031025
PMID:36769669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9917817/
Abstract

The Belgian Diabetes in Pregnancy follow-up study (BEDIP-FUS) aims to investigate the impact of body mass index (BMI), adiposity and different degrees of glucose intolerance on the metabolic profile and future risk for type 2 diabetes (T2D) in women and offspring five years after delivery in the BEDIP study. The BEDIP study was a prospective cohort study to evaluate different screening strategies for gestational diabetes (GDM) based on the 2013 WHO criteria. The aim of the BEDIP-FUS is to recruit 375 women-offspring pairs, stratified according to three different subgroups based on the antenatal result of the glucose challenge test (GCT) and oral glucose tolerance test (OGTT) during the BEDIP pregnancy. The follow-up visit consists of a 75 g OGTT, anthropometric measurements and questionnaires for the mothers, and a fasting blood sample with anthropometric measurements for the child. Primary outcome for the mother is glucose intolerance defined by the American Diabetes Association criteria and for the offspring the BMI z-score. Recruitment began in January 2021. The BEDIP-FUS study will help to better individualize follow-up in women with different degrees of hyperglycemia in pregnancy and their offspring.

摘要

比利时孕期糖尿病随访研究(BEDIP - FUS)旨在调查体重指数(BMI)、肥胖程度以及不同程度的葡萄糖耐量异常对BEDIP研究中女性及其后代产后五年的代谢状况和2型糖尿病(T2D)未来发病风险的影响。BEDIP研究是一项前瞻性队列研究,旨在根据2013年世界卫生组织标准评估妊娠期糖尿病(GDM)的不同筛查策略。BEDIP - FUS的目标是招募375对母婴,根据BEDIP孕期葡萄糖耐量试验(GCT)和口服葡萄糖耐量试验(OGTT)的产前结果分为三个不同亚组。随访包括一次75克OGTT、对母亲进行人体测量和问卷调查,以及对孩子进行空腹血样采集和人体测量。母亲的主要结局指标是根据美国糖尿病协会标准定义的葡萄糖耐量异常,孩子的主要结局指标是BMI z评分。招募工作于2021年1月开始。BEDIP - FUS研究将有助于更好地针对孕期不同程度高血糖的女性及其后代进行个体化随访。

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本文引用的文献

1
Plasma glycated CD59 predicts postpartum glucose intolerance after gestational diabetes.血浆糖化 CD59 预测妊娠期糖尿病产后葡萄糖不耐受。
Eur J Endocrinol. 2021 Oct 11;185(5):755-763. doi: 10.1530/EJE-21-0635.
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Gestational Diabetes Mellitus and the Long-Term Risk for Glucose Intolerance and Overweight in the Offspring: A Narrative Review.妊娠期糖尿病与子代糖耐量异常及超重的长期风险:一项叙述性综述
J Clin Med. 2020 Feb 22;9(2):599. doi: 10.3390/jcm9020599.
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The Risk for Glucose Intolerance after Gestational Diabetes Mellitus since the Introduction of the IADPSG Criteria: A Systematic Review and Meta-Analysis.
自国际糖尿病与妊娠研究组(IADPSG)标准引入以来,妊娠期糖尿病后糖耐量异常的风险:一项系统评价和荟萃分析
J Clin Med. 2019 Sep 10;8(9):1431. doi: 10.3390/jcm8091431.
4
Hyperglycemia and Adverse Pregnancy Outcome Follow-up Study (HAPO FUS): Maternal Glycemia and Childhood Glucose Metabolism.高血糖与不良妊娠结局随访研究(HAPO FUS):母体血糖与儿童葡萄糖代谢。
Diabetes Care. 2019 Mar;42(3):381-392. doi: 10.2337/dc18-2021. Epub 2019 Jan 7.
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A Modified Two-Step Screening Strategy for Gestational Diabetes Mellitus Based on the 2013 WHO Criteria by Combining the Glucose Challenge Test and Clinical Risk Factors.基于2013年世界卫生组织标准,结合葡萄糖耐量试验和临床风险因素的妊娠期糖尿病改良两步筛查策略。
J Clin Med. 2018 Oct 13;7(10):351. doi: 10.3390/jcm7100351.
6
Association of Gestational Diabetes With Maternal Disorders of Glucose Metabolism and Childhood Adiposity.妊娠糖尿病与母体糖代谢紊乱和儿童肥胖的关系。
JAMA. 2018 Sep 11;320(10):1005-1016. doi: 10.1001/jama.2018.11628.
7
The Sensitivity and Specificity of the Glucose Challenge Test in a Universal Two-Step Screening Strategy for Gestational Diabetes Mellitus Using the 2013 World Health Organization Criteria.采用2013年世界卫生组织标准的两步通用筛查策略中葡萄糖耐量试验对妊娠期糖尿病的敏感性和特异性
Diabetes Care. 2018 Jul;41(7):e111-e112. doi: 10.2337/dc18-0556. Epub 2018 May 10.
8
Adiposity, Dysmetabolic Traits, and Earlier Onset of Female Puberty in Adolescent Offspring of Women With Gestational Diabetes Mellitus: A Clinical Study Within the Danish National Birth Cohort.妊娠期糖尿病女性青少年后代的肥胖、代谢紊乱特征与女性青春期提前:丹麦国家出生队列中的一项临床研究
Diabetes Care. 2017 Dec;40(12):1746-1755. doi: 10.2337/dc17-0514. Epub 2017 Oct 16.
9
INTER-ACT: prevention of pregnancy complications through an e-health driven interpregnancy lifestyle intervention - study protocol of a multicentre randomised controlled trial.INTER-ACT:通过电子健康驱动的孕期间隔生活方式干预预防妊娠并发症——一项多中心随机对照试验的研究方案
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Plasma Glycated CD59, a Novel Biomarker for Detection of Pregnancy-Induced Glucose Intolerance.血浆糖化CD59,一种检测妊娠诱导性糖耐量异常的新型生物标志物。
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