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评估妊娠期糖尿病与儿童健康知识。

Assessing Knowledge on Gestational Diabetes Mellitus and Child Health.

机构信息

Oceania University of Medicine; Apia, Samoa.

出版信息

Hawaii J Health Soc Welf. 2023 Oct;82(10):227-231.

PMID:37808264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10551695/
Abstract

Gestational diabetes mellitus (GDM) is a diagnosis of glucose intolerance during pregnancy. The risk of type II diabetes mellitus (T2DM) and obesity for the child and mother increases when GDM develops. Preventing the development of GDM could help lower the prevalence of obesity and type II diabetes mellitus morbidity rates in children of affected mothers. The purpose of the study was to identify the awareness level of females ages 12 and 51 years, on the long-term risk of obesity and T2DM on their children in Australia and Samoa. This is a quantitative study involving 202 females, from across Australia and Samoa, between April 2021 and November 2021, comparing the level of knowledge between a developing and developed country. In Australia and Samoa, 15% (n=16) and 34% (n=33) of females respectively, were aware of the long-term complications of GDM on their children. These findings indicate that there is inadequate knowledge regarding the long-term consequences associated with GDM on both the risk for T2DM in women and the risk for long-term complications for their children. The greatest source of information in both countries was obtained from physicians or midwives, 52% (n=105). This supports the need for increased education on GDM, through social media, the internet, and community health professionals. By increasing awareness of GDM and implementing preventive strategies, it may be possible to reduce the prevalence of obesity and T2DM in Australia and Samoa.

摘要

妊娠期糖尿病(GDM)是一种妊娠期葡萄糖不耐受的诊断。当 GDM 发展时,儿童和母亲患 2 型糖尿病(T2DM)和肥胖的风险增加。预防 GDM 的发生可能有助于降低受影响母亲的孩子肥胖和 2 型糖尿病发病率。本研究的目的是确定澳大利亚和萨摩亚 12 岁和 51 岁女性对其子女肥胖和 T2DM 长期风险的认知水平。这是一项涉及 202 名女性的定量研究,来自澳大利亚和萨摩亚,于 2021 年 4 月至 2021 年 11 月期间进行,比较了发展中国家和发达国家之间的知识水平。在澳大利亚和萨摩亚,分别有 15%(n=16)和 34%(n=33)的女性意识到 GDM 对其子女的长期并发症。这些发现表明,对于 GDM 与女性 T2DM 风险和子女长期并发症相关的长期后果,知识不足。两国最大的信息来源是医生或助产士,占 52%(n=105)。这支持了通过社交媒体、互联网和社区卫生专业人员增加 GDM 教育的必要性。通过提高对 GDM 的认识并实施预防策略,可能有助于降低澳大利亚和萨摩亚的肥胖和 T2DM 患病率。

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Characterizing the type 2 diabetes mellitus epidemic in Jordan up to 2050.预测 2050 年之前约旦 2 型糖尿病的流行情况。
Sci Rep. 2020 Dec 3;10(1):21001. doi: 10.1038/s41598-020-77970-7.
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Pathophysiology of Type 2 Diabetes Mellitus.2 型糖尿病的病理生理学。
Int J Mol Sci. 2020 Aug 30;21(17):6275. doi: 10.3390/ijms21176275.
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Epidemiology of Type 2 Diabetes - Global Burden of Disease and Forecasted Trends.2 型糖尿病的流行病学——全球疾病负担和预测趋势。
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The Pathophysiology of Gestational Diabetes Mellitus.妊娠期糖尿病的病理生理学。
Int J Mol Sci. 2018 Oct 26;19(11):3342. doi: 10.3390/ijms19113342.
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The Role of Placental Hormones in Mediating Maternal Adaptations to Support Pregnancy and Lactation.胎盘激素在介导母体适应性变化以支持妊娠和哺乳中的作用。
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Diabetes incidence and projections from prevalence surveys in Samoa over 1978-2013.1978 - 2013年萨摩亚糖尿病发病率及基于患病率调查的预测。
Int J Public Health. 2017 Jul;62(6):687-694. doi: 10.1007/s00038-017-0961-x. Epub 2017 Mar 9.
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In Utero Exposure to Maternal Hyperglycemia Increases Childhood Cardiometabolic Risk in Offspring.子宫内暴露于母体高血糖会增加子代儿童期心脏代谢风险。
Diabetes Care. 2017 May;40(5):679-686. doi: 10.2337/dc16-2397. Epub 2017 Mar 9.
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Higher Prevalence of Type 2 Diabetes in Men Than in Women Is Associated With Differences in Visceral Fat Mass.男性2型糖尿病患病率高于女性与内脏脂肪量差异有关。
J Clin Endocrinol Metab. 2016 Oct;101(10):3740-3746. doi: 10.1210/jc.2016-1915. Epub 2016 Aug 4.
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Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants.正常出生体重婴儿出生后十年内,母亲血糖和孕期体重增加对儿童肥胖的影响。
Matern Child Health J. 2016 Aug;20(8):1559-68. doi: 10.1007/s10995-016-1955-7.
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Diabetes Mellitus: Screening and Diagnosis.糖尿病:筛查与诊断
Am Fam Physician. 2016 Jan 15;93(2):103-9.