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ABO 血型与墨西哥女性妊娠期糖尿病无关。

ABO blood groups are not associated to gestational diabetes mellitus in Mexican women.

机构信息

Unidad de Investigación Epidemiológica y en Servicios de Salud/CIBIN, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México.

Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.

出版信息

PLoS One. 2023 Oct 16;18(10):e0292493. doi: 10.1371/journal.pone.0292493. eCollection 2023.

Abstract

OBJECTIVES

Some studies show an increased risk of gestational diabetes mellitus for ABO blood groups. Others find a lower risk or do not identify any association. Inconsistencies may be due to the heterogeneity in the control for confounding variables. We determined the association between ABO blood groups and gestational diabetes mellitus in Mexican women, controlling for gravidity and age, pre-pregnancy body mass index, fasting glucose at the first trimester, and first-degree relative with diabetes.

METHODS

This case-control study was conducted from February 2019 to December 2021 in Monterrey, Mexico, with 185 cases (women with gestational diabetes mellitus) and 530 controls. ABO blood groups and other variables were obtained from the clinical records. A multivariate binary logistic regression was used for estimating association. Two models were run, one for primigravidae and another for non-primigravidae. A p-value < 0.05 was significant.

RESULTS

The ABO blood groups were O (69.4%), A (22.2%), B (6.7%), and AB (1.7%), with no differences between cases and controls (p = 0.884). No association was found between ABO blood groups and gestational diabetes mellitus, in primigravidae or non-primigravidae.

CONCLUSION

ABO blood groups were not associated with an increased risk of gestational diabetes mellitus in Mexican women, independent of gravidity and well-known risk factors.

摘要

目的

一些研究表明,ABO 血型与妊娠糖尿病风险增加有关。其他研究则发现风险较低或未发现任何关联。这种不一致可能是由于混杂变量的控制存在异质性。我们在控制了孕次和年龄、孕前体质量指数、孕早期空腹血糖以及一级亲属糖尿病史等混杂因素的情况下,确定了 ABO 血型与墨西哥女性妊娠糖尿病之间的关联。

方法

这是一项 2019 年 2 月至 2021 年 12 月在墨西哥蒙特雷进行的病例对照研究,共纳入 185 例病例(妊娠糖尿病患者)和 530 例对照。ABO 血型和其他变量均来自临床记录。采用多变量二项逻辑回归估计关联。分别对初产妇和非初产妇进行了两种模型的分析。p 值<0.05 为差异有统计学意义。

结果

ABO 血型分别为 O 型(69.4%)、A型(22.2%)、B 型(6.7%)和 AB 型(1.7%),病例组和对照组之间无差异(p=0.884)。在初产妇和非初产妇中,ABO 血型与妊娠糖尿病之间均无关联。

结论

在墨西哥女性中,ABO 血型与妊娠糖尿病的风险增加无关,与孕次和已知的危险因素无关。

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