Reitzle Lukas, Heidemann Christin, Krause Laura, Hoebel Jens, Scheidt-Nave Christa
Robert Koch Institute, Berlin, Department of Epidemiology and Health Monitoring.
J Health Monit. 2024 May 15;9(2):e12086. doi: 10.25646/12086. eCollection 2024 Apr.
Gestational diabetes mellitus (GDM) increases the risk for adverse pregnancy outcomes. In 2012, a general screening for GDM was introduced in Germany.
The analysis is based on data from the external inpatient quality assurance for obstetrics from the years 2013 to 2021. Women with pregestational diabetes were excluded. GDM was defined either by documentation in the maternity record or by ICD diagnosis O24.4 during hospitalisation. We reported the prevalence stratified by year, maternal age and regional socioeconomic deprivation.
The age-standardized prevalence of GDM continuously rose from 4.7 % in 2013 to 8.5 % in 2021. The increase was observed in all age groups. In 2021, this corresponded to 63,563 women with GDM. The prevalence was higher in highly deprived regions than in low deprived regions.
A steady increase in GDM prevalence and evidence of health inequalities emphasise the need for primary prevention strategies for GDM.
妊娠期糖尿病（GDM）会增加不良妊娠结局的风险。2012年，德国引入了GDM的常规筛查。
该分析基于2013年至2021年产科外部住院患者质量保证的数据。排除孕前糖尿病患者。GDM通过产妇记录中的记录或住院期间的ICD诊断O24.4来定义。我们报告了按年份、产妇年龄和地区社会经济剥夺程度分层的患病率。
GDM的年龄标准化患病率从2013年的4.7%持续上升至2021年的8.5%。所有年龄组均有上升。2021年，这相当于63563名患有GDM的女性。高度贫困地区的患病率高于低贫困地区。
GDM患病率的稳步上升以及健康不平等的证据强调了GDM一级预防策略的必要性。
