Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study
Introduction: To explore the role of maternal anthropometric characteristics in early-pregnancy glycemia, we analyzed the associations and interactions of maternal early-pregnancy waist circumference (WC), height and pre-pregnancy body mass index (BMI) with plasma glucose concentrations in an oral g...
Published in: | Acta Obstetricia et Gynecologica Scandinavica |
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Wiley
2023
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early pregnancy gestational diabetes height oral glucose tolerance test waist circumference waist-to-height ratio 3123 Gynaecology and paediatrics |
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early pregnancy gestational diabetes height oral glucose tolerance test waist circumference waist-to-height ratio 3123 Gynaecology and paediatrics Jokelainen, Mervi Stach-Lempinen, Beata Teramo, Kari Nenonen, Arja Kautiainen, Hannu Klemetti, Miira M. Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study |
topic_facet |
early pregnancy gestational diabetes height oral glucose tolerance test waist circumference waist-to-height ratio 3123 Gynaecology and paediatrics |
description |
Introduction: To explore the role of maternal anthropometric characteristics in early-pregnancy glycemia, we analyzed the associations and interactions of maternal early-pregnancy waist circumference (WC), height and pre-pregnancy body mass index (BMI) with plasma glucose concentrations in an oral glucose tolerance test (OGTT) at 12–16 weeks’ gestation. Material and Methods: A population-based cohort of 1361 pregnant women was recruited in South Karelia, Finland, from March 2013 to December 2016. All participants had their WC, weight, height, HbA1c, and blood pressure measured at 8–14 weeks’ gestation and subsequently underwent a 2-h 75-g OGTT, including assessment of fasting insulin concentrations, at 12–16 weeks’ gestation. BMI (kg/m2) was calculated using self-reported pre-pregnancy weight. Maternal WC ≥80 cm was defined as large. Maternal height ≥166 cm was defined as tall. Data on gestational diabetes treatment was extracted from hospital records. Results: In the total cohort, 901 (66%) of women had an early-pregnancy WC ≥80 cm, which was associated with higher early-pregnancy HbA1c, higher concentrations of fasting plasma glucose and serum insulin, higher post-load plasma glucose concentrations, higher HOMA-IR indices, higher blood pressure levels, and higher frequencies of pharmacologically treated gestational diabetes, than early-pregnancy WC <80 cm. Maternal height ≥166 cm was negatively associated with 1- and 2-h post-load plasma glucose concentrations. Waist-to-height ratio (WHtR) >0.5 was positively associated with both fasting and post-load plasma glucose concentrations at 12–16 weeks’ gestation, even when adjusted for age, smoking, nulliparity, and family history of type 2 diabetes. The best cut-offs for WHtR (0.58 for 1-h plasma glucose, and 0.54 for 2-h plasma glucose) were better predictors of post-load glucose concentrations >90th percentile than the best cut-offs for BMI (28.1 kg/m2 for 1-h plasma glucose, and 26.6 kg/m2 for 2-h plasma glucose), with areas-under-the-curve (95% ... |
author2 |
South Carelia Social and Health care District Eksote HUS Gynecology and Obstetrics Department of Obstetrics and Gynecology Clinicum |
format |
Article in Journal/Newspaper |
author |
Jokelainen, Mervi Stach-Lempinen, Beata Teramo, Kari Nenonen, Arja Kautiainen, Hannu Klemetti, Miira M. |
author_facet |
Jokelainen, Mervi Stach-Lempinen, Beata Teramo, Kari Nenonen, Arja Kautiainen, Hannu Klemetti, Miira M. |
author_sort |
Jokelainen, Mervi |
title |
Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study |
title_short |
Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study |
title_full |
Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study |
title_fullStr |
Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study |
title_full_unstemmed |
Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study |
title_sort |
large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : a population-based study |
publisher |
Wiley |
publishDate |
2023 |
url |
http://hdl.handle.net/10138/356853 |
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karelia* |
genre_facet |
karelia* |
op_relation |
10.1111/aogs.14528 This work was supported by the Research Foundation of South Karelia Central Hospital, Viipuri Tuberculosis Foundation and Finnish State Funding for University‐level Health Research. Additionally, individual researchers have received grants from South Karelia Medical Association (BS‐L, MJ, MMK), Finnish Medical Foundation (MJ and MMK), Maud Kuistila Memorial Foundation (MMK), Diabetes Research Foundation (MMK), Research Foundation for Obstetrics and Gynecology (MMK), Biomedicum Helsinki Research Foundation (MMK), Finnish Cultural Foundation (MMK), Päivikki and Sakari Sohlberg Foundation (MMK), Jalmari and Rauha Ahokas Foundation, and Juho Vainio Foundation (MMK). We thank Dr. Kristiina Rönö from University of Helsinki and Helsinki University Hospital, Department of Obstetrics and Gynecology, for participating in EDDIE study data management. Research nurses Sirpa Valpas, SKCH, and Pirjo Munnukka, Honkaharju Hospital, are acknowledged for recruiting all participants and collecting data. Drs Ulla Pikarinen and Antti Valpas, midwives and other personnel working at the SKCH antenatal outpatient clinic, labor ward, operating theaters and laboratory, have also provided crucial input and assistance in the implementation of this study. Jokelainen , M , Stach-Lempinen , B , Teramo , K , Nenonen , A , Kautiainen , H & Klemetti , M M 2023 , ' Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study ' , Acta Obstetricia et Gynecologica Scandinavica , vol. 102 , no. 4 , pp. 496-505 . https://doi.org/10.1111/aogs.14528 ORCID: /0000-0001-9038-130X/work/132702450 85148460625 2023c64a-5f17-4d62-8518-183e90cddf10 http://hdl.handle.net/10138/356853 000944445100001 |
op_rights |
cc_by_nc_nd openAccess info:eu-repo/semantics/openAccess |
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Acta Obstetricia et Gynecologica Scandinavica |
container_volume |
102 |
container_issue |
4 |
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496 |
op_container_end_page |
505 |
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1787425918841520128 |
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ftunivhelsihelda:oai:helda.helsinki.fi:10138/356853 2024-01-07T09:44:31+01:00 Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study Jokelainen, Mervi Stach-Lempinen, Beata Teramo, Kari Nenonen, Arja Kautiainen, Hannu Klemetti, Miira M. South Carelia Social and Health care District Eksote HUS Gynecology and Obstetrics Department of Obstetrics and Gynecology Clinicum 2023-04-05T12:24:05Z 10 application/pdf http://hdl.handle.net/10138/356853 eng eng Wiley 10.1111/aogs.14528 This work was supported by the Research Foundation of South Karelia Central Hospital, Viipuri Tuberculosis Foundation and Finnish State Funding for University‐level Health Research. Additionally, individual researchers have received grants from South Karelia Medical Association (BS‐L, MJ, MMK), Finnish Medical Foundation (MJ and MMK), Maud Kuistila Memorial Foundation (MMK), Diabetes Research Foundation (MMK), Research Foundation for Obstetrics and Gynecology (MMK), Biomedicum Helsinki Research Foundation (MMK), Finnish Cultural Foundation (MMK), Päivikki and Sakari Sohlberg Foundation (MMK), Jalmari and Rauha Ahokas Foundation, and Juho Vainio Foundation (MMK). We thank Dr. Kristiina Rönö from University of Helsinki and Helsinki University Hospital, Department of Obstetrics and Gynecology, for participating in EDDIE study data management. Research nurses Sirpa Valpas, SKCH, and Pirjo Munnukka, Honkaharju Hospital, are acknowledged for recruiting all participants and collecting data. Drs Ulla Pikarinen and Antti Valpas, midwives and other personnel working at the SKCH antenatal outpatient clinic, labor ward, operating theaters and laboratory, have also provided crucial input and assistance in the implementation of this study. Jokelainen , M , Stach-Lempinen , B , Teramo , K , Nenonen , A , Kautiainen , H & Klemetti , M M 2023 , ' Large maternal waist circumference in relation to height is associated with high glucose concentrations in an early-pregnancy oral glucose tolerance test : A population-based study ' , Acta Obstetricia et Gynecologica Scandinavica , vol. 102 , no. 4 , pp. 496-505 . https://doi.org/10.1111/aogs.14528 ORCID: /0000-0001-9038-130X/work/132702450 85148460625 2023c64a-5f17-4d62-8518-183e90cddf10 http://hdl.handle.net/10138/356853 000944445100001 cc_by_nc_nd openAccess info:eu-repo/semantics/openAccess early pregnancy gestational diabetes height oral glucose tolerance test waist circumference waist-to-height ratio 3123 Gynaecology and paediatrics Article publishedVersion 2023 ftunivhelsihelda 2023-12-14T00:03:55Z Introduction: To explore the role of maternal anthropometric characteristics in early-pregnancy glycemia, we analyzed the associations and interactions of maternal early-pregnancy waist circumference (WC), height and pre-pregnancy body mass index (BMI) with plasma glucose concentrations in an oral glucose tolerance test (OGTT) at 12–16 weeks’ gestation. Material and Methods: A population-based cohort of 1361 pregnant women was recruited in South Karelia, Finland, from March 2013 to December 2016. All participants had their WC, weight, height, HbA1c, and blood pressure measured at 8–14 weeks’ gestation and subsequently underwent a 2-h 75-g OGTT, including assessment of fasting insulin concentrations, at 12–16 weeks’ gestation. BMI (kg/m2) was calculated using self-reported pre-pregnancy weight. Maternal WC ≥80 cm was defined as large. Maternal height ≥166 cm was defined as tall. Data on gestational diabetes treatment was extracted from hospital records. Results: In the total cohort, 901 (66%) of women had an early-pregnancy WC ≥80 cm, which was associated with higher early-pregnancy HbA1c, higher concentrations of fasting plasma glucose and serum insulin, higher post-load plasma glucose concentrations, higher HOMA-IR indices, higher blood pressure levels, and higher frequencies of pharmacologically treated gestational diabetes, than early-pregnancy WC <80 cm. Maternal height ≥166 cm was negatively associated with 1- and 2-h post-load plasma glucose concentrations. Waist-to-height ratio (WHtR) >0.5 was positively associated with both fasting and post-load plasma glucose concentrations at 12–16 weeks’ gestation, even when adjusted for age, smoking, nulliparity, and family history of type 2 diabetes. The best cut-offs for WHtR (0.58 for 1-h plasma glucose, and 0.54 for 2-h plasma glucose) were better predictors of post-load glucose concentrations >90th percentile than the best cut-offs for BMI (28.1 kg/m2 for 1-h plasma glucose, and 26.6 kg/m2 for 2-h plasma glucose), with areas-under-the-curve (95% ... Article in Journal/Newspaper karelia* HELDA – University of Helsinki Open Repository Acta Obstetricia et Gynecologica Scandinavica 102 4 496 505 |