Gestational Diabetes Rates Continue to Increase

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Trends in BMI, race, and maternal smoking partially explained increased rates of gestational diabetes mellitus (GDM).
Trends in BMI, race, and maternal smoking partially explained increased rates of gestational diabetes mellitus (GDM).

HealthDay News — The prevalence of gestational diabetes mellitus (GDM) has increased considerably over time in the United States, according to a study published online August 11 in BJOG: An International Journal of Obstetrics & Gynaecology.

Jessica A. Lavery, from Columbia University in New York City, and colleagues examined age-period-cohort effects on trends in GDM prevalence in a retrospective cohort study conducted from 1979 to 2010. The study population comprised over 125 million pregnancies associated with hospitalizations, including 3,337,284 GDM cases.

The researchers found that the rate of GDM increased from 0.3% in 1979 to 1980 to 5.8% in 2008 to 2010. There was evidence of substantial age and modest cohort effects. Period trends in body mass index (BMI), race, and maternal smoking partially explained the period effect. Compared with 1979 to 1981, in 2008 to 2010 the increasing prevalence of GDM correlated with a 184% decrease in large for gestational age/macrosomia and a 0.75% increase in stillbirth rate.

"The temporal increase in GDM can be attributed to period of pregnancy and age," the authors write. "Increasing BMI appears to partially contribute to the GDM increase in the United States."

Reference

  1. Lavery JA, Friedman AM, Keyes KM, et al. Gestational diabetes in the United States: temporal changes in prevalence rates between 1979 and 2010. BJOG-Int J Obstet Gy. 2016; doi: 10.1111/1471-0528.14236
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