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ID 55200
フルテキストURL
著者
Nobumoto, Etsuko Department of Obstetrics and GynecologyOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Masuyama, Hisashi Department of Obstetrics and GynecologyOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID 科研費研究者番号 publons
Hiramatsu, Yuji Department of Obstetrics and GynecologyOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences ORCID 科研費研究者番号
Sugiyama, Takashi Department of Obstetrics and GynecologyTohoku University School of Medicine
Kusaka, Hideto Department of ObstetricsMie Chuo Medical Center
Toyoda, Nagayasu Suzuka University of Medical ScienceSuzuka
抄録
Background  The new diagnostic criteria for gestational diabetes mellitus (GDM), proposed by the International Association of Diabetes and Pregnancy Study Groups in 2010, were recently accepted in Japan. Therefore, the frequency of GDM is four times higher than previously recorded. This means that GDM has become a more clinically important disease. This study aimed to assess how the number of patients with GDM as well as its complications have changed after adoption of the new criteria. Methods  A total of 3,610 pregnant women in the Japan Assessment of GDM Screening Trial and Okayama University Hospital were included. We analyzed the prevalence of GDM and its complications using the old and new criteria. Results  The prevalence of perinatal outcomes was increased by adopting the new criteria. There were many important perinatal complications in the additional new GDM criteria; therefore, patients with mild GDM, such as one-point disorder patients, should have careful interventions. Admission to the neonatal intensive care unit was significantly increased (p = 0.01) according to the new GDM criteria because the old criteria were stricter than the new ones. GDM patients with obesity (BMI ≥ 25 kg/m2) had a high frequency of perinatal complications that could require active intervention and strict follow-up. Conclusions  Because the new GDM criteria greatly affect perinatal complications, intervention for GDM starting at an early stage and strict follow-up (especially GDM with obesity) are important for reducing complications as well as the incidence of diabetes and metabolic syndrome in the mother and child.
キーワード
New GDM criteria
Perinatal complications
Obesity
75-g oral glucose tolerance test
備考
The final publication is available at Springer
学位審査副論文
発行日
2015-09
出版物タイトル
Diabetology International
6巻
3号
出版者
Springer Japan
開始ページ
226
終了ページ
231
ISSN
21901678
NCID
AA12503387
資料タイプ
学術雑誌論文
言語
English
OAI-PMH Set
岡山大学
著作権者
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
論文のバージョン
author
Web of Sience KeyUT
関連URL
http://doi.org/10.1007/s13340-014-0193-8
http://ousar.lib.okayama-u.ac.jp/55005