Ratio of remnant cholesterol to high-density lipoprotein cholesterol in relation to gestational diabetes mellitus risk in early pregnancy among Korean women
2025

Remnant Cholesterol and Gestational Diabetes Risk

Sample size: 582 publication 10 minutes Evidence: high

Author Information

Author(s): Sheng Jing, Ma Chun-Fang, Wu Xiao-Fei, Li Xiang-Xiang

Primary Institution: Suzhou Ninth People's Hospital Affiliated to Soochow University

Hypothesis

The RC/HDL-C ratio in early pregnancy may be correlated with the diagnosis of gestational diabetes mellitus (GDM).

Conclusion

Higher levels of the RC/HDL-C ratio between 12 and 14 weeks of gestation are associated with an increased risk of GDM, independent of traditional risk factors.

Supporting Evidence

  • The RC/HDL-C ratio was a robust predictor of GDM.
  • The area under the ROC curve for the RC/HDL-C ratio was 0.795.
  • The optimal threshold value for the RC/HDL-C ratio was 0.45.

Takeaway

This study found that a specific cholesterol ratio in pregnant women can help predict the risk of developing diabetes during pregnancy.

Methodology

This was a secondary analysis of data from a Korea-based prospective cohort study involving 582 women examined between November 2014 and July 2016.

Potential Biases

Potential confounding factors such as dietary intake and physical activity levels were not controlled.

Limitations

The study's sample size was small and limited to a specific population, which may affect generalizability.

Participant Demographics

The average age of participants was 32.07 years, with a prevalence of GDM at 6.01%.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI: 3.55–133.73

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0316934

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