Modifiable Risk Factors for Developing Diabetes Among Women With Previous Gestational Diabetes
2007

Risk Factors for Diabetes in Women with Previous Gestational Diabetes

Sample size: 155911 publication Evidence: moderate

Author Information

Author(s): Yun Shumei MD, PhD, Kabeer Nisreen H MPH, Zhu Bao-Ping MD, MS, Brownson Ross C PhD

Primary Institution: Missouri Department of Health and Senior Services

Hypothesis

What are the modifiable risk factors for developing diabetes among women with previous gestational diabetes?

Conclusion

Women with previous gestational diabetes are more likely to have modifiable risk factors for developing diabetes than women without diabetes.

Supporting Evidence

  • 7.6% of nonpregnant women aged 18 years and older had self-reported diabetes in the United States.
  • Women with previous GDM only had higher prevalence of no leisure-time physical activity (32.0% vs 25.7%).
  • 62.2% of women with previous GDM only were overweight compared to 49.0% of women without diabetes.
  • 29.4% of women with previous GDM only were obese compared to 20.0% of women without diabetes.

Takeaway

Women who had diabetes during pregnancy are more likely to be overweight and not exercise, which can lead to diabetes later on.

Methodology

Cross-sectional analysis using data from the 2003 Behavioral Risk Factor Surveillance System.

Potential Biases

Potential under-diagnosis of gestational diabetes and recall error.

Limitations

Self-reported data may lead to inaccuracies in diabetes and weight status.

Participant Demographics

Nonpregnant women aged 18 years and older, with a focus on those with previous gestational diabetes.

Statistical Information

Confidence Interval

1.2–1.7 for no leisure-time physical activity; 1.6–2.2 for overweight; 1.4–2.1 for obesity.

Statistical Significance

p<0.05

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