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Prevalence of hyperglycemia in pregnancy and influence of body fat on development of hyperglycemia in pregnancy among pregnant women in urban areas of Arusha region, Tanzania.
BMC Pregnancy Childbirth 2019; 19(1):315BP

Abstract

BACKGROUND

Hyperglycemia in pregnancy is a medical condition resulting from either pre-existing diabetes or insulin resistance developed during pregnancy. This study aimed to determine the prevalence of hyperglycemia in pregnancy and influence of body fat percentage and other determinants on developing hyperglycemia in pregnancy among women in Arusha District, Tanzania.

METHODS

A cross-sectional study was conducted between March and December 2018 at selected health facilities in Arusha District involving 468 pregnant women who were not known to have diabetes before pregnancy. Blood glucose was tested by Gluco-Plus™ using the World Health Organization criteria at fasting and 2 h after consuming 75 g of glucose dissolved in 300 ml of water. Body fat was measured using a bioelectric impedance analyzer, mid-upper arm circumference using a regulated tape, weight using SECA™, blood pressure using a GT-868UF Geratherm™ machine, and height using a stadiometer. Demographic and maternal characteristics were collected through face to face interviews using a structured questionnaire.

RESULTS

The participants' mean age was 28 years (SD ± 6), mid-upper arm circumference 27 cm (SD ± 3.7), body fat 33.72% (SD ± 7.2) and pre-pregnancy body mass index 25.6 kg/m2 (SD ± 5.5). One-third of participants had mid-upper arm circumferences ≥28 cm with 25% being overweight and 22.7% obese before pregnancy. Prevalence of hyperglycemia in pregnancy was 16.2% (n = 76) of which 13% had gestational diabetes and 3.2% diabetes in pregnancy. Hyperglycemia in pregnancy was significantly associated with body fat percentage (AOR 1.33; 95% CI: 1.22-1.44), family history of Type 2 diabetes mellitus (AOR 6.95, 95% CI: 3.11-15.55), previous delivery of babies ≥4 kg (AOR 2.3, 95% CI: 1.00-5.28), mid-upper arm circumference ≥ 28 cm (AOR 1.2, 95% CI: 1.09-1.32), and Type 2 diabetes mellitus symptoms (AOR 2.83, 95% CI: 1.53-6.92).

CONCLUSION

The prevalence of hyperglycemia in pregnancy was high, particularly among women with history of delivering ≥4-kg babies, increased body fat, mid-upper arm circumference, symptoms and/or family history of Type 2 diabetes mellitus. These findings identify opportunities to further explore the utility of body fat percentage and other determinants for rapid screening and management of hyperglycemia in pregnancy.

Authors+Show Affiliations

Department of Food Biotechnology and Nutritional Sciences in School of Life Sciences, Nelson Mandela African Institution of Science and Technology, P. O. Box 477, Arusha, Tanzania. msollos@nm-aist.ac.tz. Department of Food Technology, Nutrition and Consumer Sciences, Sokoine University of Agriculture, Morogoro, Tanzania. msollos@nm-aist.ac.tz.Department of Food Biotechnology and Nutritional Sciences in School of Life Sciences, Nelson Mandela African Institution of Science and Technology, P. O. Box 477, Arusha, Tanzania.Department of Food Technology, Nutrition and Consumer Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.College of Nursing, University of Saskatchewan, Saskatoon, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31455272

Citation

Msollo, Safiness Simon, et al. "Prevalence of Hyperglycemia in Pregnancy and Influence of Body Fat On Development of Hyperglycemia in Pregnancy Among Pregnant Women in Urban Areas of Arusha Region, Tanzania." BMC Pregnancy and Childbirth, vol. 19, no. 1, 2019, p. 315.
Msollo SS, Martin HD, Mwanri AW, et al. Prevalence of hyperglycemia in pregnancy and influence of body fat on development of hyperglycemia in pregnancy among pregnant women in urban areas of Arusha region, Tanzania. BMC Pregnancy Childbirth. 2019;19(1):315.
Msollo, S. S., Martin, H. D., Mwanri, A. W., & Petrucka, P. (2019). Prevalence of hyperglycemia in pregnancy and influence of body fat on development of hyperglycemia in pregnancy among pregnant women in urban areas of Arusha region, Tanzania. BMC Pregnancy and Childbirth, 19(1), p. 315. doi:10.1186/s12884-019-2463-8.
Msollo SS, et al. Prevalence of Hyperglycemia in Pregnancy and Influence of Body Fat On Development of Hyperglycemia in Pregnancy Among Pregnant Women in Urban Areas of Arusha Region, Tanzania. BMC Pregnancy Childbirth. 2019 Aug 28;19(1):315. PubMed PMID: 31455272.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of hyperglycemia in pregnancy and influence of body fat on development of hyperglycemia in pregnancy among pregnant women in urban areas of Arusha region, Tanzania. AU - Msollo,Safiness Simon, AU - Martin,Haikael David, AU - Mwanri,Akwilina Wendelin, AU - Petrucka,Pammla, Y1 - 2019/08/28/ PY - 2019/04/18/received PY - 2019/08/19/accepted PY - 2019/8/29/entrez PY - 2019/8/29/pubmed PY - 2019/8/29/medline KW - Arusha KW - Body fat KW - Hyperglycemia in pregnancy KW - Risk factors KW - Tanzania SP - 315 EP - 315 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 19 IS - 1 N2 - BACKGROUND: Hyperglycemia in pregnancy is a medical condition resulting from either pre-existing diabetes or insulin resistance developed during pregnancy. This study aimed to determine the prevalence of hyperglycemia in pregnancy and influence of body fat percentage and other determinants on developing hyperglycemia in pregnancy among women in Arusha District, Tanzania. METHODS: A cross-sectional study was conducted between March and December 2018 at selected health facilities in Arusha District involving 468 pregnant women who were not known to have diabetes before pregnancy. Blood glucose was tested by Gluco-Plus™ using the World Health Organization criteria at fasting and 2 h after consuming 75 g of glucose dissolved in 300 ml of water. Body fat was measured using a bioelectric impedance analyzer, mid-upper arm circumference using a regulated tape, weight using SECA™, blood pressure using a GT-868UF Geratherm™ machine, and height using a stadiometer. Demographic and maternal characteristics were collected through face to face interviews using a structured questionnaire. RESULTS: The participants' mean age was 28 years (SD ± 6), mid-upper arm circumference 27 cm (SD ± 3.7), body fat 33.72% (SD ± 7.2) and pre-pregnancy body mass index 25.6 kg/m2 (SD ± 5.5). One-third of participants had mid-upper arm circumferences ≥28 cm with 25% being overweight and 22.7% obese before pregnancy. Prevalence of hyperglycemia in pregnancy was 16.2% (n = 76) of which 13% had gestational diabetes and 3.2% diabetes in pregnancy. Hyperglycemia in pregnancy was significantly associated with body fat percentage (AOR 1.33; 95% CI: 1.22-1.44), family history of Type 2 diabetes mellitus (AOR 6.95, 95% CI: 3.11-15.55), previous delivery of babies ≥4 kg (AOR 2.3, 95% CI: 1.00-5.28), mid-upper arm circumference ≥ 28 cm (AOR 1.2, 95% CI: 1.09-1.32), and Type 2 diabetes mellitus symptoms (AOR 2.83, 95% CI: 1.53-6.92). CONCLUSION: The prevalence of hyperglycemia in pregnancy was high, particularly among women with history of delivering ≥4-kg babies, increased body fat, mid-upper arm circumference, symptoms and/or family history of Type 2 diabetes mellitus. These findings identify opportunities to further explore the utility of body fat percentage and other determinants for rapid screening and management of hyperglycemia in pregnancy. SN - 1471-2393 UR - https://www.unboundmedicine.com/medline/citation/31455272/Prevalence_of_hyperglycemia_in_pregnancy_and_influence_of_body_fat_on_development_of_hyperglycemia_in_pregnancy_among_pregnant_women_in_urban_areas_of_Arusha_region,_Tanzania L2 - https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2463-8 DB - PRIME DP - Unbound Medicine ER -