Percentage of women with gestational diabetes who presented risk factors for its development, in a public hospital in the City of Córdoba, Argentina, in the period 2020-2023

Gestational diabetes (GD) is impaired glucose tolerance of variable severity that begins or is first recognized during pregnancy. Its prevalence is increased by increased risk factors such as maternal obesity, age ≥ 30 years, chronic arterial hypertension (AHT), history of first-degree family diabet...

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Autores principales: Martinez Benavidez, CE, Villarreal, G, Tolosa, MV
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/42703
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id I10-R327-article-42703
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic gestational diabetes
risk factors
obesity
diabetes gestacional
actor de risego
obesidad
spellingShingle gestational diabetes
risk factors
obesity
diabetes gestacional
actor de risego
obesidad
Martinez Benavidez, CE
Villarreal, G
Tolosa, MV
Percentage of women with gestational diabetes who presented risk factors for its development, in a public hospital in the City of Córdoba, Argentina, in the period 2020-2023
topic_facet gestational diabetes
risk factors
obesity
diabetes gestacional
actor de risego
obesidad
author Martinez Benavidez, CE
Villarreal, G
Tolosa, MV
author_facet Martinez Benavidez, CE
Villarreal, G
Tolosa, MV
author_sort Martinez Benavidez, CE
title Percentage of women with gestational diabetes who presented risk factors for its development, in a public hospital in the City of Córdoba, Argentina, in the period 2020-2023
title_short Percentage of women with gestational diabetes who presented risk factors for its development, in a public hospital in the City of Córdoba, Argentina, in the period 2020-2023
title_full Percentage of women with gestational diabetes who presented risk factors for its development, in a public hospital in the City of Córdoba, Argentina, in the period 2020-2023
title_fullStr Percentage of women with gestational diabetes who presented risk factors for its development, in a public hospital in the City of Córdoba, Argentina, in the period 2020-2023
title_full_unstemmed Percentage of women with gestational diabetes who presented risk factors for its development, in a public hospital in the City of Córdoba, Argentina, in the period 2020-2023
title_sort percentage of women with gestational diabetes who presented risk factors for its development, in a public hospital in the city of córdoba, argentina, in the period 2020-2023
description Gestational diabetes (GD) is impaired glucose tolerance of variable severity that begins or is first recognized during pregnancy. Its prevalence is increased by increased risk factors such as maternal obesity, age ≥ 30 years, chronic arterial hypertension (AHT), history of first-degree family diabetes, macrosomia, peri-natal mortality in previous pregnancies, previous GD. Objectives: General: to determine what percentage of women who developed GD presented risk factors and to know the frequency of presentation of each risk factor. Descriptive, retrospective, cross-sectional study. Medical records of postpartum women > 18 years old, between 2020 and 2023, at the Misericordia Hospital were selected. Selected risk factors: maternal obesity, age ≥ 30 years, chronic arterial hypertension (AHT), history of first-degree family diabetes, macrosomia, peri-natal mortality in previous pregnancies, previous GD. Sixty-three women with a diagnosis of GD were included, mean age 31.2 ± 6 years. Ninety percent presented risk factors, the most frequent was obesity (39%), followed by age ≥30 years and family history of diabetes. Patients with previous GD were low (4.7%), being surpassed by hypertension (44%), pre natal mortality (19%) and fetal macrosomia (11.1%). This study demonstrated the high percentage of women with GD who presented risk factors, probably because excess weight increases insulin resistance and obesity is such a prevalent risk factor. The frequency of women >30 years of age was high, this factor would also seem to play an important role in the development of GD. Identifying pregnant women with the presence of risk factors for GD requires the implementation of actions aimed at diagnosing, treating and preventing maternal and fetal morbimortality in the short, medium and long term.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2023
url https://revistas.unc.edu.ar/index.php/med/article/view/42703
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spelling I10-R327-article-427032023-10-19T21:19:48Z Percentage of women with gestational diabetes who presented risk factors for its development, in a public hospital in the City of Córdoba, Argentina, in the period 2020-2023 Porcentaje de mujeres con diabetes gestacional que presentó factores de riesgo para su desarrollo, en un hospital público de la Ciudad de Córdoba, Argentina, en el periodo 2020-2023 Martinez Benavidez, CE Villarreal, G Tolosa, MV gestational diabetes risk factors obesity diabetes gestacional actor de risego obesidad Gestational diabetes (GD) is impaired glucose tolerance of variable severity that begins or is first recognized during pregnancy. Its prevalence is increased by increased risk factors such as maternal obesity, age ≥ 30 years, chronic arterial hypertension (AHT), history of first-degree family diabetes, macrosomia, peri-natal mortality in previous pregnancies, previous GD. Objectives: General: to determine what percentage of women who developed GD presented risk factors and to know the frequency of presentation of each risk factor. Descriptive, retrospective, cross-sectional study. Medical records of postpartum women > 18 years old, between 2020 and 2023, at the Misericordia Hospital were selected. Selected risk factors: maternal obesity, age ≥ 30 years, chronic arterial hypertension (AHT), history of first-degree family diabetes, macrosomia, peri-natal mortality in previous pregnancies, previous GD. Sixty-three women with a diagnosis of GD were included, mean age 31.2 ± 6 years. Ninety percent presented risk factors, the most frequent was obesity (39%), followed by age ≥30 years and family history of diabetes. Patients with previous GD were low (4.7%), being surpassed by hypertension (44%), pre natal mortality (19%) and fetal macrosomia (11.1%). This study demonstrated the high percentage of women with GD who presented risk factors, probably because excess weight increases insulin resistance and obesity is such a prevalent risk factor. The frequency of women >30 years of age was high, this factor would also seem to play an important role in the development of GD. Identifying pregnant women with the presence of risk factors for GD requires the implementation of actions aimed at diagnosing, treating and preventing maternal and fetal morbimortality in the short, medium and long term. La diabetes gestacional (DG) es la disminución de la tolerancia a la glucosa de severidad variable que comienza o es reconocida por primera vez durante el embarazo. Su prevalencia se ve incrementada por el aumento de factores de riesgo como la obesidad materna, la edad ≥ de 30 años, hipertensión arterial crónica (HTA), antecedente de diabetes familiar de primer grado, macrosomía, mortalidad peri natal en embarazos previos, DG previa. Objetivos: Determinar qué porcentaje de mujeres que desarrolló DG presentó factores de riesgo. Conocer la frecuencia de presentación de cada factor de riesgo.                                                                                Estudio descriptivo, retrospectivo, transversal. Se seleccionaron historias clínicas de puérperas > 18 años, entre 2020 a 2023, en el Hospital Misericordia. Factores de riesgo seleccionados: obesidad materna, edad ≥ de 30 años,hipertensión arterial crónica (HTA), antecedente de diabetes familiar de primer grado, macrosomía, mortalidad peri natal en embarazos previos, DG previa.      Se incluyeron 63 mujeres con diagnóstico de DG, edad promedio 31,2 ± 6 años. El 90% presentó factores de riesgo, el más frecuente fue la obesidad (39%), seguido por la edad  ≥30 años y los antecedentes familiares de diabetes. Las pacientes con DG previa fue bajo (4,7%), siendo superada por la hipertensión (44%), la mortalidad pre natal (19%) y la macrosomía fetal (11,1%).  Este trabajo demostró el elevado porcentaje de mujeres con DG que presentó factores de riesgo, probablemente debido a que el exceso de peso aumenta la insulinoresistencia la obesidad es un factor de riesgo tan prevalente. Fue elevada la frecuencia de mujeres >30 años, este factor parecería también jugar un papel importante para el desarrollo de DG. Identificar gestantes con presencia de factores de riesgo de DG, impone la implementación de acciones tendientes a diagnosticar, tratar y prevenir morbimortalidad materna y fetal a corto, mediano y largo plazo. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42703 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 (2023): Suplemento JIC XXIV Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 (2023): Suplemento JIC XXIV Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 (2023): Suplemento JIC XXIV 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/42703/42885 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0