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Waist circumference and waist-to-hip ratio are related to gestational glucose tolerance
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Journal Article
Waist circumference and waist-to-hip ratio are related to gestational glucose tolerance
1997
Overview
Waist circumference and waist-to-hip ratio are related to gestational glucose tolerance.
L Branchtein ,
M I Schmidt ,
S S Mengue ,
A J Reichelt ,
M C Matos and
B B Duncan
Department of Internal Medicine, School of Medicine, Pontificial Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
Abstract
OBJECTIVE: To evaluate the relationship of central fat distribution with gestational glucose tolerance during the usual time
for screening gestational diabetes. RESEARCH DESIGN AND METHODS: This cross-sectional study investigated 1,113 consecutive
women, > or = 20 years old, pregnant for approximately 21 to 28 weeks, without history of previous diabetes outside pregnancy,
who attended two general prenatal care units in Porto Alegre, Brazil, from 1991 to 1993. Weight, height, waist and hip circumferences,
and skinfolds were measured, and a 2-h, 75-g glucose tolerance test was performed. Data were analyzed using multiple linear
regression models. RESULTS: Waist-to-hip ratio (WHR) and waist circumference were independently associated with higher 2-h
glycemia. Glycemic level was 0.11 and 0.13 mmol/l greater for each standard deviation increase in WHR (0.06) and waist circumference
(8.0 cm), respectively (P < 0.02). Restricting analyses to the subset of women with uterine height < or = 26 cm improved the
association (0.13 and 0.19 mmol/l, respectively, P < 0.02); differences of 0.22 and 0.19 mmol/l were observed for 1 SD changes
in the sum of skinfold thicknesses (24.7 mm) and in age (5.5 years), respectively. CONCLUSIONS: Central fat distribution measured
in pregnancy is an independent predictor of gestational glucose intolerance. This finding supports the concept that NIDDM
and gestational diabetes are parts of the same disease, differing basically in their moment of detection. The usefulness of
these anthropometric measurements in identifying pregnant women at high risk of having gestational glucose intolerance merits
further investigation.
Publisher
American Diabetes Association
Subject
Adipose Tissue - anatomy & histology
/ Adult
/ Biological and medical sciences
/ Brazil
/ Diabetes, Gestational - epidemiology
/ Diabetes, Gestational - physiopathology
/ Diseases of mother, fetus and pregnancy
/ Female
/ Glucose
/ Glucose Intolerance - epidemiology
/ Glucose Intolerance - physiopathology
/ Gynecology. Andrology. Obstetrics
/ Humans
