妊娠期糖尿病(GDM)是妊娠期常见的妊娠并发症。我们旨在评估基于传统和遗传因素的GDM风险预测模型。
■共纳入2744名合格孕妇。进行面对面问卷调查以收集一般数据。血清检测结果从实验室信息系统收集。使用单变量和多变量逻辑回归分析确定GDM的独立危险因素。构建了GDM风险预测模型,采用Hosmer-Lemeshow拟合优度检验,拟合优度校准图,接收机工作特性曲线和曲线下面积。
■在传统因素中,年龄≥30岁,家族史,GDM历史记录,糖耐量受损史,收缩压≥116.22mmHg,舒张压≥74.52mmHg,空腹血糖≥5.0mmol/L,餐后1小时血糖≥8.8mmol/L,餐后2小时血糖≥7.9mmol/L,总胆固醇≥4.50mmol/L,低密度脂蛋白≥2.09mmol/L、胰岛素≥11.5mIU/L是GDM的独立危险因素。在遗传因素中,11个单核苷酸多态性(SNPs)(rs2779116,rs5215,rs11605924,rs7072268,rs7172432,rs10811661,rs2191349,rs10830963,rs174550,rs13266634和rs11071657)被确定为产后妇女患糖尿病病史的潜在预测因子合计占遗传风险的3.6%。
遗传和传统因素都会导致女性GDM的风险,通过多种机制运作。加强有GDM病史妇女产后DMSNPs的风险预测对保护母婴健康至关重要。
我们旨在评估基于传统和遗传因素的妊娠期糖尿病(GDM)风险预测模型。总共包括2744名合格孕妇。进行面对面问卷调查以收集一般数据。在传统因素中,年龄≥30岁,家族史,GDM历史记录,糖耐量受损史,收缩压≥116.22mmHg,舒张压≥74.52mmHg,空腹血糖≥5.0mmol/L,餐后1小时血糖≥8.8mmol/L,餐后2小时血糖≥7.9mmol/L,总胆固醇≥4.50mmol/L,低密度脂蛋白≥2.09mmol/L、胰岛素≥11.5mIU/L是GDM的独立危险因素。在遗传因素中,在有GDM病史的妇女中,有11个单核苷酸多态性被鉴定为产后DM风险的潜在预测因子。合计占遗传风险的3.6%。遗传和传统因素都会增加女性GDM的风险。
UNASSIGNED: Gestational diabetes mellitus (GDM) is a prevalent pregnancy complication during pregnancy. We aimed to evaluate a risk prediction model of GDM based on traditional and genetic factors.
UNASSIGNED: A total of 2744 eligible pregnant women were included. Face-to-face questionnaire surveys were conducted to gather general data. Serum test results were collected from the laboratory information system. Independent risk factors for GDM were identified using univariate and multivariate logistic regression analyses. A GDM risk prediction model was constructed and evaluated with the Hosmer-Lemeshow goodness-of-fit test, goodness-of-fit calibration plot, receiver operating characteristic curve and area under the curve.
UNASSIGNED: Among traditional factors, age ≥30 years, family history, GDM history, impaired glucose tolerance history, systolic blood pressure ≥116.22 mmHg, diastolic blood pressure ≥74.52 mmHg, fasting plasma glucose ≥5.0 mmol/L, 1-hour postprandial blood glucose ≥8.8 mmol/L, 2-h postprandial blood glucose ≥7.9 mmol/L, total cholesterol ≥4.50 mmol/L, low-density lipoprotein ≥2.09 mmol/L and insulin ≥11.5 mIU/L were independent risk factors for GDM. Among genetic factors, 11 single nucleotide polymorphisms (SNPs) (rs2779116, rs5215, rs11605924, rs7072268, rs7172432, rs10811661, rs2191349, rs10830963, rs174550, rs13266634 and rs11071657) were identified as potential predictors of the risk of postpartum DM among women with GDM history, collectively accounting for 3.6% of the genetic risk.
UNASSIGNED: Both genetic and traditional factors contribute to the risk of GDM in women, operating through diverse mechanisms. Strengthening the risk prediction of SNPs for postpartum DM among women with GDM history is crucial for maternal and child health protection.
We aimed to evaluate a risk prediction model of gestational diabetes mellitus (GDM) based on traditional and genetic factors. A total of 2744 eligible pregnant women were included. Face-to-face questionnaire surveys were conducted to collect general data. Among traditional factors, age ≥30 years old, family history, GDM history, impaired glucose tolerance history, systolic blood pressure ≥116.22 mmHg, diastolic blood pressure ≥74.52 mmHg, fasting plasma glucose ≥5.0 mmol/L, 1-hour postprandial blood glucose ≥8.8 mmol/L, 2-h postprandial blood glucose ≥7.9 mmol/L, total cholesterol ≥4.50 mmol/L, low-density lipoprotein ≥2.09 mmol/L and insulin ≥11.5 mIU/L were independent risk factors for GDM. Among genetic factors, 11 single nucleotide polymorphisms were identified as potential predictors of the risk of postpartum DM among women with GDM history, collectively accounting for 3.6% of the genetic risk. Both genetic and traditional factors increase the risk of GDM in women.