Seasonal and SARS-CoV-2 pandemic changes in the incidence of gestational diabetes

被引:16
作者
Cauldwell, M. [1 ]
van-de-L'Isle, Y. [1 ]
Watt Coote, I [1 ]
Steer, P. J. [2 ]
机构
[1] St Georges Univ, Dept Obstet, Maternal Med Serv, Blackshaw Rd, London SW17 0QT, England
[2] Chelsea & Westminster Hosp, Acad Dept Obstet & Gynaecol, London, England
关键词
Gestational diabetes; screen; ENVIRONMENTAL-TEMPERATURE; PREVALENCE; MELLITUS; DIAGNOSIS; IMPACT; RISK;
D O I
10.1111/1471-0528.16779
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective To test the hypothesis that there is seasonal variation in the rates of gestational diabetes (GDM) diagnosed using a 2-hour oral glucose tolerance test. Design Monthly assessment of the percentage of women screened from 1 April 2016 to the 31 December 2020 who were diagnosed as having gestational diabetes. Setting London teaching hospital. Population 28 128 women receiving antenatal care between 1 April 2016 and 31 December 2020. Methods Retrospective study of prospectively collected data. Main outcome measures Proportion of women screened diagnosed as having gestational diabetes. Results The mean (SD) percentage of women diagnosed with GDM was 14.78 (2.24) in summer (June, July, August) compared with 11.23 (1.62) in winter (P < 0.001), 12.13 (1.94) in spring (P = 0.002) and 11.88 (2.67) in autumn (P = 0.003). There was a highly significant positive correlation of the percentage testing positive for GDM with the mean maximum monthly temperature (R-2 = 0.248, P < 0.001). There was a statistically significant 33.8% increase in the proportion of GDM diagnoses from June 2020 onwards, possibly related to a reduction in exercise secondary to the Covid-19 pandemic. Conclusions There is a 23.3% higher rate of GDM diagnoses in the warmer summer months. There has been a 33.8% rise in GDM diagnoses associated with the Covid-19 pandemic. Tweetable abstract Rates of GDM are higher in summer and since the onset of the Covid-19 pandemic.
引用
收藏
页码:1881 / 1887
页数:7
相关论文
共 25 条
  • [1] Effects of work status changes and perceived stress on glycaemic control in individuals with type 1 diabetes during COVID-19 lockdown in Italy
    Barchetta, Ilaria
    Cimini, Flavia Agata
    Bertoccini, Laura
    Ceccarelli, Valentina
    Spaccarotella, Michele
    Baroni, Marco Giorgio
    Cavallo, Maria Gisella
    [J]. DIABETES RESEARCH AND CLINICAL PRACTICE, 2020, 170
  • [2] Influence of environmental temperature on risk of gestational diabetes
    Booth, Gillian L.
    Luo, Jin
    Park, Alison L.
    Feig, Denice S.
    Moineddin, Rahim
    Ray, Joel G.
    [J]. CANADIAN MEDICAL ASSOCIATION JOURNAL, 2017, 189 (19) : E682 - E689
  • [3] RELATION OF BIRTH-WEIGHT TO MATERNAL PLASMA-GLUCOSE AND INSULIN CONCENTRATIONS DURING NORMAL-PREGNANCY
    BRESCHI, MC
    SEGHIERI, G
    BARTOLOMEI, G
    GIRONI, A
    BALDI, S
    FERRANNINI, E
    [J]. DIABETOLOGIA, 1993, 36 (12) : 1315 - 1321
  • [4] Impact of Seasonality on Gestational Diabetes Mellitus
    Chiefari, Eusebio
    Pastore, Ida
    Puccio, Luigi
    Caroleo, Patrizia
    Oliverio, Rosa
    Vero, Anna
    Foti, Daniela P.
    Vero, Raffaella
    Brunetti, Antonio
    [J]. ENDOCRINE METABOLIC & IMMUNE DISORDERS-DRUG TARGETS, 2017, 17 (03) : 246 - 252
  • [5] Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis
    Davenport, Margie H.
    Ruchat, Stephanie-May
    Poitras, Veronica J.
    Garcia, Alejandra Jaramillo
    Gray, Casey E.
    Barrowman, Nick
    Skow, Rachel J.
    Meah, Victoria L.
    Riske, Laurel
    Sobierajski, Frances
    James, Marina
    Kathol, Amariah J.
    Nuspl, Megan
    Marchand, Andree-Anne
    Nagpal, Taniya S.
    Slater, Linda G.
    Weeks, Ashley
    Adamo, Kristi B.
    Davies, Gregory A.
    Barakat, Ruben
    Mottola, Michelle F.
    [J]. BRITISH JOURNAL OF SPORTS MEDICINE, 2018, 52 (21) : 1367 - 1375
  • [6] Prevalence of gestational diabetes mellitus in Europe: A meta-analysis
    Eades, Claire E.
    Cameron, Dawn M.
    Evans, Josie M. M.
    [J]. DIABETES RESEARCH AND CLINICAL PRACTICE, 2017, 129 : 173 - 181
  • [7] Universal vs. risk factor-based screening for gestational diabetes mellitus: detection rates, gestation at diagnosis and outcome
    Griffin, ME
    Coffey, M
    Johnson, H
    Scanlon, P
    Foley, M
    Stronge, J
    O'Meara, NM
    Firth, RG
    [J]. DIABETIC MEDICINE, 2000, 17 (01) : 26 - 32
  • [8] Short-term cold acclimation improves insulin sensitivity in patients with type 2 diabetes mellitus
    Hanssen, Mark J. W.
    Hoeks, Joris
    Brans, Boudewijn
    van der Lans, Anouk A. J. J.
    Schaart, Gert
    van den Driessche, Jose J.
    Jorgensen, Johanna A.
    Boekschoten, Mark V.
    Hesselink, Matthijs K. C.
    Havekes, Bas
    Kersten, Sander
    Mottaghy, Felix M.
    Lichtenbelt, Wouter D. van Marken
    Schrauwen, Patrick
    [J]. NATURE MEDICINE, 2015, 21 (08) : 863 - 865
  • [9] Janghorbani M, 2006, J REPROD MED, V51, P128
  • [10] Observational study on effect of lock down due to COVID 19 on HBA1c levels in patients with diabetes: Experience from Central India
    Khare, Jaideep
    Jindal, Sushil
    [J]. PRIMARY CARE DIABETES, 2022, 16 (06) : 775 - 779