Fraction of Gestational Diabetes Mellitus Attributable to Overweight and Obesity by Race/Ethnicity, California, 2007–2009

Details

• Alternative Title:
  Am J Public Health
• Personal Author:
  Kim, Shin Y. ; Saraiva, Carina ; Curtis, Michael ; Wilson, Hoyt G. ; Troyan, Jennifer ; England, Lucinda ; Sharma, Andrea J.
• Description:
  Objectives
  
  We calculated the racial/ethnic-specific percentages of gestational diabetes mellitus (GDM) attributable to overweight and obesity.
  
  Methods
  
  We analyzed 1 228 265 records of women aged 20 years or older with a live, singleton birth in California during 2007 to 2009. Using logistic regression, we estimated the magnitude of the association between prepregnancy body mass index and GDM and calculated the percentages of GDM attributable to overweight and obesity overall and by race/ethnicity.
  
  Results
  
  The overall estimated GDM prevalence ranged from 5.4% among White women to 11.9% among Asian/Pacific Islander women. The adjusted percentages of GDM deliveries attributable to overweight and obesity were 17.8% among Asians/Pacific Islander, 41.2% among White, 44.2% among Hispanic, 51.2% among Black, and 57.8% among American Indian women. Select Asian subgroups, such as Vietnamese (13.0%), Asian Indian (14.0%), and Filipino (14.2%), had the highest GDM prevalence, but the lowest percentage attributable to obesity.
  
  Conclusions
  
  Elevated prepregnancy body mass index contributed to GDM in all racial/ethnic groups, which suggests that decreasing overweight and obesity among women of reproductive age could reduce GDM, associated delivery complications, and future risk of diabetes in both the mother and offspring.
  
  
• Subjects:
  Adult Body Mass Index Confidence Intervals Diabetes, Gestational Female Humans Logistic Models Obesity Overweight Pregnancy Prevalence Racial Groups Risk Young Adult

  More +
• Source:
  Am J Public Health. 103(10):e65-e72.
• Pubmed ID:
  23947320
• Pubmed Central ID:
  PMC3780749
• Document Type:
  Journal Article
• Funding:
  DGX5/Intramural CDC HHS/United States
• Place as Subject:
  California
• Volume:
  103
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2fcfca67cc4338c40b2a07898feb6d76f4e3e0018633b36093ae7b88b3e810d2
• Download URL:
  https://stacks.cdc.gov/view/cdc/33005/cdc_33005_DS1.pdf
• File Type:
  [PDF - 271.77 KB ]