Percentage of gestational diabetes mellitus attributable to overweight and obesity

S.Y. Kim, L. England, H.G. Wilson, C. Bish, G.A. Satten and P. Dietz

American Journal of Public Health, 2010, vol. 100, issue 6, 1047-1052

Abstract: Objectives. We calculated the percentage of gestational diabetes mellitus (GDM) attributable to overweight and obesity. Methods. We analyzed 2004 through 2006 data from 7 states using the Pregnancy Risk Assessment Monitoring System linked to revised 2003 birth certificate information. We used logistic regression to estimate the magnitude of the association between prepregnancy body mass index (BMI) and GDM and calculated the percentage of GDM attributable to overweight and obesity. Results. GDM prevalence rates by BMI category were as follows: underweight (13-18.4 kg/m2), 0.7%; normal weight (18.5-24.9 kg/m2), 2.3%; overweight (25-29.9 kg/m2), 4.8%; obese (30-34.9 kg/m2), 5.5%; and extremely obese (35-64.9 kg/m 2), 11.5%. Percentages of GDM attributable to overweight, obesity, and extreme obesity were 15.4% (95% confidence interval [Cl] =8.6, 22.2), 9.7% (95% Cl=5.2, 14.3), and 21.1% (Cl=15.2, 26.9), respectively. The overall population-attributable fraction was 46.2% (95% Cl =36.1, 56.3). Conclusions. If all overweight and obese women (BMI of 25 kg/m2 or above) had a GDM risk equal to that of normal-weight women, nearly half of GDM cases could be prevented. Public health efforts to reduce prepregnancy BMI by promoting physical activity and healthy eatinq among women of reproductive aqe should be intensified.

Date: 2010
References: Add references at CitEc
Citations: View citations in EconPapers (4)

Downloads: (external link)
http://hdl.handle.net/10.2105/AJPH.2009.172890

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2009.172890_1

DOI: 10.2105/AJPH.2009.172890

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().