The relationship between hypertriglyceridemic waist circumference phenotype and gestational diabetes mellitus

Gynecol Endocrinol. 2021 Apr;37(4):328-331. doi: 10.1080/09513590.2021.1875428. Epub 2021 Jan 25.

Abstract

Aims: To investigate the correlation between hypertriglyceridemic waist circumference (HTWC) phenotype and gestational diabetes mellitus (GDM).

Methods: A total of 1083 patients with gestational age ≤8 weeks were divided into four groups: normal triglyceride and waist circumference group (group A, n = 575), simple abdominal obesity group (group B, n = 317), simple high triglyceride group (group C, n = 125), and HTWC group (group D, n = 66). General information and serum biochemical indicators were measured and recorded. Analysis of variance (ANOVA) and logistic regression analysis were used to evaluate the relationship between HTWC with GDM.

Results: The prevalence of GDM in the HTWC group was significantly greater than in the other three groups. After adjustment by multivariate logistic regression analysis, the proportion of GDM in the HTWC group was 1.753 times higher than in group A.

Conclusion: These findings suggest that there is a significant correlation between HTWC phenotype and GDM, indicating that the HTWC phenotype could be applied as a simple marker for identifying GDM risk factors.

Keywords: Triglycerides; gestational diabetes mellitus; waist circumference.

MeSH terms

  • Adult
  • Diabetes, Gestational / epidemiology*
  • Female
  • Humans
  • Hypertriglyceridemia / epidemiology*
  • Obesity, Abdominal / epidemiology*
  • Pregnancy
  • Pregnancy Trimester, First
  • Prevalence
  • Risk Factors
  • Waist Circumference*