Appropriate neck/waist circumference cut-off points for gestational diabetes prediction in Iranian pregnant women: The baseline analysis of the Qazvin maternal and neonatal metabolic study (QMNMS), Iran. Issue 8 (August 2022)

• Record Type: Journal Article
• Authors: Ghorbani, Azam; Hashemipour, Sima; Mohammadi, Zahrasadat; Zohal, Mohammadali; Lalooha, Fatemeh
• Is Part Of: Diabetes & metabolic syndrome. Volume 16:Issue 8(2022)
• Publication Date: 2022-08
• Subjects: Gestational diabetes mellitus -- Cut-off points -- Neck circumferences; Diabetes -- Periodicals; Metabolism -- Disorders -- Periodicals; Diabetes Mellitus -- Periodicals; Metabolic Diseases -- Periodicals; Diabète -- Périodiques; Métabolisme, Troubles du -- Périodiques; Endocrinologie -- Périodiques; Diabète -- Physiopathologie -- Périodiques; Diabetes; Metabolism -- Disorders; Electronic journals; Periodicals; 616.462
• DOI: 10.1016/j.dsx.2022.102579
• Languages: English
• ISSNs: 1871-4021

Abstract

Abstract: Background: Gestational diabetes is the most common complication during pregnancy and it is essential to identify the high-risk groups for gestational diabetes mellitus (GDM) in the first trimester. A large neck circumference (NC) in the first trimester is a measure of obesity. Objective: The present study investigated whether pregnant women's first-trimester NC and waist circumference (WC) measurements present a predictive index for GDM diagnosis. Materials and methods: This longitudinal cohort study was conducted on 676 pregnant women aged ≥20 years. Pregnant women at 12–14th (baseline) gestational weeks underwent measurement of neck and other anthropometric indices. GDM was diagnosed with 75-g oral glucose tolerance test at 24–28th gestational week. Results: GDM was developed in 110 (16.3%) pregnant women. The logistic regression analysis showed that baseline NC > 33.5 cm (OR: 2.037, 95% CI: 1.313–3.161; P = 0.002) and WC > 90.5 (OR: 2.299, 95% CI: 1.510–3.501; p < 0.001) were independent predictors of GDM. The area under the receiver operating characteristic (ROC) curve analysis of baseline NC and WC for GDM prediction respectively yielded 0.614 (95% CI: 0.558–0.670, p < 0.001) and 0.641 (CI: 0.583–0.698, p < 0.001). The optimal cut-off level of maternal baseline NC was >33.5 cm, with 68.5% sensitivity and 48.3% specificity, and for baseline WC it was >90.5.50 cm, with 57% sensitivity and 63.4% specificity. Conclusion: Pregnant women with an NC > 33.5 cm and a WC > 90.5 cm at baseline (12–14th gestational weeks) had a higher chance of developing GDM. first-trimester NC and waist circumference (WC) measurements present a predictive index for GDM diagnosis. Highlights: Waist circumferences >90.5 cm had the best predictive value for GDM. Women with neck circumferences >33.5 cm at gestational 12–14 weeks had a higher chance of developing GDM.