Cigarette smoking and gestational diabetes mellitus in Hispanic woman
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Authors
Moore Simas, Tiffany A.Szegda, Kathleen L.
Liao, Xun
Pekow, Penelope
Markenson, Glenn
Chasan-Taber, Lisa
Document Type
Journal ArticlePublication Date
2014-07-01Keywords
AdolescentAdult
Diabetes, Gestational
Ethnic Groups
Female
Hispanic Americans
Humans
Pregnancy
Prenatal Care
Prospective Studies
Risk Factors
Smoking
Young Adult
Community Health and Preventive Medicine
Endocrine System Diseases
Endocrinology, Diabetes, and Metabolism
Maternal and Child Health
Obstetrics and Gynecology
Substance Abuse and Addiction
Women's Health
Metadata
Show full item recordAbstract
AIMS: Hispanic women are at increased risk of gestational diabetes mellitus (GDM) as compared to non-Hispanic white women. While smoking has been associated with increased risk of type 2 diabetes, studies of smoking and GDM are sparse and conflicting. Therefore, we evaluated the relationship between cigarette smoking and GDM in Hispanic women. METHODS: We conducted a pooled analysis of two Hispanic datasets based in Massachusetts: the UMass Medical Health Care dataset and the Proyecto Buena Salud dataset. A total of 3029 Hispanic prenatal care patients with singleton gestations were included. Cigarette smoking prior to and during pregnancy was collected via self-report. Diagnosis of GDM was abstracted from medical records and confirmed by study obstetricians. RESULTS: One-fifth of participants (20.4%) reported smoking prior to pregnancy, and 11.0% reported smoking in pregnancy. A total of 143 women (4.7%) were diagnosed with GDM. We did not observe an association between pre-pregnancy cigarette smoking and odds of GDM (multivariable OR=0.77, 95% CI 0.47, 1.25). In contrast, smoking during pregnancy was associated with a 54% reduction in odds of GDM (OR=0.46, 95% CI 0.22, 0.95). However, this association was no longer statistically significant after adjustment for age, parity, and study site (OR=0.47, 95% CI 0.23, 1.00). CONCLUSIONS: In this population of Hispanic pregnant women, we did not observe statistically significant associations between pre-pregnancy smoking and odds of GDM. A reduction in odds of GDM among those who smoked during pregnancy was no longer apparent after adjustment for important diabetes risk factors.Source
Diabetes Res Clin Pract. 2014 Jul;105(1):126-34. doi: 10.1016/j.diabres.2014.04.026. Epub 2014 May 9.Link to article on publisher's siteDOI
10.1016/j.diabres.2014.04.026Permanent Link to this Item
http://hdl.handle.net/20.500.14038/30422PubMed ID
24857814Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1016/j.diabres.2014.04.026