Diabetologia

, Volume 41, Issue 7, pp 778–783 | Cite as

Short stature in Korean women: a contribution to the multifactorial predisposition to gestational diabetes mellitus

  • H. C. Jang
  • H. K. Min
  • H. K. Lee
  • N. H. Cho
  • B. E. Metzger

Summary

We examined the associations between demographic characteristics including short stature and the prevalence of gestational diabetes mellitus (GDM) in Korean women. In this study, a total of 9005 pregnant women underwent universal screening for GDM. Oral glucose tolerance tests (100 g OGTT) were performed in positive screenees (1 h plasma glucose ≥ 7.2 mmol/l) and GDM was diagnosed using National Diabetes Data Group criteria. Women with GDM were older and heavier than those with a positive screen and normal OGTT, as well as those with a negative screen. However, height of women with GDM was significantly shorter than those with a positive screen and normal OGTT, and a negative screen. When the study subjects were stratified according to height quartiles, the plasma glucose at the screening test decreased as height increased. Furthermore, the prevalence of GDM was highest in the shortest quartile ( ≤ 157 cm) group; the odds ratio for GDM was two times greater compared with the highest quartile ( ≥ 163 cm) group, even after controlling for age and body mass index (BMI). In addition, multiple logistic regression analysis revealed that greater prepregnancy BMI, age, weight gain, a parental history of diabetes mellitus, and shorter maternal height were directly and independently associated with the prevalence of GDM. We have found that short stature is an independent risk factor for GDM in the racially homogenous population of Seoul, Korea. It is suggested that this propensity may be conveyed primarily by environmental influences. However, genetic factors may also modify the response to the environmental insult. Our findings also emphasize the heterogeneity of factors which predispose to GDM. [Diabetologia (1998) 41: 778–783]

Keywords Short stature gestational diabetes mellitus prevalence heterogeneity. 

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • H. C. Jang
    • 1
  • H. K. Min
    • 1
  • H. K. Lee
    • 2
  • N. H. Cho
    • 3
  • B. E. Metzger
    • 4
  1. 1.Department of Medicine, Samsung Cheil Hospital, College of Medicine, Sung Kyun Kwan University, Seoul, KoreaKR
  2. 2.Department of Medicine, College of Medicine, Seoul National University, Seoul, KoreaKR
  3. 3.Department of Preventive Medicine, Ajou University Medical School, Suwon, KoreaKR
  4. 4.Department of Medicine, Center for Endocrinology, Metabolism, and Molecular Medicine, Northwestern University Medical School, Chicago, Illinois, USAUS

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