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Dyslipidemia incidence and the trend of lipid parameters changes in women with history of gestational diabetes: a 15-year follow-up study

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Abstract

Purpose

Evidence shows that patients with gestational diabetes mellitus (GDM) may exhibit features of dyslipidemic phenotype later in life. We aimed to examine and compare dyslipidemia incidence rate and the trend of lipid changes over a 15-years follow-up between the women with the history of GDM and their healthy peers.

Methods

This longitudinal study included 289 patients with GDM and 1183 women without GDM, aged 20–50 years. Pooled logistic regression model was utilized to estimate odds ratio of dyslipidemia. The generalized estimating equation was used to evaluate the trend of lipid parameters changes over time.

Results

Person-time dyslipidemia incidence rate in women with previous GDM was 0.067 (CI: 0.038, 0.096) with a median progression time of 2.13 years and for those without GDM was 0.059 (CI: 0.046, 0.072) with the median time of 2.31 years (\(p - valu{e_{comparison}}\) = 0.214). The generalized estimating equation (GEE) analysis revealed no significant difference in trend changes of lipid profiles between two groups.

Conclusions

Lipid disorder after GDM might be more influenced by other variables (BMI, anthropometric features, and smoking/lifestyle habits) rather than by the GDM status alone. Lipid profile changes of GDM women do not become significantly worse than their non-GDM counterparts, as time progresses.

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Author Contributions

S.M. contributed to the manuscript writing, data analysis and critical discussion. F.R.T. contributed to the study design and execution, manuscript writing, data analysis and critical discussion. M.R. contributed to the data analysis and manuscript writing. M.A.M. contributed to the data analysis and critical discussion. F.A. contributed to the study design and execution and manuscript writing.

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Authors and Affiliations

  1. Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, I.R., Iran

    Sonia Minooee & Fahimeh Ramezani Tehrani

  2. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, I.R., Iran

    Maryam Rahmati

  3. Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, I.R., Iran

    Maryam Rahmati

  4. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, I.R., Iran

    Mohammad Ali Mansournia

  5. Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, I.R., Iran

    Fereidoun Azizi

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  1. Sonia Minooee
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Correspondence to Fahimeh Ramezani Tehrani.

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The authors declare that they have no competing interests.

Ethical approval

All procedures performed in this study are in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Minooee, S., Ramezani Tehrani, F., Rahmati, M. et al. Dyslipidemia incidence and the trend of lipid parameters changes in women with history of gestational diabetes: a 15-year follow-up study. Endocrine 58, 228–235 (2017). https://doi.org/10.1007/s12020-017-1413-3

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