{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:00:04Z","timestamp":1789840804967,"version":"4.0.1"},"reference-count":23,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Migration flows have brought many women of childbearing age to Italy, some of whom are from ethnic groups at high risk for gestational diabetes (GDM). However, the extent of migration and its impact on the prevalence of GDM in Italy are little known.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We retrospectively analysed data from 4186 pregnant women (22% migrants) screened for GDM at the University Hospital of Pisa between 2014 and 2022. We compared GDM prevalence and risk factors between Italian and migrant women, and assessed metabolic profiles in those with GDM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The proportion of migrant women increased from 8% in 2014 to 25% in 2022 (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Italian women were older (36\u00a0\u00b1\u00a05 vs. 32\u00a0\u00b1\u00a06,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), while migrant women had higher pre\u2010gestational BMI (24 [22\u201328] vs. 23 [21\u201326] kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and more frequently a history of previous GDM (12% vs. 9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). GDM prevalence was higher in migrants (47% vs. 37%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Among GDM women, migrants had worse metabolic control (HbA1c 5.5%\u00a0\u00b1\u00a02.5% vs. 5.2%\u00a0\u00b1\u00a02.8%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), and more frequently required basal\u2010bolus insulin therapy (6% vs. 3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nowadays, one in four pregnant women is a migrant. Tailored dietary interventions should be encouraged in this population due to the higher risk of GDM and worse metabolic control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.70107","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T05:29:32Z","timestamp":1763011772000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Gestational Diabetes in Migrants: Prevalence and Metabolic Profile During Pregnancy: A Retrospective Italian Cohort Study"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1673-2327","authenticated-orcid":false,"given":"Fabrizia","family":"Citro","sequence":"first","affiliation":[{"name":"Department of Clinical and Experimental Medicine University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Placenza","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Aragona","sequence":"additional","affiliation":[{"name":"Department of Medicine University Hospital of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Galleano","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Venturi","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorella","family":"Battini","sequence":"additional","affiliation":[{"name":"Maternal\u2010Infant Department University Hospital of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piero","family":"Marchetti","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Penno","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2799-2380","authenticated-orcid":false,"given":"Cristina","family":"Bianchi","sequence":"additional","affiliation":[{"name":"Department of Medicine University Hospital of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Bertolotto","sequence":"additional","affiliation":[{"name":"Department of Medicine University Hospital of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2021.109050"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgaa024"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12209"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00038\u2010018\u20101146\u2010y"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615\u2010015\u20100099\u20106"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20103016.2010.01140.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11892\u2010015\u20100699\u2010x"},{"key":"e_1_2_10_9_1","unstructured":"(ISTAT) INIoS Indicatori Demografici. 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