{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T10:38:58Z","timestamp":1742639938451},"reference-count":74,"publisher":"Oxford University Press (OUP)","issue":"1","content-domain":{"domain":["eje.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Risk factors are widely used to identify women at risk for gestational diabetes mellitus (GDM) without clear distinction by pregnancy period or oral glucose tolerance test (OGTT) time points. We aimed to assess the clinical risk factors for Hyperglycemia in pregnancy (HiP) differentiating by these two aspects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and methods<\/jats:title><jats:p>Nine hundred seventy-one overweight\/obese pregnant women, enrolled in the DALI study for preventing GDM. OGTTs were performed at \u226419\u2009+\u20096, 24\u201328 and 35\u201337 weeks (IADPSG\/WHO2013 criteria). Women with GDM or overt diabetes at one time point did not proceed to further OGTTs. Potential independent variables included baseline maternal and current pregnancy characteristics. Statistical analysis: Multivariate logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Clinical characteristics independently associated with GDM\/overt diabetes were at \u226419\u2009+\u20096 weeks, previous abnormal glucose tolerance (odds ratio (OR): 3.11; 95% CI: 1.41\u20136.85), previous GDM (OR: 2.22; 95% CI: 1.20\u20134.11), neck circumference (NC) (OR: 1.58; 95% CI: 1.06\u20132.36 for the upper tertile), resting heart rate (RHR, OR: 1.99; 95% CI: 1.31\u20133.00 for the upper tertile) and recruitment site; at 24\u201328 weeks, previous stillbirth (OR: 2.92; 95% CI: 1.18-7.22), RHR (OR: 3.32; 95% CI: 1.70-6.49 for the upper tertile) and recruitment site; at 35\u201337 weeks, maternal height (OR: 0.41; 95% CI: 0.20\u20130.87 for upper tertile). Clinical characteristics independently associated with GDM\/overt diabetes differed by OGTT time point (e.g. at \u226419\u2009+\u20096 weeks, NC was associated with abnormal fasting but not postchallenge glucose).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this population, most clinical characteristics associated with GDM\/overt diabetes were non-modifiable and differed by pregnancy period and OGTT time point. The identified risk factors can help define the target population for future intervention trials.<\/jats:p><\/jats:sec>","DOI":"10.1530\/eje-18-0003","type":"journal-article","created":{"date-parts":[[2018,5,8]],"date-time":"2018-05-08T16:05:16Z","timestamp":1525795516000},"page":"39-49","update-policy":"http:\/\/dx.doi.org\/10.1530\/crossmarkpolicy-1","source":"Crossref","is-referenced-by-count":18,"title":["Risk factors for hyperglycemia in pregnancy in the DALI study differ by period of pregnancy and OGTT time point"],"prefix":"10.1093","volume":"179","author":[{"given":"Lilian C","family":"Mendoza","sequence":"first","affiliation":[{"name":"1Department of Medicine, Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Harreiter","sequence":"additional","affiliation":[{"name":"2Division of Endocrinology, Department of Medicine III, Gender Medicine Unit, Medical University of Vienna, Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Simmons","sequence":"additional","affiliation":[{"name":"3Institute of Metabolic Science, Addenbrookes Hospital, Cambridge, UK"},{"name":"4Macarthur Clinical School, Western Sydney University, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gernot","family":"Desoye","sequence":"additional","affiliation":[{"name":"5Department of Obstetrics and Gynecology, Medizinische Universitaet Graz, Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J M","family":"Adelantado","sequence":"additional","affiliation":[{"name":"6Institut de Recerca de l\u2019Hospital de la Santa Creu i Sant Pau, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabiola","family":"Juarez","sequence":"additional","affiliation":[{"name":"6Institut de Recerca de l\u2019Hospital de la Santa Creu i Sant Pau, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Chico","sequence":"additional","affiliation":[{"name":"1Department of Medicine, Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain"},{"name":"6Institut de Recerca de l\u2019Hospital de la Santa Creu i Sant Pau, Barcelona, Spain"},{"name":"7CIBER Bioengineering, Biomaterials and Nanotechnology, Instituto de Salud Carlos III, Zaragoza, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Devlieger","sequence":"additional","affiliation":[{"name":"8KU Leuven, Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Leuven, Belgium"},{"name":"9Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"van Assche","sequence":"additional","affiliation":[{"name":"8KU Leuven, Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Leuven, Belgium"},{"name":"9Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sander","family":"Galjaard","sequence":"additional","affiliation":[{"name":"8KU Leuven, Department of Development and Regeneration: Pregnancy, Fetus and Neonate, Leuven, Belgium"},{"name":"9Gynaecology and Obstetrics, University Hospitals Leuven, Leuven, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Damm","sequence":"additional","affiliation":[{"name":"10Center for Pregnant Women with Diabetes, Departments of Endocrinology and Obstetrics, Rigshospitalet, Copenhagen, Denmark"},{"name":"11Institute of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth R","family":"Mathiesen","sequence":"additional","affiliation":[{"name":"10Center for Pregnant Women with Diabetes, Departments of Endocrinology and Obstetrics, Rigshospitalet, Copenhagen, Denmark"},{"name":"11Institute of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorte M","family":"Jensen","sequence":"additional","affiliation":[{"name":"12Departments of Endocrinology, Gynaecology and Obstetrics, Odense University Hospital, Odense, Denmark"},{"name":"13Department of Clinical Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lise Lotte T","family":"Andersen","sequence":"additional","affiliation":[{"name":"12Departments of Endocrinology, Gynaecology and Obstetrics, Odense University Hospital, Odense, Denmark"},{"name":"13Department of Clinical Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mette","family":"Tanvig","sequence":"additional","affiliation":[{"name":"12Departments of Endocrinology, Gynaecology and Obstetrics, Odense University Hospital, Odense, Denmark"},{"name":"13Department of Clinical Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annunziata","family":"Lapolla","sequence":"additional","affiliation":[{"name":"14Universita Degli Studi di Padova, Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria G","family":"Dalfra","sequence":"additional","affiliation":[{"name":"14Universita Degli Studi di Padova, Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Bertolotto","sequence":"additional","affiliation":[{"name":"15Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Urszula","family":"Mantaj","sequence":"additional","affiliation":[{"name":"16Division of Reproduction, Medical Faculty I, Poznan University of Medical Sciences, Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Wender-Ozegowska","sequence":"additional","affiliation":[{"name":"16Division of Reproduction, Medical Faculty I, Poznan University of Medical Sciences, Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Zawiejska","sequence":"additional","affiliation":[{"name":"16Division of Reproduction, Medical Faculty I, Poznan University of Medical Sciences, Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Hill","sequence":"additional","affiliation":[{"name":"17Recherche en Sant\u00e9 Lawson SA, St Gallen, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith G","family":"Jelsma","sequence":"additional","affiliation":[{"name":"18Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Centre, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank J","family":"Snoek","sequence":"additional","affiliation":[{"name":"19Department of Medical Psychology, VU University Medical Centre and Academic Medical Centre, Amsterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mireille N M","family":"van Poppel","sequence":"additional","affiliation":[{"name":"18Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Centre, Amsterdam, the Netherlands"},{"name":"20Institute of Sport Science, University of Graz, Graz, 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