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Erschienen in:

02.01.2019

Gestational diabetes mellitus and quality of life during the third trimester of pregnancy

verfasst von: Kyriakos A. Pantzartzis, Philip P. Manolopoulos, Stavroula A. Paschou, Kyriakos Kazakos, Kalliopi Kotsa, Dimitrios G. Goulis

Erschienen in: Quality of Life Research | Ausgabe 5/2019

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Abstract

Purpose

The primary aim of this study was to investigate the effect of gestational diabetes mellitus (GDM) on the quality of life (QoL) of pregnant women during the third trimester of pregnancy. The secondary aim was to compare the QoL of pregnant women with GDM according to their therapeutic approach. This is the first study of this kind conducted in Greece.

Methods

A case-control study with 62 pregnant women (31 with GDM and 31 with uncomplicated pregnancy), during the third trimester of pregnancy. QoL and Health Related QoL were studied with the use of three questionnaires (EQ-5D-5L, WHOQOL-BREF and ADDQoL).

Results

A decrease in the QoL was found in pregnant women with GDM compared with pregnant women with uncomplicated pregnancy (p < 0.05) regarding both social life and health scales. On the contrary, there was no difference in the QoL between pregnant women with GDM who followed different treatment approaches (diet or insulin).

Conclusions

The diagnosis of GDM is associated with a reduction in the QoL of pregnant women during the third trimester of pregnancy, while the type of treatment does not seem to further affect it. More studies should be conducted so that the modifiers of this association can be clarified.

Mpondo, B. C., Ernest, A., & Dee, H. E. (2015). Gestational diabetes mellitus: Challenges in diagnosis and management. Journal of Diabetes & Metabolic Disorders, 14, 42.CrossRef

McCance, D. R. (2015). Diabetes in pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology, 29, 685–699.CrossRef

Guariguata, L., Linnenkamp, U., Beagley, J., Whiting, D. R., & Cho, N. H. (2014). Global estimates of the prevalence of hyperglycaemia in pregnancy. Diabetes Research and Clinical Practice, 103, 176–185.CrossRefPubMed

Mwanri, A. W., Kinabo, J., Ramaiya, K., & Feskens, E. J. (2015). Gestational diabetes mellitus in sub-Saharan Africa: Systematic review and metaregression on prevalence and risk factors. Tropical Medicine & International Health, 20, 983–1002.CrossRef

Casson, I. F. (1997). Outcomes of pregnancy in insulin dependent diabetic women: Results of a five year population cohort study. British Medical Journal, 315, 275–278.CrossRefPubMedPubMedCentral

Ramirez-Torres, M. A. (2013). The importance of gestational diabetes beyond pregnancy. Nutrition Reviews, 71, S37–S41.CrossRefPubMed

Xu, Y., Shen, S., Sun, L., Yang, H., Jin, B., & Cao, X. (2014). Metabolic syndrome risk after gestational diabetes: A systematic review and meta-analysis. PLoS ONE, 9, e87863.CrossRefPubMedPubMedCentral

Silverman, B. L., Rizzo, T. A., Nam, H., & Metzger, B. E. (1988). Long term effects of the intrauterine environment: The Northwestern University Diabetes in Pregnancy Center. Diabetes Care, 21, B142–B149.

Lapolla, A., Di Cianni, G., Di Benedetto, A., Franzetti, I., Napoli, A., Sciacca, L., et al. (2012). Quality of life, wishes, and needs in women with gestational diabetes: Italian DAWN Pregnancy Study. International Journal of Endocrinology, 2012, 784726.CrossRefPubMedPubMedCentral

10.

Barakat, S., Martinez, D., Thomas, M., & Handley, M. (2014). What do we know about gestational diabetes mellitus and risk for postpartum depression among ethnically diverse low-income women in the USA? Archives of Women’s Mental Health, 17, 587–592.CrossRefPubMedPubMedCentral

11.

Co, M. A., Tan, L. S., Tai, E. S., Griva, K., Amir, M., Chong, K. J., et al. (2015). Factors associated with psychological distress, behavioral impact and health-related quality of life among patients with type 2 diabetes mellitus. Journal of Diabetes and Its Complications, 29, 378–383.CrossRefPubMed

12.

Venkataraman, K., Wee, H. L., Leow, M. K., Tai, E. S., Lee, J., Lim, S. C., et al. (2013). Associations between complications and health-related quality of life in individuals with diabetes. The Journal of Clinical Endocrinology and Metabolism, 78, 865–873.

13.

http://www.who.int. Accessed on 16 September 2018.

14.

Chang, S. R., Chen, K. H., Lin, M. I., Lin, H. H., Huang, L. H., & Lin, W. A. (2014). A repeated measures study of changes in health-related quality in life during pregnancy and the relationship with obstetric factors. Journal of Advanced Nursing, 70, 2245–2256.CrossRefPubMed

15.

Skevington, S. M., Lotfy, M., & O’Connell, K. A., WHOQOL Group. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of Life Research, 13, 299–310.CrossRefPubMed

16.

Herdman, M., Gudex, C., Lloyd, A., Janssen, M., Kind, P., Parkin, D., Bonsel, G., & Badia, X. (2011). Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of Life Research, 20, 1727–1736.CrossRefPubMedPubMedCentral

17.

Bradley, C., Todd, C., Gorton, T., Symonds, E., Martin, A., & Plowright, R. (1999). The development of an individualized questionnaire measure of perceived impact of diabetes on quality of life: The ADDQoL. Quality of Life Research, 8, 79–91.CrossRefPubMed

18.

Neufeld, H. T. (2011). Food perceptions and concerns of aboriginal women coping with gestational diabetes in Winnipeg, Manitoba. Journal of Nutrition Education and Behavior, 43, 482–491.CrossRefPubMed

19.

Carolan, M., Gill, G. K., & Steele, C. (2012). Women’s experiences of factors that facilitate or inhibit gestational diabetes self-management. BMC Pregnancy Childbirth, 12, 99.CrossRefPubMedPubMedCentral

20.

Dalfra, M. G., Nicolucci, A., Bisson, T., Bonsiemiante, B., & Lapolla, A. (2012). Quality of life in pregnancy and post-partum: A study in diabetic patients. Quality of Life Research, 21, 291–298.CrossRefPubMed

21.

Marchetti, D., Carrozzino, D., Fraticelli, F., Fulceri, M., & Vitacolonna, E. (2017). Quality of life in women with gestational diabetes mellitus: A systematic review. Journal of Diabetes Research, 2017, 7058082.CrossRefPubMedPubMedCentral

22.

Katon, J. G., Russo, J., Gavin, A. R., Melville, J. L., & Katon, W. J. (2011). Diabetes and depression in pregnancy: Is there an association? Journal of Women’s Health, 20, 983–989.CrossRefPubMedPubMedCentral

23.

Bowers, K., Laughon, S. K., Kim, S., Mumford, S. L., Brite, J., Kiely, M., et al. (2013). The association between a medical history of depression and gestational diabetes in a large multi-ethnic cohort in the United States. Paediatric and Perinatal Epidemiology, 27, 323–328.CrossRefPubMedPubMedCentral

24.

Langer, N., & Langer, O. (1994). Emotional adjustment to diagnosis and intensified treatment of gestational diabetes. Obstetrics and Gynecology, 84, 329–334.PubMed

Titel: Gestational diabetes mellitus and quality of life during the third trimester of pregnancy
verfasst von: Kyriakos A. Pantzartzis
Philip P. Manolopoulos
Stavroula A. Paschou
Kyriakos Kazakos
Kalliopi Kotsa
Dimitrios G. Goulis
Publikationsdatum: 02.01.2019
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 5/2019
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-018-2090-2

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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