Irregular menses

An independent risk factor for gestational diabetes mellitus

Mary Claire Haver, Gregory J. Locksmith, Emily Emmet

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

OBJECTIVE: Our purpose was to determine whether a history of irregular menses predicts gestational diabetes mellitus independently of traditional risk factors. STUDY DESIGN: We analyzed demographic characteristics, body mass index, and menstrual history of 85 pregnant women with gestational diabetes mellitus and compared them with 85 systematically selected control subjects who were matched for age, race, and delivery year. Subjects with pregestational diabetes mellitus, previous gestational diabetes mellitus, family history of diabetes mellitus, weight >200 pounds, previous macrosomic infants, or previous stillbirth were excluded. RESULTS: Demographic characteristics between case and control groups were similar. Mean body mass index was higher among cases (26.5 kg/m2) versus control subjects (24.5 kg/m2, P = .004). Irregular cycles were more prevalent in the cases (24% vs 7%, P = .006). With the use of body mass index as a stratification factor, menstrual irregularity maintained a strong association with gestational diabetes mellitus (P = .014). CONCLUSION: A history of irregular menstrual cycles was a significant independent predictor of gestational diabetes mellitus. If selective screening is implemented for gestational diabetes mellitus, such history should be considered in the decision of whom to test.

Original languageEnglish (US)
Pages (from-to)1189-1191
Number of pages3
JournalAmerican Journal of Obstetrics and Gynecology
Volume188
Issue number5
DOIs
StatePublished - May 1 2003

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Menstruation
Gestational Diabetes
Body Mass Index
Diabetes Mellitus
Demography
Stillbirth
Menstrual Cycle
Pregnant Women
History
Weights and Measures
Control Groups

Keywords

  • Gestational diabetes mellitus
  • Irregular menses

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Irregular menses : An independent risk factor for gestational diabetes mellitus. / Haver, Mary Claire; Locksmith, Gregory J.; Emmet, Emily.

In: American Journal of Obstetrics and Gynecology, Vol. 188, No. 5, 01.05.2003, p. 1189-1191.

Research output: Contribution to journalArticle

Haver, Mary Claire ; Locksmith, Gregory J. ; Emmet, Emily. / Irregular menses : An independent risk factor for gestational diabetes mellitus. In: American Journal of Obstetrics and Gynecology. 2003 ; Vol. 188, No. 5. pp. 1189-1191.
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