scholarly journals Application of a Pedometer for the Management of Impaired Glucose Tolerance in Pregnant Women

2020 ◽  
Author(s):  
Mariko Ueno ◽  
Mitsue Muraoka ◽  
Koichiro Takagi
Keyword(s):  
Internal Medicine ◽  
Glucose Tolerance ◽  
Pregnant Women ◽  
Impaired Glucose Tolerance ◽  
Insulin Treatment ◽  
Exercise Intervention ◽  
Nutritional Intervention ◽  
The Other ◽  
Proper Management ◽  
Other Hand

The proper management of impaired glucose tolerance (IGT) in pregnant women is important for both obstetricians and diabetologists as this condition is of interest to both obstetrics and internal medicine. Although nutritional intervention along with insulin treatment is the mainstream approach of IGT treatment in pregnant women, exercise intervention is another important component of the IGT management. A pedometer is a useful tool for objective exercise evaluation. Nonetheless, its application in the management of IGT in pregnant women is limited. On the other hand, with the widespread use of smartphones equipped with pedometer function, exercise by walking is easily monitored and utilised in both healthy pregnant women and pregnant women with obesity and impaired glucose tolerance. In this chapter, we review the present perspective on the use of a pedometer in the management of IGT in pregnant women by introducing our recently published work.

Early Diagnosis of Prediabetes Among Pregnant Women that Develop Gestational Diabetes Mellitus and Its Influence on Perinatal Outcomes

2021 ◽  
Author(s):  
Gianna Wilkie ◽  
Ellen Delpapa ◽  
Heidi K Leftwich
Keyword(s):  
Gestational Diabetes ◽  
Glucose Tolerance ◽  
Pregnant Women ◽  
Impaired Glucose Tolerance ◽  
Insulin Treatment ◽  
Perinatal Outcomes ◽  
First Trimester ◽  
Neonatal Outcomes ◽  
Diabetes Screening ◽  
Nicu Admission

Objective: This purpose of this study was to determine among pregnant women with gestational diabetes (GDM) if early identification of impaired glucose tolerance consistent with prediabetes in the first trimester impacts maternal and neonatal outcomes. Study Design: This was a retrospective cohort study of patients that were screened for pregestational diabetes in early pregnancy at a large academic tertiary care center from October 1, 2017 to January 31, 2021 and who subsequently developed GDM. Demographic and perinatal outcomes were compared among women with GDM with a positive early diabetes screen consistent with prediabetes to women that screened negative in the first trimester. Multivariable logistic regression was performed to adjust for baseline demographic differences. Results: During the study period, 260 women screened had negative first trimester diabetes screening and subsequently developed GDM, while 696 screened positive for prediabetes and developed GDM. Women with prediabetes were more likely to require insulin treatment for their GDM compared to those that screened negative (79.5% vs. 45.4%, p<0.001), while those that screened negative were more likely to take an oral medication of metformin or glyburide for GDM management than those with prediabetes (41.5% vs. 16.4%, P<0.001). Infants born to mothers who screened positive for prediabetes were more likely to require NICU admission compared to those that screened negative even when adjusted for type of GDM treatment used (aOR 8.5, 95% CI 1.5-49.9). Conclusion: Women identified as having early impaired glucose tolerance consistent with prediabetes that subsequently develop gestational diabetes are more likely to be prescribed insulin treatment and may be at increased risk of adverse neonatal outcomes leading to NICU admission than women with negative first trimester diabetes screening. Future studies should focus on whether different methods of early treatment and/or intervention improve perinatal outcomes.

Effect of interventions in pregnant women with mildly impaired glucose tolerance

2021 ◽  
Author(s):  
Ryosuke Shindo ◽  
Shigeru Aoki ◽  
Junko Kasai ◽  
Sayuri Nakanishi ◽  
Yusuke Saigusa ◽  
...  
Keyword(s):  
Glucose Tolerance ◽  
Pregnant Women ◽  
Impaired Glucose Tolerance

scholarly journals KEHAMILAN TETAP SEHAT DI MASA PANDEMI

2021 ◽  
Vol 4 (3) ◽  
pp. 631
Author(s):  
Riona Sanjaya ◽  
Hellen Febriyanti ◽  
Yetty Dwi Fara ◽  
Septika Yani Veronica ◽  
Siti Maesaroh ◽  
...  
Keyword(s):  
Health Education ◽  
Pregnant Women ◽  
Growth And Development ◽  
Natural Process ◽  
Theory And Practice ◽  
The Other ◽  
Normal Length ◽  
Other Hand ◽  
Keywords Pregnancy

ABSTRAKKehamilan merupakan proses yang normal, alamiah yang diawali dengan pertumbuhan dan perkembangan janin intrauteri, dimulai sejak konsepsi sampai bersalin dan lamanya kehamilan normal adalah 280 hari (40 minggu atau 9 bulan 7 hari) di hitung dari hari pertama haid terakhir.Pada masa Kehamilan ibu hamil agar dapat mempersiapkan diri pada kesehatan ibu hamil dengan menjaga nutrisi selama proses kehamilannya. Ibu hamil wajib memeriksakan kehamilannya agara ibu hamil dapat mengetahui dan mencegah sedini mungkin kelainan yang dapat terjadi, meningkatkan kondisi badan ibu dalam menghadapi kehamilan serta mendapatkan penyuluhan yang diperlukan selama kehamilan. Melalui kegiatan ini diharapkan masyarakat khususnya ibu hamil mampu menjaga kesehatannya selama kehamilan di masa pandemi. Kegiatan-kegiatan ini mencakup teori dan praktek yang meliputi : (1) Pendidikan Kesehatan yang dilakukan secara online; (2) Praktik Senam Ibu Hamil yang dilakukan Melalui Vidio; dengan melibatkan mahasiswa Universitas Aisyah Pringsewu pada saat pelaksanaan. Melalui kegiatan ini, diharapkan masyarakat khususnya ibu hamil dapat menyadari pentingnya kesehatan bagi ibu hamil walaupun dimasa pandemi ini. Kata kunci: kehamilan; nutrisi; senam hamil ABSTRACTPregnancy is a normal, natural process that begins with the growth and development of the intrauterine fetus. It starts from conception to delivery and the normal length of pregnancy is 280 days (40 weeks or 9 months 7 days) on the first day of the last menstruation. During pregnancy, pregnant women can prepare themselves for the health of pregnant women by maintaining nutrition during the pregnancy process. Pregnant women are required to have their pregnancy checked so that pregnant women can find out and prevent possible abnormalities that can occur, improve the condition of the mother's body in facing pregnancy and get the necessary counseling during pregnancy. Through this activity, it is expected that the community, especially pregnant women, will be able to maintain their health during pregnancy during a pandemic. These activities include theory and practice as follows: (1) Health Education which will be conducted online; (2) Exercise for Pregnant Women through Video; by involving the students of Aisyah University of Pringsewu during the implementation. In the other hand, it can realize the importance of health for pregnant women even during this pandemic. Keywords: pregnancy; nutrition; pregnancy exercise

REDUCED OXIDIZED LDL AFTER TWO YEARS DIETARY AND EXERCISE INTERVENTION IN IMPAIRED GLUCOSE TOLERANCE SUBJECTS

2001 ◽  
Vol 33 (5) ◽  
pp. S218
Author(s):  
T J. Vasankari ◽  
H H??m??l??inen ◽  
S Aunola ◽  
M Rastas ◽  
J Marniemi ◽  
...  
Keyword(s):  
Glucose Tolerance ◽  
Impaired Glucose Tolerance ◽  
Exercise Intervention ◽  
Oxidized Ldl

Sialic acid levels in the blood in pregnant women with impaired glucose tolerance test

2012 ◽  
Vol 286 (4) ◽  
pp. 913-916
Author(s):  
Rahime Bedir Findik ◽  
Fatma Meric Yilmaz ◽  
Gulsen Yilmaz ◽  
Hinc Yilmaz ◽  
Jale Karakaya
Keyword(s):  
Sialic Acid ◽  
Glucose Tolerance ◽  
Pregnant Women ◽  
Impaired Glucose Tolerance ◽  
Glucose Tolerance Test ◽  
Tolerance Test

scholarly journals Iodine adequacy in reproductive age women living in the Western region of Saudi Arabia

2019 ◽  
Author(s):  
Firas Azzeh ◽  
Bassem Amr Refaat
Keyword(s):  
Saudi Arabia ◽  
Pregnant Women ◽  
Iodine Deficiency ◽  
Urinary Iodine ◽  
The Other ◽  
Reproductive Age ◽  
Childbearing Age ◽  
Who Criteria ◽  
Saudi Women ◽  
Other Hand

Abstract Background Despite the significance of iodine deficiency in women of reproductive age due its associated serious maternal and foetal complications, surveys related to this vulnerable population in the Kingdom of Saudi Arabia (KSA) are lacking. This study, therefore, aimed to measure the frequency alongside the potential socioeconomic factors contributing towards iodine inadequacy in Saudi women of childbearing age from the Western province of KSA.Methods Urinary iodine concentrations IUIC) were measured in random spot samples collected from 1222 pregnant women and 400 age-matched non-pregnant/non-lactating women. The socioeconomic characteristics were obtained through a structured questionnaire. The classification of iodine sufficiency was based on the WHO criteria for UIC in pregnant (150–249 μg/L) and non-pregnant women (100–199 μg/L).Results The UIC median in the non-pregnant women (101.64 μg/L; IQR: 73.72) was at the lowest WHO recommended cut-off. The pregnant women, on the other hand, had a median UIC (112.99 μg/L; IQR: 104.56) markedly below the minimal WHO limit for pregnancy. Coherently, the median IUC was below adequacy across the trimesters and was lowest during the first trimester. Additionally, 49.7% (n = 199) of the non-pregnant and 62.5% (n = 764) of pregnant women were iodine deficient as per the WHO criteria. While pregnancy (OR = 4.3; 95%CI: 3.08–5.96) and using non-iodised salt (OR = 1.96; 95%CI: 1.35–2.83) significantly increased the risk of iodine deficiency, the intake of iodine supplements significantly lowered the risk (OR = 0.010; 95%CI: 0.006–0.017). On the other hand, the intake of iodine above requirement was observed in 8.5% and 4.2% of the non-pregnant and pregnant women, respectively. Moreover, BMI was the sole independent factor increasing the odds (OR = 1.061; 95%CI: 1.010–1.114) of taking iodine above requirements.Conclusions This study is the first to show high prevalence of mild iodine deficiency among reproductive age Saudi women, which could represent a serious public health problem. This study also advocates the necessity to establish routine iodine dietary advice services by the health authorities to foster adequate iodine intake in pregnant women to avoid the perilous maternal-foetal health consequences of iodine deficiency.

scholarly journals Sero-prevalence of syphilis and associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Habtamu Geremew ◽  
Demeke Geremew
Keyword(s):  
Systematic Review ◽  
Pregnant Women ◽  
Associated Factors ◽  
Meta Analysis ◽  
Regional Analysis ◽  
The Other ◽  
Transmitted Infection ◽  
Other Hand ◽  
Pooled Prevalence ◽  
History Of

Abstract Background Syphilis remained a major cause of reproductive morbidity and poor pregnancy outcomes in developing countries. Previously, studies showed inconsistent results and failed to show the actual picture of the diseases in Ethiopia. Thus, the aim of this meta-analysis was, first, to determine the updated pooled prevalence of syphilis among pregnant women in Ethiopia and, second, to assess its associated factors. Methods A comprehensive search was made on PubMed, Google scholar, Science Direct, and African Journals Online databases to identify relevant articles. A random effects model was used to estimate pooled syphilis prevalence and odds ratio (OR) with the respective 95% confidence intervals (CIs) using STATA 14 statistical software. I2 statistics and Egger’s regression test in conjunction with funnel plot was used to determine heterogeneity and publication bias among included studies respectively. Result We identified 13 suitable studies in this analysis. Accordingly, the pooled prevalence of syphilis among pregnant women in Ethiopia was 2.32% (95% CI, 1.68–2.97). Specifically, syphilis prevalence was 2.53% (95% CI, 1.92–3.14%) and 1.90% (95% CI, 0.40–3.40%) as per the treponemal and non-ytreponemal diagnostic test, respectively. On the other hand, regional analysis indicated that 4.06% (95% CI, 2.86–5.26) in Southern Nations Nationalities and Peoples (SNNP), 2.16% (95% CI, 1.57–2.75) in Amhara and 1.46% (95% CI, 0.69–2.23) in Oromia region. Being married (OR, 0.37 (95% CI, 0.12–0.91%)) was less likely to develop syphilis. On the other hand, women with history of multiple sexual partner (OR, 2.98 (95% CI, 1.15–7.70)) and women with history of previous sexually transmitted infection (STI) (OR, 4.88 (95% CI, 1.35–17.62)) have higher risk to develop syphilis. Besides, the pooled syphilis-HIV coinfection was 0.80% (95% CI, 0.60–1.01%). Conclusion This study provides evidence of relatively high prevalence of syphilis among pregnant women in Ethiopia. Therefore, it is recommended to further ramping up of current intervention measures to prevent future generations. Systematic review registration PROSPERO CRD42020211650

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