Early Postpartum Lipid Profile in Women with and Without Gestational Diabetes Mellitus: Results of a Prospective Cohort Study

Abstract:
Background
Dyslipidemia is a well-known risk factor of cardiovascular disease. Few studies focused on early postpartum lipids profile, particularly in women with gestational diabetes mellitus.
Objectives
This study aims at determining the levels of total cholesterol, triglycerides LDL-C, HDL-C, and VLDL-C at 6 to 12 weeks postpartum in women with gestational diabetes, comparing them to lipids profiles of controls and identifying independent risk factors of dyslipidemia in 2 studied groups.
Methods
Life after gestational diabetes, Ahvaz study (LAGAs), was started on March 2015. This was an ongoing population-based cohort study that aimed at investigating metabolic outcomes of gestational diabetes mellitus and comparing them with healthy groups. Up to February 2016, during the first 11 months sampling, 176 women with gestational diabetes and 86 healthy mothers underwent FBS, 75-g 2- hour oral glucose tolerance and fasting lipids tests (including total cholesterol, triglyceride, LDL- cholesterol, HDL -cholesterol, and VLDL-cholesterol) in 6 to 12 weeks after delivery.
Results
Overall prevalence of dyslipidemia was 73.7%. Most common forms of dyslipidemia in 2 groups were HDL-C
Conclusions
Dyslipidemia is highly prevalent in women with and without GDM at 6 to 12 weeks postpartum, particularly in overweight and obese women. Dyslipidemia and obesity are both modifiable risk factors for cardiovascular disease.
Language:
English
Published:
Iranian Red Crescent Medical Journal, Volume:19 Issue: 6, Jun 2017
Page:
2
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