The Comparison of the 50 gr Oral Glucose Tolerrance Test Results with the Body Mass Index in the Pregnancy Period of Women

Year 2017, Volume: 12 Issue: 1, 45 - 49, 16.05.2017

Uğurkan Erkayıran , Selim Koncagül Zahide Küçük

https://doi.org/10.17517/ksutfd.302623

Cited By: 1

Abstract

Objectives:
The direct corellation between body mass index and gestational diabetes
mellitus has been shown in recent studies. 
In  this study, our aim is to
compare  our cases’  body mass index with the results of 50 grams
OGTT  who have 24-28 weeks gestation and
to evaluate the OGTT results of the groups which are categorized as weak,
normal weight, overweight, obese and morbidly obese according to body mass
index.

 

Materials and
Methods: There were included 200 patients who referred to our hospital as
having a 24-28 weeks gestation. Our patients’ height and weight measuements
were performed. By calculating body mass index, they were grouped as weak,
normal weight, overweight, obese and morbidly obese 50 grams of glucose were
applied orally at any time of the day without considering patient’s hunger.Body
mass index and OGTT results were examined by comparing.

 

Results:
In the group of patients who had lower body mass index value than 25 kg/m²
, it was seen that the rate of patients who have  lower OGTT value than 140 mg/dl was
statistically much more than others. Between the group of patients who have
lower OGTT value than 140 mg/dl and the group of patients who have 140 mg/dl
and higher, the rate of patients who have body mass index value between 25 and
25.9 was found statistically similar. 
Considering the group which had lower OGTT value than 140 mg/dl, the
rate of patients who have 30 kg/ m² and higher body mass index level
was statistically higher in the group which has 140 mg/dl and higher.     

 

Conclusion: Obesity
is a serious risk factor for gestational diabetes mellitus. Pregnant women who
have 30 kg/ m²   and higher body
mass index value should be tested for diabets at the first antepartum visit and
if there is not encountered any pathological situation 50 grams OGTT should be repeated
in 24-28 weeks gestation. 

Keywords

body mass index, oral glucose tolerance test 50 gr, gestational dibetes mellitus

Gebelerde 50 gr Oral Glukoz Tolerans Test Sonuçları ile Vücut Kitle İndeksinin Karşılaştırılması

Abstract

Amaç:
Vücut kitle
indeksi ile Gestasyonel Diabetes
Mellitus arasında doğrudan ilişki olduğu yapılan çalışmalarda gösterilmiştir.
Bizim bu çalışmamızda amacımız 24-28 hafta gebeliği olan olgularımızın vücut
kitle indeksleri ile 50 gram OGTT sonuçlarını karşılaştırmak ve vücut kitle
indeksine göre zayıf, normal kilolu, fazla kilolu, obez ve morbid obez olarak
sınıflandırdığımız gruplar arasındaki OGTT sonuçlarını değerlendirmektir.

 

Gereç ve Yöntem: Bu çalışmaya 24-28 hafta gebeliği olan 200 hasta alındı.
Hastalarımızın boy ve kilo ölçümleri yapıldı. Vücut Kitle İndeksleri
hesaplanarak zayıf, normal, fazla kilolu,  obez ve morbid obez olarak gruplara ayrıldı. 50
gram glukoz oral
yoldan günün herhangi bir saatinde hastanın açlığı gözetilmeden uygulandı. vücut kitle indeksi
ile 50 gram OGTT sonuçları karşılaştırıldı.

 

Bulgular: OGTT sonrası glukoz değeri 140
mg/dl ve üzerinde olan grupta,  glukoz
değeri 140 mg/dl’den düşük olan gruba göre, vücut kitle indeksi düzeyinin 30 kg/m² ve daha yüksek olanların
oranı istatistiksel olarak daha yüksek bulundu(p=0,048). Vücut kitle indeksi
düzeyinin 25 kg/m^2' den düşük olanların oranı,  50 gr OGTT sonucunda glukoz değeri 140 mg/dl’den düşük olan
grupta, OGTT deki glukoz değeri 140 mg/dl ve üzerinde olan gruba göre
istatistiksel olarak daha yüksek bulundu(p=0,015). OGTT değeri 140 mg/dl’den
düşük olan grup ile  OGTT değeri 140
mg/dl ve üzerinde olan grup arasında, vücut kitle indeksi 25-29,9 arasında olanların oranı
istatistiksel olarak benzer bulundu (p=0,581).

 

Sonuç: Obezite, GDM için ciddi bir risk faktörüdür. Vücut kitle indeksi 30 kg/m² ve üstünde olan gebeler ilk
antepartum vizitte diabet açısından taranmalı eğer herhangi patolojik bir
duruma rastlanılmazsa, 50 gram OGTT 24-28. gebelik haftalarında
tekrarlanılmalıdır. Bu hastaların antenatal kontrolleri daha sık yapılmalı ve
mümkünse endokrinolog, diyetisyen ve kadın doğum uzmanından oluşan sabit bir
ekipçe sürdürülmelidir.

Keywords

Vücut kitle indeksi, OGTT 50 gr, Gestasyonel Diabetes Mellitus

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