Prevalence of postpartum-abnormal glucose tolerance (P-AGT) and its associated factors among women with gestational diabetes mellitus (GDM) in Klang, Selangor / Shafawati Akmal Adam

Introduction: Women with gestational diabetes mellitus (GDM) have a risk to develop diabetes at least seven times higher than other women. The study aimed to determine the prevalence of postpartum-abnormal glucose tolerance (P-AGT), the level of knowledge on GDM and the associated factors for P-AGT...

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主要作者: Adam, Shafawati Akmal
格式: Thesis
語言:English
出版: 2023
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spelling my-uitm-ir.940382024-04-29T02:27:48Z Prevalence of postpartum-abnormal glucose tolerance (P-AGT) and its associated factors among women with gestational diabetes mellitus (GDM) in Klang, Selangor / Shafawati Akmal Adam 2023 Adam, Shafawati Akmal Diabetes Mellitus Introduction: Women with gestational diabetes mellitus (GDM) have a risk to develop diabetes at least seven times higher than other women. The study aimed to determine the prevalence of postpartum-abnormal glucose tolerance (P-AGT), the level of knowledge on GDM and the associated factors for P-AGT among postpartum women with GDM attending public health clinics in Klang. Methods: This cross-sectional study used convenience sampling and was conducted among GDM women attending the oral glucose tolerance test (OGTT) at six to 12 weeks postpartum. Sociodemographic factors, clinical characteristics, knowledge about GDM (using a validated questionnaire, GDMKQ) and postpartum OGTT results were collected. Results: The study included 439 participants. The majority were below the age of 35 years old (71.8%), of Malay ethnicity (82.7%), and demonstrated adequate knowledge of GDM (92.9%). The prevalence of P-AGT was found to be 28.9% (95% CI:24.7, 33.4). Multiple logistic regression analysis showed gestational age upon GDM diagnosis <24 weeks (aOR: 1.85, 95% CI: 1.17, 2.92; p = 0.009), abnormal 2-hour postprandial (2HPP) level (>7.8mmol/L) upon GDM diagnosis (aOR: 2.95, 95% CI: 1.74, 5.00; p < 0.001) and first-degree family history of diabetes (aOR: 1.55, 95% CI: 1.01, 2.39; p = 0.047) were significantly associated with P-AGT. Conclusion: This study revealed higher prevalence of P-AGT compared to previous local studies. Targeted monitoring and management strategies are crucial, especially for women diagnosed with GDM before 24 weeks of gestation, those who had abnormal 2HPP level upon GDM diagnosis and those with first-degree family history of DM to prevent the occurrence of P-AGT. 2023 Thesis https://ir.uitm.edu.my/id/eprint/94038/ https://ir.uitm.edu.my/id/eprint/94038/1/94038.pdf text en public masters Universiti Teknologi MARA (Kampus Sg. Buloh) Faculty of Medicine Md Yasin, Dr. Mazapuspavina
institution Universiti Teknologi MARA
collection UiTM Institutional Repository
language English
advisor Md Yasin, Dr. Mazapuspavina
topic Diabetes Mellitus
spellingShingle Diabetes Mellitus
Adam, Shafawati Akmal
Prevalence of postpartum-abnormal glucose tolerance (P-AGT) and its associated factors among women with gestational diabetes mellitus (GDM) in Klang, Selangor / Shafawati Akmal Adam
description Introduction: Women with gestational diabetes mellitus (GDM) have a risk to develop diabetes at least seven times higher than other women. The study aimed to determine the prevalence of postpartum-abnormal glucose tolerance (P-AGT), the level of knowledge on GDM and the associated factors for P-AGT among postpartum women with GDM attending public health clinics in Klang. Methods: This cross-sectional study used convenience sampling and was conducted among GDM women attending the oral glucose tolerance test (OGTT) at six to 12 weeks postpartum. Sociodemographic factors, clinical characteristics, knowledge about GDM (using a validated questionnaire, GDMKQ) and postpartum OGTT results were collected. Results: The study included 439 participants. The majority were below the age of 35 years old (71.8%), of Malay ethnicity (82.7%), and demonstrated adequate knowledge of GDM (92.9%). The prevalence of P-AGT was found to be 28.9% (95% CI:24.7, 33.4). Multiple logistic regression analysis showed gestational age upon GDM diagnosis <24 weeks (aOR: 1.85, 95% CI: 1.17, 2.92; p = 0.009), abnormal 2-hour postprandial (2HPP) level (>7.8mmol/L) upon GDM diagnosis (aOR: 2.95, 95% CI: 1.74, 5.00; p < 0.001) and first-degree family history of diabetes (aOR: 1.55, 95% CI: 1.01, 2.39; p = 0.047) were significantly associated with P-AGT. Conclusion: This study revealed higher prevalence of P-AGT compared to previous local studies. Targeted monitoring and management strategies are crucial, especially for women diagnosed with GDM before 24 weeks of gestation, those who had abnormal 2HPP level upon GDM diagnosis and those with first-degree family history of DM to prevent the occurrence of P-AGT.
format Thesis
qualification_level Master's degree
author Adam, Shafawati Akmal
author_facet Adam, Shafawati Akmal
author_sort Adam, Shafawati Akmal
title Prevalence of postpartum-abnormal glucose tolerance (P-AGT) and its associated factors among women with gestational diabetes mellitus (GDM) in Klang, Selangor / Shafawati Akmal Adam
title_short Prevalence of postpartum-abnormal glucose tolerance (P-AGT) and its associated factors among women with gestational diabetes mellitus (GDM) in Klang, Selangor / Shafawati Akmal Adam
title_full Prevalence of postpartum-abnormal glucose tolerance (P-AGT) and its associated factors among women with gestational diabetes mellitus (GDM) in Klang, Selangor / Shafawati Akmal Adam
title_fullStr Prevalence of postpartum-abnormal glucose tolerance (P-AGT) and its associated factors among women with gestational diabetes mellitus (GDM) in Klang, Selangor / Shafawati Akmal Adam
title_full_unstemmed Prevalence of postpartum-abnormal glucose tolerance (P-AGT) and its associated factors among women with gestational diabetes mellitus (GDM) in Klang, Selangor / Shafawati Akmal Adam
title_sort prevalence of postpartum-abnormal glucose tolerance (p-agt) and its associated factors among women with gestational diabetes mellitus (gdm) in klang, selangor / shafawati akmal adam
granting_institution Universiti Teknologi MARA (Kampus Sg. Buloh)
granting_department Faculty of Medicine
publishDate 2023
url https://ir.uitm.edu.my/id/eprint/94038/1/94038.pdf
_version_ 1804889915961376768