Relation between total Iron intake and gestational diabetes: a cohort study

AUTHORS

Seyed Abdolvahab Taghavi 1 , Najmeh Tehranian 2 , Reza Jamhiri 3 , Shahintaj Aramesh 4 , Mina Mosadegh 5 , Zahra Rezaee 6 , Hedyeh Bahraini 5 , Nasibeh Rozbeh 7 , Fatemeh Bazarganipour 7 , *

1 Fertility and Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2 Department of Reproductive Health and Midwifery, Tarbiat Modares University, Tehran, Iran.

3 Department of N u rsing, Faculty of Nursing and Midwif ery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

4 Department of Gynecology and Obstetrics, Faculty of Medicine, Yasuj University of Medical Sciences , Yasuj, Iran.

5 Student Research Committee, Hormozgan University of Medical Sciences, Ba ndar Abbas, Iran

6 Student Research Committee, Hormozgan University of Medical Sciences, Ba ndar Abbas, Iran.

7 Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

How to Cite: Taghavi S A , Tehranian N , Jamhiri R , Aramesh S , Mosadegh M , et al. Relation between total Iron intake and gestational diabetes: a cohort study, Hormozgan Med J. 2018 ; 22(1):e87289. doi: 10.29252/hmj.22.1.25.

ARTICLE INFORMATION

Hormozgan Medical Journal: 22 (1); e87289
Published Online: February 05, 2018
Article Type: Research Article
Received: December 24, 2017
Accepted: February 05, 2018
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Abstract

Introduction: Gestational diabetes is a common problem in pregnancy that affects about 7% of pregnancies. The high intake of iron intake is associated with an increased risk of type 2 diabetes in the general population. The purpose of this study was to determine the association between total iron intake (diet and supplement) and gestational diabetes.
Methods: This is a one-year prospective cohort study. 120 pregnant women referred to rural health centers in Bandar Abbas, Hormozgan, Iran were enrolled in the study. The data were collected using a checklist, food frequency questionnaire (FFQ) questionnaire for measurement of iron intake through food. Demographic data was presented as mean±SD or number (%) and final results were presented with Odds Ratio (OR) with 95% confidence interval.
Results: The findings showed that hemoglobin level in 6-10 (OR: 2.62 CI: 1.42-4.39) and 24 to 28 weeks (OR: 2.9 CI: 1.43-4.02), the amount of iron intake from the beginning of the pregnancy from 6 to 10 (OR: 2.81 CI: 1.28-3.98) and 16-20 weeks of pregnancy (OR: 2.94 CI: 1.35-5.43) as well as, the amount of iron supplemental ingestion (OR: 2.83 CI: 1.39-4.54) are  the most important predictors of GDM.
Conclusion: According to the findings of this study and the current national guidelines for the administration of routine iron to all pregnant women, increasing the level of iron by supplement and subsequent increased risk of GDM should be more considered.

Keywords

Hemoglobin Iron Gestational diabetes Cohort

© 2018, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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