Maternal height as a predictor of glucose intolerance in the postpartum and its relationship with maternal pre-gestational weight

• Published in: Archives of gynecology and obstetrics 2023-02, Vol.307 (2), p.601-608
• Main Authors: Cidade-Rodrigues, Catarina, Cunha, Filipe M., Chaves, Catarina, Castro, Fabiana, Pereira, Catarina, Paredes, Sílvia, Silva-Vieira, Margarida, Melo, Anabela, Figueiredo, Odete, Nogueira, Cláudia, Morgado, Ana, Martinho, Mariana, Almeida, Maria C., Almeida, Margarida
• Format: Article
• Language: English
• Subjects: Blood Glucose; Body mass index; Chromium; Diabetes; Diabetes Mellitus, Type 2; Diabetes, Gestational - epidemiology; Endocrinology; Female; Glucose; Glucose Intolerance - epidemiology; Gynecologic Endocrinology and Reproductive Medicine; Gynecology; Human Genetics; Humans; Medicine; Medicine & Public Health; Obesity; Obstetrics/Perinatology/Midwifery; Postpartum Period; Prediabetic State - epidemiology; Pregnancy; Retrospective Studies; Risk Factors
• ISSN: 1432-0711; 0932-0067; 1432-0711
• DOI: 10.1007/s00404-022-06809-5

Purpose Short stature predicts higher risk of developing type 2 diabetes. We studied the association between height and glucose intolerance in women with gestational diabetes mellitus (GDM) and whether this association differed according to body mass index (BMI). Methods Retrospective study of the Portuguese GDM registry. Exclusion criteria: missing data on postpartum oral glucose tolerance test (OGTT) or BMI. Endpoint: postpartum glucose intolerance (diabetes mellitus or prediabetes on the 6–8 weeks postpartum OGTT). Women were divided by mean height and compared. A multivariate logistic regression was used, and the analysis was stratified by BMI (cut-off: 30 kg/m 2 ) and interaction was tested. Results We included 7402 women; mean height was 161.9 ± 6.2 cm. Taller women had lower BMI and lower rates of glucose intolerance (6.8 vs. 8.8%, p  = 0.002). Women with BMI