Evidence map›Paper›PMID 27510598›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2017

Gestational diabetes in the United States: temporal changes in prevalence rates between 1979 and 2010.

J A Lavery, A M Friedman, K M Keyes, J D Wright, C V Ananth

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05647798 (Management of Intrapartum Glycemia in Gestational Diabetic Mothers), which is not on this map. Cited by 135 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05647798 naterminatednot on this mapstarted 2023, after this paper: background citation

Management of Intrapartum Glycemia in Gestational Diabetic Mothers: A Randomized Controlled Trial

TypeinterventionalSponsorInova Health Care ServicesRan2023 to 2024Enrolled2ConditionsPregnancy, Gestational Diabetes Mellitus, Class A2, Neonatal HypoglycemiaArmsBlood sugar check every 2 hours, Blood sugar check every 4 hours
3 · Its place in the literature

Who cites it

135 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. A Systematic Review of the Prevalence of Gestational Diabetes in Norway.International journal of environmental research and public health · 2021
    Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. The Influence of Maternal Aerobic Exercise, Blood DHA and EPA Concentrations on Maternal Lipid Profiles.International journal of environmental research and public health · 2022
    Trial
  15. Trial
  16. Article
  17. Article
  18. Facilitators and barriers to establishing lactation among women with diabetes?Diabetic medicine : a journal of the British Diabetic Association · 2025
    Article
  19. Article
  20. Article

75 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

J A LaveryDepartment of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
A M FriedmanDepartment of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
K M KeyesDepartment of Epidemiology, Joseph L. Mailman School of Public Health, Columbia University, New York, NY, USA.
J D WrightDepartment of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
C V AnanthDepartment of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.

Funding

Race, alcohol consumption and vehicle crashes: an epidemiologic paradoxK01AA021511 · NIAAA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KEYES, KATHERINE M. · 2013 to 2017
$904k
NIAAA NIH HHS K01 AA021511
6 · The paper itself

Abstract

objectiveTo examine age-period-cohort effects on trends in gestational diabetes mellitus (GDM) prevalence in the US, and to evaluate how these trends have affected the rates of stillbirth and large for gestational age (LGA)/macrosomia.

designRetrospective cohort study.

settingUSA, 1979-2010. POPULATION: Over 125 million pregnancies (3 337 284 GDM cases) associated with hospitalisations.

methodsTrends in GDM prevalence were examined via weighted Poisson models to parse out the extent to which GDM trends can be attributed to maternal age, period of delivery, and maternal birth cohort. Multilevel models were used to assess the contribution of population effects to the rate of GDM. Log-linear Poisson regression models were used to estimate the contributions of the increasing GDM rates to changes in the rates of LGA and stillbirth between 1979-81 and 2008-10.

main outcome measuresRates and rate ratios (RRs).

resultsCompared with 1979-1980 (0.3%), the rate of GDM has increased to 5.8% in 2008-10, indicating a strong period effect. Substantial age and modest cohort effects were evident. The period effect is partly explained by period trends in body mass index (BMI), race, and maternal smoking. The increasing prevalence of GDM is associated with a 184% (95% CI 180-188%) decline in the rate of LGA/macrosomia and a 0.75% (95% CI 0.74-0.76) increase in the rate of stillbirths for 2008-10, compared with 1979-81.

conclusionsThe temporal increase in GDM can be attributed to period of pregnancy and age. Increasing BMI appears to partially contribute to the GDM increase in the US. TWEETABLE ABSTRACT: The increasing prevalence of GDM can be attributed to period of delivery and increasing maternal age.

Indexed as

AdolescentAdultCohort StudiesDiabetes, GestationalFemaleFetal MacrosomiaHumansInfant, NewbornLogistic ModelsMaternal AgeMiddle AgedPregnancyPrevalenceRetrospective StudiesRisk FactorsStillbirthAge-period-cohort analysisgestational diabetestemporal trends

Identifiers

PMID27510598
PMCPMC5303559

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.