The association between parity and type 2 diabetes mellitus: a cross-sectional, community-based study.

IF 2.8 3区医学 Q3 ENDOCRINOLOGY & METABOLISM BMC Endocrine Disorders Pub Date : 2024-10-31 DOI:10.1186/s12902-024-01767-2

Imad R Musa, Osman E Osman, Ishag Adam

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Abstract

Background: Limited published data exist on the association between parity (number of deliveries) and diabetes mellitus (DM). This study was conducted to evaluate the association between parity and type 2 DM (T2DM) among Sudanese women.

Method: A multistage sampling survey was conducted in four villages in the River Nile State, Sudan, between July and September 2022. The World Health Organization's three-level stepwise questionnaire was adopted to collect women's sociodemographic characteristics (age, sex, height, weight, marital status, parity, education level, occupation, detailed obstetric history, and family history of T2DM). Multivariate analyses were performed.

Results: A total of 397 women were recruited. Their median (interquartile range) age was 45.0 (33.0‒55.7) years. A total of 154 women (38.8%) were nulliparous, whereas 93 (23.4%), 70 (17.6%), and 80 (20.2%) had para 1‒3, 4 or 5, and more than 5, respectively. A total of 112 (28.2%) women had T2DM. In multivariate analysis, older age (adjusted odds ratio, AOR, 1.04, 95%, confidence interval, CI, 1.02‒1.06), high parity (AOR, 1.1, 95% C, 1.01‒1.20), and a family history of DM (AOR, 3.26, 95% CI, 1.98‒5.38) were associated with T2DM. Compared with the nulliparity, para 1‒3 (AOR, 2.33; 95% CI, 1.17‒4.61), para 4 or 5 (AOR, 2.12; 95% CI, 1.04‒4.30), and para > 5 (AOR, 2.16; 95% CI, 1.09‒4.27) were at higher risk of T2DM. In women aged < 50 years, high parity (AOR, 1.22; 95% CI, 1.06‒1.44) was associated with T2DM. Compared with the nulliparous women, para 4 or 5 (AOR, 3.47; 95% CI, 1.16‒10.34) and para > 5 (AOR, 4.63; 95% CI, 1.54‒13.87) were associated with T2DM, whereas para 1‒3 was not associated with T2DM. In the women aged ≥ 50 years, parity and parity groups were not associated with T2DM.

Conclusion: There is a high prevalence of T2DM among Sudanese women. Parity and high parity are significant predictors of T2DM among these women in this part of Sudan.

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奇偶性与 2 型糖尿病之间的关系：一项基于社区的横断面研究。

背景：已发表的关于准妈妈（分娩次数）与糖尿病（DM）之间关系的数据有限。本研究旨在评估苏丹妇女的奇偶性与 2 型糖尿病（T2DM）之间的关系：方法：2022 年 7 月至 9 月期间，在苏丹尼罗河州的四个村庄进行了多阶段抽样调查。采用世界卫生组织的三级递进式问卷调查法收集妇女的社会人口学特征（年龄、性别、身高、体重、婚姻状况、胎次、教育程度、职业、详细的产科病史和 T2DM 家族史）。进行了多变量分析：结果：共招募了 397 名妇女。结果：共招募了 397 名妇女，其年龄中位数（四分位数间距）为 45.0（33.0-55.7）岁。共有 154 名妇女（38.8%）为空腹，93 名（23.4%）、70 名（17.6%）和 80 名（20.2%）分别有 1-3 段、4 或 5 段和 5 段以上。共有 112 名（28.2%）妇女患有 T2DM。在多变量分析中，年龄较大（调整后的几率比，AOR，1.04，95% 置信区间，CI，1.02-1.06）、高妊娠率（AOR，1.1，95% C，1.01-1.20）和糖尿病家族史（AOR，3.26，95% CI，1.98-5.38）与 T2DM 相关。与无生育史的妇女相比，1-3 段（AOR，2.33；95% CI，1.17-4.61）、4 或 5 段（AOR，2.12；95% CI，1.04-4.30）和 5 段以上（AOR，2.16；95% CI，1.09-4.27）的妇女患 T2DM 的风险更高。5 岁（AOR，4.63；95% CI，1.54-13.87）的妇女与 T2DM 有关，而 1-3 岁与 T2DM 无关。结论：在年龄≥50 岁的妇女中，准妈妈和准妈妈组与 T2DM 无关：结论：苏丹妇女的 T2DM 患病率很高。结论：苏丹妇女中 T2DM 的发病率很高，而在苏丹的这一地区，妇女患 T2DM 的一个重要预测因素是孕妇足月和高足月。

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来源期刊

BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-

CiteScore

4.40

自引率

0.00%

发文量

280

审稿时长

>12 weeks

期刊介绍： BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.