Advertisement

 

 

Gestational diabetes mellitus and first-trimester pregnancy-associated plasma protein-A: a case-control study in a Chinese population.

Gestational diabetes mellitus and first-trimester pregnancy-associated plasma protein-A: a case-control study in a Chinese population.
Author Information (click to view)

Xiao D, Wang C, Xu Y, Lu Z,


Xiao D, Wang C, Xu Y, Lu Z, (click to view)

Xiao D, Wang C, Xu Y, Lu Z,

Advertisement

Journal of diabetes investigation 2017 04 07() doi 10.1111/jdi.12672
Abstract
AIMS
To investigate the relationship between pregnancy-associated plasma protein A (PAPP-A) and gestational diabetes mellitus (GDM) and to determine whether PAPP-A has improved value for predicting GDM in a Chinese population.

METHODS
Clinical data for 599 GDM patients and 986 unaffected pregnant women undergoing both antenatal examinations and delivery were retrospectively analyzed. First-trimester serum PAPP-A levels were compared between the groups. Binary logistic regression analysis was used to explore the risk factors for GDM, and the area under the receiver operating characteristic (AUC-ROC) curve was used to determine the value of PAPP-A for predicting GDM.

RESULTS
GDM-affected and unaffected pregnant women were significantly different in terms of age (P<0.001), BMI (P<0.001), family history of diabetes (P=0.002), α-thalassemia trait (P<0.01), parity (P<0.001), conception methods (P<0.001), gestational weeks at the time of labor (P<0.001) and corrected PAPP-A multiples of the median (MoMs) values (P<0.001). Binary logistic regression analysis revealed that PAPP-A levels were negatively related to the subsequent development of GDM (OR 0.798; 95%CI: 0.647-0.984). The AUC-ROC for maternal factors was 0.684 (95%CI: 0.657-0.711) and did not significantly differ from that for the combination of maternal factors and serum PAPP-A levels, which was 0.686 (95%CI: 0.660-0.713) (χ(2) =0.625, P=0.429). CONCLUSION
Serum PAPP-A was an independent factor for the development of GDM in pregnant Chinese women. Serum-PAPP-A does not have improved value with respect to predicting GDM when combined with other maternal factors. This article is protected by copyright. All rights reserved.

Submit a Comment

Your email address will not be published. Required fields are marked *

4 × five =

[ HIDE/SHOW ]