Navigation Links
Chinese-American and Korean-American women at highest risk for diabetes in pregnancy
Date:12/11/2009

December 11 2009 (Portland, Ore.) More than 10 percent of women of Chinese and Korean heritage may be at risk for developing diabetes during pregnancy, according to a Kaiser Permanente study of 16,000 women in Hawaii that appears in the December issue of the Ethnicity and Disease journal. The study also found that Korean-American and Chinese-American women's gestational diabetes risk is one-third higher than averageand more than double that of Caucasian and African-American women.

Funded by the American Diabetes Association, the study found that Pacific Islanders, Filipinos, Puerto Ricans, and Samoans are also at higher-than-average riskwhile Caucasian, Native-American, and African-American women have a lower-than-average risk.

Untreated gestational diabetes mellitus can lead to serious pregnancy and birthing complications, including early delivery and C-sections. It can also increase the child's risk of developing obesity later in life.

While previous studies have shown that GDM is more prevalent among Asian women and Pacific Islanders, this is the first study to separate those ethnic groups into sub-categories to find out who is at higher risk. Researchers chose Hawaii for the study because it has one of the most ethnically diverse populations in the world.

Researchers divided Asians into five ethnic sub-groups and found some striking differences: Korean and Chinese women have the greatest risk of developing GDM. Filipinos are next, but Japanese and Vietnamese women have the same risk as the rest of the population. Among three groups of Pacific Islanders, Samoans and other Pacific Islanders (including women from Fiji and Tahiti) have a higher-than-average risk, while women classified as Native Hawaiians are at average risk.* Caucasian, Native-American, and African-American women have the lowest risk for developing GDM.

"This study has important implications for diagnosis and treatment of gestational diabetes," said study lead author Kathryn Pedula, MS, a researcher at the Kaiser Permanente Center for Health Research. "All pregnant women and their caregivers need to be educated about gestational diabetes, but it is especially important for women in these ethnic groups at higher risk."

"Many previous studies have lumped all Asians and Pacific Islanders together---we now know that the risk for developing GDM varies greatly depending on your specific ethnic background," said study co-author Teresa Hillier, MD, MS, an endocrinologist and senior investigator at the Kaiser Permanente Center for Health Research. "Future studies should also look at whether women in these higher risk groups also have more complications."

This study involved 16,757 women aged 13-39, who gave birth in the Kaiser Permanente Health Plan in Hawaii between 1995 and 2003. Some women had more than one child during that time, bringing the total number of pregnancies to 22,110. Researchers obtained ethnic classification from the mothers' birth certificates on file with the Hawaii Department of Health.

All women in the Kaiser Permanente system are screened for gestational diabetes between 24-28 weeks of pregnancy. If they have GDM, they are treated as part of routine care. More than 20 percent of women in the study had elevated glucose levels, and 6.7 percent of women met the Carpenter and Coustan threshold for gestational diabetes.

"This study underscores Kaiser Permanente's commitment to identify differences in risk and clinical outcomes for different ethnic and racial groups," said Winston F. Wong, MD, MS, medical director of Kaiser Permanente's Community Benefit Disparities Improvement and Quality Initiatives. "While we cannot eliminate the increased risk of prenatal diabetes among our Korean and Chinese patients, we use this kind of research to alert and empower our health care professionals and physicians to reduce disparities and achieve the best possible outcomes for our patients and their children."


'/>"/>

Contact: Danielle Cass
danielle.x.cass@kp.org
510-267-5354
Kaiser Permanente
Source:Eurekalert

Related medicine news :

1. Major New Study Finds Soyfoods Safe and Beneficial for Women With Breast Cancer
2. The Institute of Women's Health of North America to Offer Free Chlamydia Testing at All Affiliated Campuses – Dr. Abdul Rao
3. Reportlinker Adds Japanese Market for Womens Health Devices 2009
4. New York Womens Agenda Presents AUA Foundation Executive Director Sandra Vassos with Star Award
5. Are angry women more like men?
6. High-Risk Women May Often Avoid Using Tamoxifen
7. Researchers find increased dairy intake reduces risk of uterine fibroids in black women
8. Harmful Procedures on Young Women Caused by Outdated HPV test, not by Pap Test
9. High-risk women reluctant to take tamoxifen to prevent breast cancer, U-M study finds
10. In Women, Aspirin Might Ward Off Eye Trouble
11. Annual Screening With Breast Ultrasound or MRI Could Benefit Some Women
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2017)... , ... May 26, 2017 , ... Yisrayl Hawkins, Pastor ... publication this week that is focusing on the Peace Agreements being discussed by President ... East sprint in a race to try to speed up peace talks in the ...
(Date:5/26/2017)... ... ... Lowe acts as host and helps educate and inform the public using the “Informed” ... reconnect with America as it explores some of the best places to hike and ... inventive new place for a family vacation, and have discovered hiking. Many will agree ...
(Date:5/26/2017)... ... May 26, 2017 , ... “When the Stars Lead Home”: ... the creation of published author Laura Weigel Douglas, an avid reader who lives in ... house that sometimes feels like Green Hills Adventure Camp. She couldn’t be more grateful. ...
(Date:5/26/2017)... ... May 26, 2017 , ... ... recipient of proceeds from its 14th Annual Clays for Kids fundraiser, to be ... 30, Bennett, Colorado. , As part of BluSky’s partnership with The Adoption ...
(Date:5/26/2017)... ... ... “Cactus Jack: Against All Odds”: the story of Coach Cactus Jack and the impact ... the creation of published author, Walter Hubbard, a retired wildlife and fisheries biologist and ... Walter. Walter and Jane have three adult children and a granddaughter. Walter ...
Breaking Medicine News(10 mins):
(Date:5/23/2017)... May 23, 2017  Leaf Healthcare, recognized for ... devices for pressure ulcer prevention, will unveil its ... of Critical Care Nurses, National Teaching Institute and ... The Leaf Patient Monitoring System is the ... hospital environment.  The system seamlessly tracks patient movement ...
(Date:5/22/2017)... , May 22, 2017  As the specialty ... whole continue to make the revolutionary shift from ... important for ensuring positive patient outcomes and shaping ... are shifting focus away from clinical trials and ... of long-term specialty drug therapy utilization in precise ...
(Date:5/18/2017)... , May 17, 2017  Bayer announced today that ... will be presented at the 53 rd Annual ... taking place June 2-6 in Chicago ... ASCO span prostate, colorectal, liver and thyroid cancers, as ... the Phase II CHRONOS-1 trial of copanlisib in patients ...
Breaking Medicine Technology: