[Relationship between gestational diabetes and metabolic syndrome].
BACKGROUND
The metabolic syndrome (MS) is associated to a significant increase in the risk of diabetes, coronary heart disease and stroke, resulting in a 5-fold increase of the cardiovascular death rate.


OBJECTIVE
To determine the relationship between gestational diabetes (GD) and the development of MS at the end of puerperal period.


METHODS
We conducted a case-control study in the Curanilahue Hospital, in southern Chile, including 58 women with GD during their pregnancy, studied in day 42 of their puerperal period (study group) and 58 puerperal women from the same hospital, who had a physiological pregnancy (control group). Triglycerides, HDL cholesterol, fasting and post prandial blood glucose levels, blood pressure, waist circumference, weight and height were measured. MS was diagnosed using the National Cholesterol Education Program (NCEP - ATP III) criteria.


RESULTS
Mean weight, body mass index, waist circumference, blood glucose and triglycerides were significantly higher in the study group and HDL cholesterol was significantly lower in the control group.


CONCLUSIONS
These results suggest a significant relationship between GD and the occurrence of MS.
Ferrada
Cecilia
C
Matrona, Departamento de Estadística, Universidad de Concepción, Chile.
Molina
Marta
M
Cid
Luis
L
Riedel
Gisela
G
Ferrada
Cristina
C
Arévalo
Rodrigo
R
D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose; D001794:Blood Pressure; D015992:Body Mass Index; D016022:Case-Control Studies; D008076:Cholesterol, HDL / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D003920:Diabetes Mellitus / Q000235:genetics; D016640:Diabetes, Gestational / Q000097:blood* / Q000175:diagnosis; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008055:Lipids / Q000097:blood*; D024821:Metabolic Syndrome / Q000097:blood / Q000175:diagnosis / Q000209:etiology*; D049590:Postpartum Period; D011247:Pregnancy; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood; D049629:Waist-Hip Ratio
D015415:Biomarkers; D001786:Blood Glucose; D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D008055:Lipids; D014280:Triglycerides