郭佳
  • 学位:医学博士学位
  • 职称:教授
  • 学科:护理学
  • 所在单位:湘雅护理学院

教授 博士生导师 硕士生导师

所在单位:湘雅护理学院
学历:博士研究生毕业
办公地点:湘雅护理学院
性别:
联系方式:电子邮箱:guojia621@163.com
学位:医学博士学位
在职信息:在职
主要任职:中南大学湘雅护理学院副院长,湘雅护理学院对外交流合作中心主任,澳大利亚JBI循证卫生保健中心之湘雅循证实践与健康创新中心执行主任
其他任职:美国护理科学院Fellow、国际家庭护理协会会员专委会co-chair、SCI期刊Journal of Clinical Nursing和Journal of Advanced Nursing的审稿专家、“十四五”规划教材研究生护理学专业规划教材《循证护理学》副主编、全国护士执业资格考试题库建设专家、《中华糖尿病杂志》和《广西医科大学学报》审稿专家、《中南大学学报(医学版)》中青年编委、《中华现代护理杂志》编委;全国卫生产业企业管理协会妇科智能诊疗分会常务理事、中国1型糖尿病联盟护理专业委员会副主任委员、湖南省健康管理协会糖尿病教育与管理专业委员会副主任委员
毕业院校:中南大学

学科:护理学

当前位置: 中文主页 >> 论文成果
Progression to Abnormal Glucose Tolerance and Its Related Risk Factors Among Women with Prior Gestational Diabetes in Rural Communities of China
点击次数:
影响因子:
2.842
DOI码:
10.2147/DMSO.S252542
所属单位:
中南大学
发表刊物:
Diabetes Metabolic Syndrome Obesity
刊物所在地:
英国
关键字:
abnormal glucose tolerance; gestational diabetes mellitus; postpartum; risk factors; waist circumference.
摘要:
Background: The purpose of this study was to describe the status of abnormal glucose tolerance with a longer duration after delivery among women with prior gestational diabetes mellitus (GDM) in a rural community of China, and to explore the influence of socio-demographic factors, GDM-related factors (family history of diabetes, number of children, receipt of treatment for GDM), psychosocial factors (perceived stress, self-efficacy, and social support), lifestyle behaviors (physical activity, sedentary activity, fruit or vegetables intake), and obesity indicators (body mass index and waist circumferences) on abnormal glucose tolerance. Patients and methods: A cross-sectional descriptive survey was conducted among women with prior GDM in two county-level hospitals in Western and Eastern Hunan, China from November 2017 to June 2018. Under the guidance of life course theory, data were collected using self-report measures of socio-demographic and GDM-related factors as well as psychosocial factors (perceived stress, self-efficacy, and social support) and postpartum lifestyle behaviors (physical activity, sedentary activity, and fruit and vegetable intake). Additionally, a 75-g oral glucose tolerance test was conducted, and weight, height, and waist circumference were measured on site. Results: A total of 425 women were included in this study, with an average postpartum duration of 18.04 months. Of these women, 20.9% had abnormal glucose tolerance (AGT). A multivariate analysis indicated that the proportion of abnormal glucose tolerance increased with increased age (OR = 2.13; 1.27-3.57, p=0.004), ethnic minority (OR: 1.62, 95% CI: 0.96-2.72, p=0.069), lower educational levels (OR:0.58, 95% CI: 0.33-1.02, p=0.057), receipt of treatment for GDM during pregnancy (OR =1.93; 1.11-3.37, p=0.020) and larger waist circumference (OR = 1.08; 1.05-1.12, p=0.000). Conclusion: More than one-fifth of the women with GDM in rural China had progression to AGT. More postpartum programs aimed at reducing waist circumference are warranted to delay or prevent progression to type 2 diabetes mellitus for rural Chinese women with prior GDM.
备注:
Q3区
合写作者:
Shan Jiang, Yuanyuan Jiang, Qing Long, Yujia Tang, Jiaxin Luo, James Wiley, Allison Vorderstrasse
第一作者:
Ping Mao
论文类型:
期刊论文
通讯作者:
Jia Guo
学科门类:
护理学
文献类型:
J
卷号:
13
页面范围:
2259-2268
是否译文:
收录刊物:
SCI
扫一扫用手机查看