Gestational diabetes and cardiovascular risk factors and disease in U.S. Hispanics/Latinas in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Marisa J. Perera, Samantha A. Reina, Tali Elfassy, JoNell E Potter, Daniela Sotres Alvarez, Melissa A. Simon, Carmen R. Isasi, Alison M. Stuebe, Neil Schneiderman, Maria Llabre

Research output: Contribution to journalArticle

Abstract

To compare cardiovascular risk and disease prevalence in U.S. Hispanics/Latinas with and without a history of gestational diabetes mellitus (GDM). Cross-sectional data from 2008 to 2011 were analyzed for 8,262 (305 with GDM history) parous women, aged 20–73 years, from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Women with and without a history of GDM were compared on sociodemographic, cardiovascular risk factor, and disease data from standardized interviews and fasting blood tests, using chi-square tests, t-tests, and logistic regressions to determine odds ratios (ORs) and 95 percent confidence intervals (CIs). Adjusting for covariates, compared to those without a history of GDM, women with a history of GDM were younger (M = 39.1 years [95 percent CI = 37.8, 41.6] vs. 45.5 years [95 percent CI = 44.9, 46.1]) and more likely to have health insurance (68.1 percent [95 percent CI = 60.3 percent, 76.0 percent] vs. 54.9 percent [95 percent CI = 52.8 percent, 57.1 percent]), had greater waist circumference (M = 102.3 cm, [95 percent CI = 100.2, 104.3] vs. 98.1 cm [95 percent CI = 97.4, 98.5]) and higher fasting glucose (116.0 mg/dL [95 percent CI = 107.8, 124.3] vs. 104.2 mg/dL [95 percent CI = 103.4, 105.1]), and had higher odds of having metabolic syndrome (OR = 1.7 [95 percent CI = 1.2, 2.6]) or diabetes (OR = 3.3 [95 percent CI = 2.2, 4.8]). Prevalences of heart and cerebrovascular disease were similar. GDM history was positively associated with diabetes but not with cardiovascular disease.

Original languageEnglish (US)
JournalWomen and Health
DOIs
StateAccepted/In press - Jan 1 2018

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Gestational Diabetes
Hispanic Americans
Confidence Intervals
Health
Odds Ratio
Fasting
Cardiovascular Diseases
Cerebrovascular Disorders
Hematologic Tests
Waist Circumference
Chi-Square Distribution
Health Insurance
Heart Diseases
Logistic Models
Interviews

Keywords

  • Cardiovascular disease
  • diabetes
  • gestational diabetes
  • Hispanic/Latina

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gestational diabetes and cardiovascular risk factors and disease in U.S. Hispanics/Latinas in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). / Perera, Marisa J.; Reina, Samantha A.; Elfassy, Tali; Potter, JoNell E; Alvarez, Daniela Sotres; Simon, Melissa A.; Isasi, Carmen R.; Stuebe, Alison M.; Schneiderman, Neil; Llabre, Maria.

In: Women and Health, 01.01.2018.

Research output: Contribution to journalArticle

Perera, Marisa J. ; Reina, Samantha A. ; Elfassy, Tali ; Potter, JoNell E ; Alvarez, Daniela Sotres ; Simon, Melissa A. ; Isasi, Carmen R. ; Stuebe, Alison M. ; Schneiderman, Neil ; Llabre, Maria. / Gestational diabetes and cardiovascular risk factors and disease in U.S. Hispanics/Latinas in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). In: Women and Health. 2018.
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abstract = "To compare cardiovascular risk and disease prevalence in U.S. Hispanics/Latinas with and without a history of gestational diabetes mellitus (GDM). Cross-sectional data from 2008 to 2011 were analyzed for 8,262 (305 with GDM history) parous women, aged 20–73 years, from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Women with and without a history of GDM were compared on sociodemographic, cardiovascular risk factor, and disease data from standardized interviews and fasting blood tests, using chi-square tests, t-tests, and logistic regressions to determine odds ratios (ORs) and 95 percent confidence intervals (CIs). Adjusting for covariates, compared to those without a history of GDM, women with a history of GDM were younger (M = 39.1 years [95 percent CI = 37.8, 41.6] vs. 45.5 years [95 percent CI = 44.9, 46.1]) and more likely to have health insurance (68.1 percent [95 percent CI = 60.3 percent, 76.0 percent] vs. 54.9 percent [95 percent CI = 52.8 percent, 57.1 percent]), had greater waist circumference (M = 102.3 cm, [95 percent CI = 100.2, 104.3] vs. 98.1 cm [95 percent CI = 97.4, 98.5]) and higher fasting glucose (116.0 mg/dL [95 percent CI = 107.8, 124.3] vs. 104.2 mg/dL [95 percent CI = 103.4, 105.1]), and had higher odds of having metabolic syndrome (OR = 1.7 [95 percent CI = 1.2, 2.6]) or diabetes (OR = 3.3 [95 percent CI = 2.2, 4.8]). Prevalences of heart and cerebrovascular disease were similar. GDM history was positively associated with diabetes but not with cardiovascular disease.",
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AU - Potter, JoNell E

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