Maternal Subcutaneous and Visceral Adipose Ultrasound Thickness in Women with Gestational Diabetes Mellitus at 24-28 Weeks' Gestation

Francesco D'Ambrosi, Francesca Crovetto, Enrico Colosi, Isabella Fabietti, Floriana Carbone, Beatrice Tassis, Silvia Motta, Alessandro Bulfoni, Luigi Fedele, Gabriele Rossi, Nicola Persico

Research output: Contribution to journalArticle

Abstract

Objective: To compare the sonographic measurement of maternal subcutaneous and visceral adipose thickness between pregnant women with gestational diabetes mellitus (GDM) and patients with nondiabetic pregnancies. Methods: Adipose thickness was measured by transabdominal ultrasound in pregnant women attending our antenatal clinics at 24-28 weeks' gestation. All patients underwent a 75-g oral glucose challenge as a diagnostic test for GDM. Results: The study population comprised 56 women with a positive glucose challenge test and 112 nondiabetic pregnancies. Measurements of subcutaneous and visceral adipose tissues were converted into multiples of the median (MoM), adjusted for gestational age. The mean subcutaneous thickness MoM in patients with GDM was significantly higher compared to nondiabetic pregnancies (1.31 vs. 1.07; p = 0.011). Similarly, the mean visceral thickness MoM was higher in women with a positive oral glucose tolerance test compared to controls (1.61 vs. 1.06; p < 0.001). Multivariate logistic regression analysis demonstrated that visceral adipose thickness, but not subcutaneous thickness, was significantly and independently associated with GDM (odds ratio 34.047, 95% confidence interval 9.489-122.166). Conclusions: Sonographic thickness of maternal visceral adipose tissue at 24-28 weeks' gestation was higher in women with GDM compared to nondiabetic pregnancies, independently from other known risk factors associated with GDM.

Original languageEnglish
Pages (from-to)143-147
JournalFetal Diagnosis and Therapy
Volume43
Issue number2
DOIs
Publication statusPublished - 2018

Fingerprint

Gestational Diabetes
Mothers
Pregnancy
Intra-Abdominal Fat
Pregnant Women
Glucose
Subcutaneous Fat
Glucose Tolerance Test
Routine Diagnostic Tests
Gestational Age
Logistic Models
Odds Ratio
Regression Analysis
Confidence Intervals
Population

Keywords

  • Adipose tissue
  • Gestational diabetes
  • Glucose tolerance
  • Pregnancy
  • Ultrasound

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Embryology
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynaecology

Cite this

Maternal Subcutaneous and Visceral Adipose Ultrasound Thickness in Women with Gestational Diabetes Mellitus at 24-28 Weeks' Gestation. / D'Ambrosi, Francesco; Crovetto, Francesca; Colosi, Enrico; Fabietti, Isabella; Carbone, Floriana; Tassis, Beatrice; Motta, Silvia; Bulfoni, Alessandro; Fedele, Luigi; Rossi, Gabriele; Persico, Nicola.

In: Fetal Diagnosis and Therapy, Vol. 43, No. 2, 2018, p. 143-147.

Research output: Contribution to journalArticle

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