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Characteristics and influencing factors of metabolic syndrome in post-production women with gestational diabetes.

??Objective To understand the incidence of metabolic syndrome(MS)when women with gestational diabetes mellitus(GDM) gave birth one year later??and to find its influencing factors.Methods 126 women diagnosed with GDM were selected(GDM group) and came to our hospital for prenatal examination??and paid a return visit 1 year after childbirth.Meanwhile??114 women with normal glycometabolism??who gave birth at the same time and paid a return visit 1 year after childbirth(NGT group).At middle pregnancy??we asked all the women about their progestational body weight??diabetic family history??gestation history and so on??and then we collected their body height??weight??blood glucose at OGTT test??fasting plasma insulin??fasting plasma lipid and hs-CRP.One year after childbirth??we measured their body height??weight??abdominal girth??blood pressure??fasting plasma glucose and lipid when they paid a return visit.Results As compared with the NGT group??GDM gouup had more severe metabolic disorder??which lasted 1 year after they gave birth.One year after childbirth??the incidence of MS in GDM gouup was 17.5% (22/126)??and that in the NGT group was 7.9% (9/114).Logistic regression analysis showed that the factors in association with the incidence of MS after childbirth included fasting plasma glucose at OGTT test??BMI at progestation??hs-CRP at pregnancy and pregnant age??and their OR value were 96.48??1.63??1.47 and 1.44??respectively.Conclusion The incidence of MS is notably higher in GDM gouup??and fasting plasma glucose at pregnancy??body mass index at progestation??hs-CRP at pregnancy and pregnant age may predict MS incidence after childbirth.