Gestational diabetes & diabetes in pregnancy

Association between atherogenic index of plasma and gestational diabetes mellitus: a prospective cohort study based on the Korean population

Cardiovasc DiabetolPublished Secondary analysis of a prospective cohort study

Authors' conclusion

This study revealed that the AIP at 10-14 weeks of gestation was independently and positively correlated with GDM risk. AIP could serve as an early screening and monitoring tool for pregnant women at high risk of GDM, thereby optimizing GDM prevention strategies.

Study context

Population
Korean singleton pregnant women; mean age 32.06 ± 3.76 years; Atherogenic index of plasma (AIP) measured at 10–14 weeks of gestation
Participants
585 women
Comparison
AIP and gestational diabetes mellitus (GDM) risk
Primary endpoint
Association between AIP and GDM, and AIP's predictive capability for GDM
Methodological detailslogistic regression, curve fitting, sensitivity analyses, subgroup analyses, ROC analysis
  • Logistic regression
  • Curve fitting
  • Sensitivity analyses
  • Subgroup analyses
  • ROC analysis

Primary result

As reported in the abstract

GDM per AIP
Adjusted OR for GDM with AIP (positive linear relationship)
OR 1.58, 95% CI 1.27-1.97
P for non-linearity
0.801
AUC of AIP for GDM
0.7879 (95% CI 0.7087-0.8671)
Optimal AIP cut-off
0.3557
Sensitivity at cut-off
72.22%
Specificity at cut-off
75.41%
GDM incidence
6.15%
Mean AIP
0.24 ± 0.20

Further findings

Association between AIP and GDM robust in sensitivity and subgroup analyses

Original publication

Association between atherogenic index of plasma and gestational diabetes mellitus: a prospective cohort study based on the Korean population. Cardiovasc Diabetol. Published 5 July 2024. doi:10.1186/s12933-024-02341-9

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