Objective To explore the influencing factors of gestational diabetes mellitus in elderly pregnant women.Methods The clinical data of 40 elderly patients with gestational diabetes mellitus(gestational diabetes mellitus group)and 40 elderly normal pregnant women(non-gestational diabetes mellitus group)admitted to Zhangpu County Maternal and Child Health Hospital from May 2022 to February 2024 were retrospectively selected.The weight gain during pregnancy,pre-pregnancy body mass index,and the proportion of primipara,daily sleep>8 h,family history of diabetes,history of diabetes during pregnancy,chronic insomnia,preference for sweets,and daily exercise>1 h/d were compared between the two groups.Multivariate Logistic regression analysis was performed on the above indicators to clarify the independent risk factors and protective factors affecting gestational diabetes in elderly pregnant women.Results The gestaional weight gain and pre-pregnancy body mass index in the gestational diabetes group were higher than those in the non-gestational diabetes group,the proportion of history of gestational diabetes,chronic insomnia and sweet food in the gestational diabetes group were higher than those in the non-gestational diabetes group,and the proportion of daily exercise>1 h/d was lower than that in the non-gestational diabetes group,the differences were sta-tistically significant(all P<0.05).Gestational weight gain>20 kg,pre-pregnancy body mass index>24 kg/m2,chronic insomnia and sweet food were risk factors for gestational diabetes mellitus in elderly pregnant women,and daily exer-cise>1 h/d was a protective factor for gestational diabetes mellitus in elderly pregnant women.Conclusion For elderly pregnant women with weight gain>20 kg during pregnancy,pre-pregnancy body mass index>24 kg/m2,chronic insom-nia and sweet food,the risk of gestational diabetes is higher,and it is recommended to appropriately increase daily ex-ercise for prevention.
Elderly pregnant women with gestational diabetes mellitusWeight gain during pregnancyBody mass in-dex before pregnancyChronic insomniaDaily exercise
维普
万方数据
