Prevalence of gestational diabetes mellitus in Germany: Temporal trend and differences by regional socioeconomic deprivation.

Journal of health monitoring Pub Date : 2024-05-15 eCollection Date: 2024-04-01 DOI:10.25646/12086

Lukas Reitzle, Christin Heidemann, Laura Krause, Jens Hoebel, Christa Scheidt-Nave

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Abstract

Background: Gestational diabetes mellitus (GDM) increases the risk for adverse pregnancy outcomes. In 2012, a general screening for GDM was introduced in Germany.

Methods: The analysis is based on data from the external inpatient quality assurance for obstetrics from the years 2013 to 2021. Women with pregestational diabetes were excluded. GDM was defined either by documentation in the maternity record or by ICD diagnosis O24.4 during hospitalisation. We reported the prevalence stratified by year, maternal age and regional socioeconomic deprivation.

Results: The age-standardized prevalence of GDM continuously rose from 4.7 % in 2013 to 8.5 % in 2021. The increase was observed in all age groups. In 2021, this corresponded to 63,563 women with GDM. The prevalence was higher in highly deprived regions than in low deprived regions.

Conclusion: A steady increase in GDM prevalence and evidence of health inequalities emphasise the need for primary prevention strategies for GDM.

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德国妊娠糖尿病的发病率：时间趋势和地区社会经济贫困程度的差异。

背景：妊娠糖尿病（GDM）会增加不良妊娠结局的风险。2012 年，德国开始对 GDM 进行全面筛查：分析基于 2013 年至 2021 年产科住院病人质量保证的外部数据。不包括患有妊娠糖尿病的妇女。GDM 的定义依据产科记录或住院期间的 ICD 诊断 O24.4。我们按年份、产妇年龄和地区社会经济贫困程度对患病率进行了分层：GDM的年龄标准化患病率从2013年的4.7%持续上升至2021年的8.5%。所有年龄组都出现了增长。到 2021 年，将有 63 563 名妇女患有糖尿病。高贫困地区的患病率高于低贫困地区：GDM 患病率的稳步增长和健康不平等的证据都强调了对 GDM 初级预防策略的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of health monitoring

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