CHANGES IN SERUM ADIPONECTIN LEVELS IN WOMEN WITH GESTA-TIONAL DIABETES MELLITUS DURING MILD- AND LATE PREGNANCY

Thi To Nhu Phan1, , Trung Vinh Hoang2, Ba Quyet Vu3, The Tai Pham4
1 Dai hoc Duoc Ha Noi
2 Military Hospital 103, Vietnam Military Medical University
3 National Hospital of Obstetrics and Gynecology
4 Institute of Biomedicine and Pharmacy, Vietnam Military Medical University

Main Article Content

Abstract

Objectives: To observe the changes in serum adiponectin levels in women with gestational diabetes mellitus (GDM) during mild- and late pregnancy. Methods: A case-control study, with longitudinal follow up on 120 GDM cases and 120 controls at 24-28 weeks of gestational. Results: Serum adiponectin levels in pregnant women gradually decreased as pregnancy progressed. In mid- and late pregnancy, women with GDM had lower serum adiponectin levels than normal pregnant women (2.79 (2.13 - 4.57) vs. 4.26 (3.4 - 7.2) mg/L; P < 0.001 and 2.01 (1.2 - 3.03) vs 3.05 (2.26 - 5.48) mg/L; P < 0.001). Serum adiponectin levels in mid- and late pregnancy were negatively correlated with pre-pregnancy BMI (r = -0.712; P < 0.001 and r = -0.679; P < 0.001); serum insulin levels (r = -0.643; P < 0.001 and r = -0.581; P < 0.001) and HOMA-IR index (r = -0.661; P < 0.001 and r = -0.582; P < 0.001). Conclusion: Serum adiponectin levels was lower in GDM and had a negative correlation with insulin resistance. Low adiponectin levels may be a risk factor for GDM in pregnant women.

Article Details

References

1. Bernea EG, et al. Serum levels of adiponectine and leptin in gestational diabetes mellitus-review. Res. & Sci. Today. 2022; 23:131-140.
2. Pheiffer C, et al. Adiponectin as a potential biomarker for pregnancy disorders. International Journal of Molecular Sciences. 2021; 22(3):1326.
3. Trần Khánh Nga. Nghiên cứu mối liên quan giữa nồng độ adiponectin, leptin huyết thanh với đái tháo đường thai kỳ. Tạp chí Y học Việt Nam. 2022; 517(1):324-328.
4. Pala HG, et al. Adiponectin levels in gestational diabetes mellitus and in pregnant women without glucose intolerance. Advances in clinical and experimental medicine. 2015. 24(1): 85-92.
5. Lacroix M, et al. Lower adiponectin levels at first trimester of pregnancy are associated with increased insulin resistance and higher risk of developing gestational diabetes mellitus. Diabetes care. 2013. 36(6):1577-1583.
6. Matyjaszek-Matuszek B, et al. Correlation between atherogenic risk and adiponectin in gestational diabetes mellitus. Annals of Agricultural and Environmental Medicine. 2014. 21(1): 143-147.
7. Saucedo R, et al. Relationship between circulating adipokines and insulin resistance during pregnancy and postpartum in women with gestational diabetes. Archives of Medical Research. 2011. 42(4):318-323.
8. American Diabetes Association. Standards of medical care in diabetes. Diabetes care. 2011. 34(1): S11-S61.
9. Torun GI, et al. The relationship between gdm and adipocytokine levels. The Medical Bulletin of Sisli Etfal Hospital. 2023; 57(1): 79-85.
10. Bao W, et al. Adipokine levels during the first or early second trimester of pregnancy and subsequent risk of gestational diabetes mellitus: A systematic review. Metabolism. 2015; 64(6):756-764.