Abstract | AIM: METHODS: We studied 61 consecutive pregnant women, 44 with GDM and 17 with normal glucose tolerance (CG). Serum homocysteine levels were analyzed by ELISA, using Bio-Rad reagents. Serum folates and vitamin B(12) concentrations were determined by chemiluminescent immunoassay, free fatty acids (FFA) and lipids enzymatically. RESULTS: Serum homocysteine levels were similar in both the GDM and the CG groups (8+/-2.0 vs 7.4+/-1.1 micromol/l, respectively). Women with GDM in comparison to CG women were characterized by higher values of homeostasis model of insulin resistance (HOMA-IR) (2.8+/-1.7 vs 1.6+/-0.9, P<0.01), serum triglycerides (2.7+/-0.9 vs 1.9+/-0.5 mmol/l, P<0.01) and FFA (0.6+/-0.2 vs 0.46+/-0.2 mmol/l, P<0.05). In GDM women serum tHcy correlated with vitamin B(12) (r= -0.47, P<0.01) and folates (r= -0.51, P<0.001); in CG women with HOMA-IR, a marker of insulin resistance (r= -0.49, P<0.05). In multiple regression analysis with serum tHcy as a dependent variable, folate and vitamin B(12) entered the analysis in GDM women (beta= -0.42 and -0.34, respectively, P<0.05), whereas in CG cystatin C and HOMA-IR entered the analysis (P<0.05). CONCLUSIONS:
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Authors | B Idzior-Waluś, K Cyganek, K Sztefko, G Seghieri, M C Breschi, M Waluś-Miarka, E Kawalec, M Seretny, J Sieradzki |
Journal | Archives of gynecology and obstetrics
(Arch Gynecol Obstet)
Vol. 278
Issue 4
Pg. 309-13
(Oct 2008)
ISSN: 0932-0067 [Print] Germany |
PMID | 18236055
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Homocysteine
- Folic Acid
- Vitamin B 12
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Topics |
- Adult
- Case-Control Studies
- Diabetes, Gestational
(blood)
- Female
- Folic Acid
(blood)
- Homocysteine
(blood)
- Humans
- Insulin Resistance
- Pregnancy
- Vitamin B 12
(blood)
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