PMID- 33122744 OWN - NLM STAT- MEDLINE DCOM- 20210330 LR - 20211204 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 10 IP - 1 DP - 2020 Oct 29 TI - The correlation between plasma total homocysteine level and gestational diabetes mellitus in a Chinese Han population. PG - 18679 LID - 10.1038/s41598-020-75797-w [doi] LID - 18679 AB - To assess the correlation between plasma total homocysteine (tHcy) level and gestational diabetes mellitus (GDM) in a Chinese Han population. This case-control study included 350 GDM patients and 346 gestational week-matched normal glucose tolerance (NGT) pregnant women. Plasma tHcy and insulin levels were analyzed by HPLC and ELISA respectively. Logistic regression analysis was used to investigate the correlation between plasma tHcy level and risk of GDM. Women with GDM had a higher plasma tHcy level than NGT women (6.61 +/- 1.32 vs. 6.17 +/- 1.29 mumol/L, P = 0.001)). The GDM risk was 1.79 (OR = 1.79, 95% CI 1.18-2.72, P = 0.006) times higher in women whose plasma tHcy level was >/= 7.29 mumol/L compared to women with plasma tHcy level < 5.75 mumol/L. Stratified analysis showed the GDM risk were much higher when HOMA-IR index >/= 2 (OR = 5.42, 95% CI 2.51-11.74, P < 0.001), age >/= 30 years (OR = 5.14, 95% CI 2.78-9.52, P < 0.001), or women with a family history of type 2 diabetes mellitus (T2DM) (OR = 4.13, 95% CI 1.78-9.56, P = 0.001). In the Chinese Han population, an elevated plasma tHcy level may increase the overall risk of GDM especially in women with a high HOMA-IR index, increasing age or with family history of T2DM. FAU - Deng, Mengyao AU - Deng M AD - Research Center for Health Promotion in Women, Youth and Children, Department of Maternal, Child and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China. FAU - Zhou, Jia AU - Zhou J AD - Research Center for Health Promotion in Women, Youth and Children, Department of Maternal, Child and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China. FAU - Tang, Zhao AU - Tang Z AD - Research Center for Health Promotion in Women, Youth and Children, Department of Maternal, Child and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China. FAU - Xiang, Jun AU - Xiang J AD - Research Center for Health Promotion in Women, Youth and Children, Department of Maternal, Child and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China. FAU - Yi, Jing AU - Yi J AD - Research Center for Health Promotion in Women, Youth and Children, Department of Maternal, Child and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China. FAU - Peng, Yushuang AU - Peng Y AD - Research Center for Health Promotion in Women, Youth and Children, Department of Maternal, Child and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China. FAU - Di, Lihua AU - Di L AD - Research Center for Health Promotion in Women, Youth and Children, Department of Maternal, Child and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China. FAU - Zhai, Xiaobing AU - Zhai X AD - Research Center for Health Promotion in Women, Youth and Children, Department of Maternal, Child and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China. FAU - Yang, Mei AU - Yang M AD - Research Center for Health Promotion in Women, Youth and Children, Department of Maternal, Child and Adolescent Health, School of Medicine, Wuhan University of Science and Technology, Wuhan, 430065, China. yangmei88@wust.edu.cn. FAU - Du, Yukai AU - Du Y AD - Department of Maternal and Child Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. duyukai513@126.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201029 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Insulin) RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Adult MH - Case-Control Studies MH - China MH - Diabetes, Gestational/*blood/ethnology MH - *Ethnicity MH - Female MH - Glucose Tolerance Test MH - Homocysteine/*blood MH - Humans MH - Insulin/blood MH - Pregnancy PMC - PMC7596467 COIS- The authors declare no competing interests. EDAT- 2020/10/31 06:00 MHDA- 2021/03/31 06:00 PMCR- 2020/10/29 CRDT- 2020/10/30 05:49 PHST- 2020/02/14 00:00 [received] PHST- 2020/10/19 00:00 [accepted] PHST- 2020/10/30 05:49 [entrez] PHST- 2020/10/31 06:00 [pubmed] PHST- 2021/03/31 06:00 [medline] PHST- 2020/10/29 00:00 [pmc-release] AID - 10.1038/s41598-020-75797-w [pii] AID - 75797 [pii] AID - 10.1038/s41598-020-75797-w [doi] PST - epublish SO - Sci Rep. 2020 Oct 29;10(1):18679. doi: 10.1038/s41598-020-75797-w.