Conclusion
This study elucidated that risk stratification for adverse pregnancy
outcomes in GDM patients is conceivable at the time of GDM diagnosis,
suggesting that aggressive risk management and tailored treatment are
warranted in GDM patients with higher numbers to meet the diagnostic
criteria of the 100-g OGTT or higher AUC values for OGTT curves. Our
results also suggest that the AUC value is an independent predictor of
adverse pregnancy outcomes, requiring further long-term, large-sample
studies.
Disclosure of interests: No competing financial interests
exist.
Contribution to authorship: KJL supervised the data collection
and data entry. NHK designed this study. KJK and NHK drafted the
manuscript. KJK and JC conducted the statistical analysis. SGK commented
on and critically revised the manuscript.
Details of ethics approval: This study was approved by the
Institutional Review Board of Gangnam CHA Medical Center (IRB No. KNC
10-025). Informed consent was waived because all the patient data were
anonymized and de-identified.
Funding: This study was funded by the Korea Forest Service as
‘Development of Optimal Environmental Model and Utilization Technology
for Forest Therapy through Community-linked Living Lab’
(2021384A00-2123-0101).
Acknowledgments: The authors thank the participants in the
study cohort and the staffs at Gangnam CHA Hospital, Seoul, Korea, for
critical comments.
Data Availability Statement: The dataset generated during the
current study is available upon reasonable request from the
corresponding author, Kyung Ju Lee
(drlkj52551@korea.ac.kr).