Pregnancy complications, mental health-related problems and type 2 diabetes mellitus in Malaysian women

Syed Shahzad Hasan, Kaeshaelya Thiruchelvam, Syed Imran Ahmed, Alexandra M. Clavarino, Abdullah A. Mamun, Therese Kairuz

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aims The aim of this study was to investigate the association between pregnancy complications, mental health-related problems, and type 2 diabetes mellitus (T2DM) in Malaysian women. Materials and methods A case-control study of women with T2DM (n = 160) matched by age range to controls without T2DM (n = 160). Data were collected in the Negeri Sembilan and PutraJaya regions in Malaysia, from two hospital outpatient clinics, PutraJaya Hospital and Tuanku Jaa'far Hospital Seremban, and one health clinic at Seremban. Validated, interviewer-administered questionnaires were used to obtain the data. The unadjusted and adjusted estimates were calculated using the Mantel-Haenszel method. Results Neither depression (RR 0.74, 95% CI: 0.39-1.41) nor anxiety (RR 1.00, 95% CI: 0.53-1.88) symptoms increased the risk of T2DM significantly. However, gestational diabetes (RR 1.35, 95% CI: 1.02-1.79), and ≥3 pregnancies (RR 1.39, 95% CI: 1.08-1.79) were significant risk factors for the development of T2DM. T2DM was not a significant risk factor for either depression (RR 1.26, 95% CI: 0.91-1.74) or anxiety symptoms (RR 1.13, 95% CI: 0.59-2.19). Conclusion In this study, T2DM is not a significant risk factor for depression and anxiety; similarly, neither are depression and anxiety significant risk factors for T2DM. Although prevalence of depression and anxiety is not alarming, the findings reported here should alert clinicians to screen and treat anxiety and depression in people with diabetes and also note the importance of monitoring women with complications in pregnancy for risk of later T2DM.

LanguageEnglish
Pages191-197
Number of pages7
JournalDiabetes and Metabolic Syndrome: Clinical Research and Reviews
Volume7
Issue number4
DOIs
Publication statusPublished - Oct 2013
Externally publishedYes

Fingerprint

Pregnancy Complications
Type 2 Diabetes Mellitus
Mental Health
Anxiety
Depression
Hospital Outpatient Clinics
Gestational Diabetes
Malaysia
Case-Control Studies
Interviews
Pregnancy
Health

Cite this

Hasan, Syed Shahzad ; Thiruchelvam, Kaeshaelya ; Ahmed, Syed Imran ; Clavarino, Alexandra M. ; Mamun, Abdullah A. ; Kairuz, Therese. / Pregnancy complications, mental health-related problems and type 2 diabetes mellitus in Malaysian women. In: Diabetes and Metabolic Syndrome: Clinical Research and Reviews. 2013 ; Vol. 7, No. 4. pp. 191-197.
@article{fa1ca85a00d44fea9211e3ea5e5c8d29,
title = "Pregnancy complications, mental health-related problems and type 2 diabetes mellitus in Malaysian women",
abstract = "Aims The aim of this study was to investigate the association between pregnancy complications, mental health-related problems, and type 2 diabetes mellitus (T2DM) in Malaysian women. Materials and methods A case-control study of women with T2DM (n = 160) matched by age range to controls without T2DM (n = 160). Data were collected in the Negeri Sembilan and PutraJaya regions in Malaysia, from two hospital outpatient clinics, PutraJaya Hospital and Tuanku Jaa'far Hospital Seremban, and one health clinic at Seremban. Validated, interviewer-administered questionnaires were used to obtain the data. The unadjusted and adjusted estimates were calculated using the Mantel-Haenszel method. Results Neither depression (RR 0.74, 95{\%} CI: 0.39-1.41) nor anxiety (RR 1.00, 95{\%} CI: 0.53-1.88) symptoms increased the risk of T2DM significantly. However, gestational diabetes (RR 1.35, 95{\%} CI: 1.02-1.79), and ≥3 pregnancies (RR 1.39, 95{\%} CI: 1.08-1.79) were significant risk factors for the development of T2DM. T2DM was not a significant risk factor for either depression (RR 1.26, 95{\%} CI: 0.91-1.74) or anxiety symptoms (RR 1.13, 95{\%} CI: 0.59-2.19). Conclusion In this study, T2DM is not a significant risk factor for depression and anxiety; similarly, neither are depression and anxiety significant risk factors for T2DM. Although prevalence of depression and anxiety is not alarming, the findings reported here should alert clinicians to screen and treat anxiety and depression in people with diabetes and also note the importance of monitoring women with complications in pregnancy for risk of later T2DM.",
keywords = "Anxiety, Depression, Malaysian, Type 2 diabetes mellitus, Women",
author = "Hasan, {Syed Shahzad} and Kaeshaelya Thiruchelvam and Ahmed, {Syed Imran} and Clavarino, {Alexandra M.} and Mamun, {Abdullah A.} and Therese Kairuz",
year = "2013",
month = "10",
doi = "10.1016/j.dsx.2013.10.023",
language = "English",
volume = "7",
pages = "191--197",
journal = "Diabetes and Metabolic Syndrome: Clinical Research and Reviews",
issn = "1871-4021",
publisher = "Elsevier BV",
number = "4",

}

Pregnancy complications, mental health-related problems and type 2 diabetes mellitus in Malaysian women. / Hasan, Syed Shahzad; Thiruchelvam, Kaeshaelya; Ahmed, Syed Imran; Clavarino, Alexandra M.; Mamun, Abdullah A.; Kairuz, Therese.

In: Diabetes and Metabolic Syndrome: Clinical Research and Reviews, Vol. 7, No. 4, 10.2013, p. 191-197.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Pregnancy complications, mental health-related problems and type 2 diabetes mellitus in Malaysian women

AU - Hasan, Syed Shahzad

AU - Thiruchelvam, Kaeshaelya

AU - Ahmed, Syed Imran

AU - Clavarino, Alexandra M.

AU - Mamun, Abdullah A.

AU - Kairuz, Therese

PY - 2013/10

Y1 - 2013/10

N2 - Aims The aim of this study was to investigate the association between pregnancy complications, mental health-related problems, and type 2 diabetes mellitus (T2DM) in Malaysian women. Materials and methods A case-control study of women with T2DM (n = 160) matched by age range to controls without T2DM (n = 160). Data were collected in the Negeri Sembilan and PutraJaya regions in Malaysia, from two hospital outpatient clinics, PutraJaya Hospital and Tuanku Jaa'far Hospital Seremban, and one health clinic at Seremban. Validated, interviewer-administered questionnaires were used to obtain the data. The unadjusted and adjusted estimates were calculated using the Mantel-Haenszel method. Results Neither depression (RR 0.74, 95% CI: 0.39-1.41) nor anxiety (RR 1.00, 95% CI: 0.53-1.88) symptoms increased the risk of T2DM significantly. However, gestational diabetes (RR 1.35, 95% CI: 1.02-1.79), and ≥3 pregnancies (RR 1.39, 95% CI: 1.08-1.79) were significant risk factors for the development of T2DM. T2DM was not a significant risk factor for either depression (RR 1.26, 95% CI: 0.91-1.74) or anxiety symptoms (RR 1.13, 95% CI: 0.59-2.19). Conclusion In this study, T2DM is not a significant risk factor for depression and anxiety; similarly, neither are depression and anxiety significant risk factors for T2DM. Although prevalence of depression and anxiety is not alarming, the findings reported here should alert clinicians to screen and treat anxiety and depression in people with diabetes and also note the importance of monitoring women with complications in pregnancy for risk of later T2DM.

AB - Aims The aim of this study was to investigate the association between pregnancy complications, mental health-related problems, and type 2 diabetes mellitus (T2DM) in Malaysian women. Materials and methods A case-control study of women with T2DM (n = 160) matched by age range to controls without T2DM (n = 160). Data were collected in the Negeri Sembilan and PutraJaya regions in Malaysia, from two hospital outpatient clinics, PutraJaya Hospital and Tuanku Jaa'far Hospital Seremban, and one health clinic at Seremban. Validated, interviewer-administered questionnaires were used to obtain the data. The unadjusted and adjusted estimates were calculated using the Mantel-Haenszel method. Results Neither depression (RR 0.74, 95% CI: 0.39-1.41) nor anxiety (RR 1.00, 95% CI: 0.53-1.88) symptoms increased the risk of T2DM significantly. However, gestational diabetes (RR 1.35, 95% CI: 1.02-1.79), and ≥3 pregnancies (RR 1.39, 95% CI: 1.08-1.79) were significant risk factors for the development of T2DM. T2DM was not a significant risk factor for either depression (RR 1.26, 95% CI: 0.91-1.74) or anxiety symptoms (RR 1.13, 95% CI: 0.59-2.19). Conclusion In this study, T2DM is not a significant risk factor for depression and anxiety; similarly, neither are depression and anxiety significant risk factors for T2DM. Although prevalence of depression and anxiety is not alarming, the findings reported here should alert clinicians to screen and treat anxiety and depression in people with diabetes and also note the importance of monitoring women with complications in pregnancy for risk of later T2DM.

KW - Anxiety

KW - Depression

KW - Malaysian

KW - Type 2 diabetes mellitus

KW - Women

UR - http://www.scopus.com/inward/record.url?scp=84889089119&partnerID=8YFLogxK

U2 - 10.1016/j.dsx.2013.10.023

DO - 10.1016/j.dsx.2013.10.023

M3 - Article

VL - 7

SP - 191

EP - 197

JO - Diabetes and Metabolic Syndrome: Clinical Research and Reviews

T2 - Diabetes and Metabolic Syndrome: Clinical Research and Reviews

JF - Diabetes and Metabolic Syndrome: Clinical Research and Reviews

SN - 1871-4021

IS - 4

ER -