Influence of TyG Index and TG/HDL-C Ratio on Fetal Macrosomia
NCT ID: NCT06463990
Last Updated: 2024-09-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
302 participants
OBSERVATIONAL
2023-01-01
2024-08-25
Brief Summary
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The triglyceride level and other lipids increase slightly during pregnancy. This increase has a positive effect on the development of the fetus. However, an excessive increase in lipid levels can cause some metabolic disorders such as gestational diabetes and increase feto-maternal morbidity/mortality.
While some existing studies have shown that elevated triglyceride levels can cause fetal macrosomia, others have found no correlation between these two variables. The ratio of triglycerides to HDL is a widely used marker for lipid disorders. In addition, the triglyceride-glucose index is also an index used to detect insulin resistance.
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Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
PROSPECTIVE
Study Groups
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Study group
women with macrosomic newborns
TyG index
association between TyG index and triglyceride to high-density lipoprotein cholesterol ratio with fetal macrosomia
Control group
women with non-macrosomic newborns
TyG index
association between TyG index and triglyceride to high-density lipoprotein cholesterol ratio with fetal macrosomia
Interventions
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TyG index
association between TyG index and triglyceride to high-density lipoprotein cholesterol ratio with fetal macrosomia
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Low-risk nulliparous singleton pregnant women.
* Age between 18 and 40 years old
Exclusion Criteria
* Hospitalized for preterm labor or preterm premature rupture of membranes.
* Gestational diabetes mellitus, diabetes mellitus type I - type II.
* Pregnant women with fetal growth restriction, hypertensive pregnancy disorders, familial hypercholesterolemia and hyperlipidemia.
* Multiparous pregnant women
* Multiple pregnancies
* Pregnant women with chronic diseases.
* Pregnant women with impaired liver function;
* Pregnant women with body mass index \<25 and \>40 kg/m2.
18 Years
40 Years
FEMALE
Yes
Sponsors
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Ankara Etlik City Hospital
OTHER_GOV
Responsible Party
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Fahri Burcin Firatligil
Specialist doctor in obstetrics and gynecology and Fellow student in Perinatology
Principal Investigators
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Yaprak Engin-Ustun, Prof
Role: STUDY_DIRECTOR
Etlik Zubeyde Hanim Women's Health Education and Research Hospital
Locations
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Ankara Etlik City Hospital
Ankara, Yenimahalle, Turkey (Türkiye)
Countries
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References
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Macrosomia: ACOG Practice Bulletin, Number 216. Obstet Gynecol. 2020 Jan;135(1):e18-e35. doi: 10.1097/AOG.0000000000003606.
Poveda NE, Garces MF, Darghan AE, Jaimes SAB, Sanchez EP, Diaz-Cruz LA, Garzon-Olivares CD, Parra-Pineda MO, Bautista-Charry AA, Muller EA, Alzate HFS, Acosta LMM, Sanchez E, Ruiz-Parra AI, Caminos JE. Triglycerides/Glucose and Triglyceride/High-Density Lipoprotein Cholesterol Indices in Normal and Preeclamptic Pregnancies: A Longitudinal Study. Int J Endocrinol. 2018 Aug 6;2018:8956404. doi: 10.1155/2018/8956404. eCollection 2018.
Babic N, Valjevac A, Zaciragic A, Avdagic N, Zukic S, Hasic S. The Triglyceride/HDL Ratio and Triglyceride Glucose Index as Predictors of Glycemic Control in Patients with Diabetes Mellitus Type 2. Med Arch. 2019 Jun;73(3):163-168. doi: 10.5455/medarh.2019.73.163-168.
Barat S, Ghanbarpour A, Bouzari Z, Batebi Z. Triglyceride to HDL cholesterol ratio and risk for gestational diabetes and birth of a large-for-gestational-age newborn. Caspian J Intern Med. 2018 Fall;9(4):368-375. doi: 10.22088/cjim.9.4.368.
Firatligil FB, Tuncdemir S, Sucu S, Reis YA, Ozkan S, Dereli ML, Sucu ST, Engin-Ustun Y. Association of the triglyceride-glucose index and the ratio of triglyceride to high-density lipoprotein cholesterol with fetal macrosomia in nulliparous pregnant women: a prospective case-control study. BMC Pregnancy Childbirth. 2025 Feb 17;25(1):175. doi: 10.1186/s12884-025-07317-5.
Other Identifiers
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AECH-FIRATLIGIL-001
Identifier Type: -
Identifier Source: org_study_id
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