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302919
Psychosocial Influences of Acculturation and Acculturative Stress on Leptin, Adiponectin, and Gestational Diabetes in Mexican American Women during Pregnancy
Wednesday, November 19, 2014
Jeanne Ruiz, PhD, RN
,
School of Nursing, Texas Tech University, El Paso
As many as 50% of women who develop gestational diabetes mellitus (GDM) will develop Type 2 Diabetes (T2DM) within 5 to10 years of the pregnancy. Infants subjected to the GDM environment have higher risk of obesity and increased risk for developing T2DM later in life. T2DM and GDM are more prevalent in Mexican Americans than in non-Hispanic White Americans. Mexican American women may experience psychosocial stress related to acculturation and acculturative stress. Psychosocial stress may be related to altered metabolic responses that affect levels of the hormones leptin and adiponectin. Elevated leptin is linked to obesity and diabetes. Elevated adiponectin is considered protective against GDM and T2DM. The purpose of this study was to explore relationships between psychosocial stressors of acculturation, acculturative stress, and metabolic markers of leptin and adiponectin in pregnant Mexican American women with and without GDM. This secondary analysis used a case control design which included 38 with GDM and 38 controls. Subjects completed two surveys—Multidimensional Acculturation Scale II (MASII), Multidimensional Acculturative Stress Inventory (MASI)—which measured acculturation and acculturative stress. ELISA technique was used to measure leptin and adiponectin. Descriptive statistics, Pearson r correlations, and independent sample t-tests were used to analyze the data. The results from this study indicated that significant relationships do exist between some of the variables of interest; however, there were no overall significant differences found between women with and without gestational diabetes. These mixed results may be an indicator of a need to further explore these concepts.
Learning Areas:
Planning of health education strategies, interventions, and programs
Learning Objectives:
Analyze the relationships between the psychosocial stressors and metabolic markers in pregnant Mexican American women with and without gestational diabetes.
Identify if differences exist in levels of leptin and adiponectin in Mexican American women with and without gestational diabetes.
Keyword(s): Diabetes, Prenatal Care
Presenting author's disclosure statement:Qualified on the content I am responsible for because: Dr. Muñoz is Professor of Clinical Nursing at the University of Texas at Austin. She is a practicing family nurse practitioner and works with the University’s Wellness Clinics. She completed her PhD from the University of Texas at Austin in 2013. Her dissertation examined the psychosocial influences of acculturation and acculturative stress on adipokines and gestational diabetes in Mexican American women during pregnancy.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
