(P15-053-24) Risk of Obesity by Cesarean Section Delivery in Patients of Type 2 Diabetes Mellitus

Objectives: This was to demonstrate that obesity in type 2 Diabetes Mellitus (TeDM) patients is asociated with birth via cesarean section

Methods: An analytical cross-sectional study was carried out in patients who attended the Mexican Diabetes Association in Jalisco and the Civil Hospital of Guadalajara Juan I. Menchaca in the period from January 1, 2022 to October 31, 2022. Patients were included with T2DM, of either gender, over 18 years of age, with normal weight, overweight or obesity and with signed informed consent. Twenty-five patients were excluded for different reasons put in the protocol. The sampling was for convenience in concentration sites. Student's t test, Chi2 and odds ratio were used.

Results: There were included 218 participants. Most of the patients studied were females (63.8%) and the mean age was 57.8 years. The mean age at T2DM diagnosis was 46.2 years. The time elapsed since diagnosis was 10 years. An association trend was observed between the route of birth and the BMI categories (p=0.053). By dividing the BMI category between normal weight and overweight vs. obesity, it was observed that birth by cesarean section increases the probability of obesity by nine times.

Conclusions: It was found that patients with T2DM born via cesarean section have a nine times higher risk of presenting obesity compared to those born vaginally. The results suggest that it is possible that in the coming years the number of patients with a history of birth via cesarean section, the presence of T2DM and obesity will increase.

Funding Sources: National Council of Humanities, Sciences and Technologies of Mexico