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From figure 1 it is clear that the number of studies, which met the inclusion criteria has increased markedly over the last decade.
The total number of STOPP/START criteria has increased by 31% from version 1 to version 2 between 2008 and 2013.
In the Netherlands, the percentage of the population fulfilling the minimum physical activity level criteria has increased from 52 to 62% in the period from 2001 to 2011 [ 28].
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The number of days with temperatures steadily above 0°C and 10°C (two criteria) have increased during 1960 2010.
Overweight and obese Qatari children screened by IOTF criteria have increased cardiovascular risk factors related to triglycerides, total cholesterol, low-HDL, atherogenic index, and waist circumference.
We have previously shown that women prior classified normal by Carpenter and Coustan criteria and now GDM by the IADPSG criteria have increased rates of caesarean section and shoulder dystocia compared to the NGT group [ 29].
By definition, participants with metabolic syndrome by either criteria had increased conventional risk factors (blood pressure, fasting glucose, triglycerides, and low HDL cholesterol) as well as adverse anthropometric characteristics compared with those without.
However, there is emerging observational and retrospective evidence that women diagnosed with the new criteria (even if they would not have been diagnosed with older criteria) have increased rates of poor pregnancy outcomes similar to those of women with GDM by prior criteria (34, 35).
There was no further evaluation of their glycemic status after the original OGTT, although it was very likely that the 77 people who developed retinopathy in the studies used by the NDDG to establish the diagnostic criteria had increasing glycemia in the years between the test and the identification of retinopathy.
Newer studies report a higher level of such awareness than older studies, indicating that knowledge of formal authorship criteria among researchers has increased over the last 20 years [ 12- 15].
Diagnostic criteria have changed repeatedly, and awareness has increased.
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