Prevalence of prediabetes and type 2 diabetes mellitus in south and southeast Asian women with history of gestational diabetes mellitus: Systematic review and meta-analysis.
Prevalence of prediabetes and type 2 diabetes mellitus in south and southeast Asian women with history of gestational diabetes mellitus: Systematic review and meta-analysis.
复制标题
DOI：
10.1371/journal.pone.0278919
复制
发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Saravanan, Ponnusamy
中科院分区：
文献类型：
--
作者：
Shivashri, Chockalingam;Hannah, Wesley;Deepa, Mohan;Ghebremichael-Weldeselassie, Yonas;Anjana, Ranjit Mohan;Uma, Ram;Mohan, Viswanathan;Saravanan, Ponnusamy
妊娠糖尿病（GDM）的负担在南亚（SA）和东南亚（SEA）非常高。因此，有必要了解在这一高危人群中发生前驱糖尿病和产后2型糖尿病（T2 DM）的患病率和风险因素。目的：对SA和SEA地区有GDM病史的妇女进行系统评价和荟萃分析，以评估糖尿病前期和T2 DM的患病率。在以下数据库中进行了全面的文献检索：Medline、EMBASE、Web of Knowledge和CINHAL，直至2021年12月。纳入了报告产后随访超过6周的研究。糖尿病和糖尿病前期的合并患病率采用随机效应Meta分析模型进行估计，异质性采用I2统计量进行评估。13项研究的荟萃分析显示，GDM后女性糖尿病前期和T2 DM的患病率分别为25.9%（95%CI 18.94至33.51）和29.9%（95%CI 17.02至44.57）。SA和SEA中有GDM病史的女性比无GDM病史的女性发生T2 DM的风险更高（RR 13.2，95%CI 9.52 - 18.29，p<0.001）。亚组分析显示，T2 DM患病率随随访持续时间的增加而升高。在SA和SEA中，有GDM病史的女性转化为T2 DM和前驱糖尿病的比例非常高。这突出表明需要对GDM女性进行随访，以早期识别功能障碍，并计划干预措施以预防/延迟进展为T2 DM。
The burden of Gestational Diabetes Mellitus (GDM) is very high in south Asia (SA) and southeast Asia (SEA). Thus, there is a need to understand the prevalence and risk factors for developing prediabetes and type 2 diabetes mellitus (T2DM) postpartum, in this high-risk population. To conduct a systematic review and meta-analysis to estimate the prevalence of prediabetes and T2DM among the women with history of GDM in SA and SEA. A comprehensive literature search was performed in the following databases: Medline, EMBASE, Web of Knowledge and CINHAL till December 2021. Studies that had reported greater than six weeks of postpartum follow-up were included. The pooled prevalence of diabetes and prediabetes were estimated by random effects meta-analysis model and I2 statistic was used to assess heterogeneity. Meta-analysis of 13 studies revealed that the prevalence of prediabetes and T2DM in post-GDM women were 25.9% (95%CI 18.94 to 33.51) and 29.9% (95%CI 17.02 to 44.57) respectively. Women with history of GDM from SA and SEA seem to have higher risk of developing T2DM than women without GDM (RR 13.2, 95%CI 9.52 to 18.29, p<0.001). The subgroup analysis showed a rise in the prevalence of T2DM with increasing duration of follow-up. The conversion to T2DM and prediabetes is very high among women with history of GDM in SA and SEA. This highlights the need for follow-up of GDM women for early identification of dysglycemia and to plan interventions to prevent/delay the progression to T2DM.
登录
查看更多内容
影响因子：
3.5
作者：
Gupta, Y.;Kapoor, D.;Tandon, N.
通讯作者：
Tandon, N.
影响因子：
5.1
作者：
Bhavadharini, Balaji;Anjana, Ranjit Mohan;Mohan, Viswanathan
通讯作者：
Mohan, Viswanathan
DOI：
10.1016/j.dsx.2017.03.035
发表时间：
2017-11-01
影响因子：
10
作者：
Ghajari, Haydeh;Nouhjah, Sedigheh;Tahery, Noorollah
通讯作者：
Tahery, Noorollah
影响因子：
5.1
作者：
Goyal, Alpesh;Gupta, Yashdeep;Tandon, Nikhil
通讯作者：
Tandon, Nikhil
DOI：
10.1080/14767058.2017.1321630
发表时间：
2018-01-01
影响因子：
1.8
作者：
Aziz, Saleha;Munim, Tazeen Fatima;Fatima, Syeda Sadia
通讯作者：
Fatima, Syeda Sadia