The prevalence of gestational diabetes mellitus among Aboriginal and Torres Strait Islander women in Australia: a systematic review and meta‐analysis

Chamberlain, Catherine; Joshy, Grace; Li, Hang; Oats, Jeremy; Eades, Sandra; Banks, Emily

doi:10.1002/dmrr.2570

Cited by 25 publications

(19 citation statements)

References 56 publications

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“…GDM reported in the present study based in Xiamen was higher compared with previous studies in other cities in China, and Western countries including the USA, Europe and Australia at 9.2, 5.4 and 5.7%, respectively. A meta‐analysis investigating the GDM prevalence in Eastern and Southeast Asia showed the highest prevalence of GDM in Vietnam and Singapore, where approximately one in five mothers was diagnosed GDM, in which study, the incidence of GDM in China was reported to be 11.91%.…”

Section: Discussioncontrasting

confidence: 52%

High, but stable, trend in the prevalence of gestational diabetes mellitus: A population‐based study in Xiamen, China

Yan

Yang

Lin

et al. 2019

J of Diabetes Invest

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Aims/Introduction Diabetes prevalence in China has increased, but the trend in gestational diabetes mellitus prevalence is unclear. The objective of the present study was to examine the prevalence of gestational diabetes in Xiamen, China, and its association with maternal risk factors. Materials and Methods This linked‐database cohort study used the Medical Birth Registry of Xiamen. Between 1 March 2011 and 30 March 2018, 78,572 women who were diagnosed with gestational diabetes mellitus (GDM) were enrolled in the study. Maternal factors associated with the prevalence of GDM were examined using multivariate logistic regression. Results A total of 13,738 (17.6%) pregnant women were diagnosed with GDM according to the International Association of Diabetes and Pregnancy Study Groups criteria. GDM prevalence ranged from 15.5% (2012) to 19.9% (2017). Increasing age was associated with GDM; women aged >40 years versus those aged >25 years had an adjusted odds ratio (OR) of 5.91 (95% confidence interval [CI] 4.202–8.314). A positive correlation was observed between weight and GDM risk; obese women versus normal‐weight women had an adjusted OR of 2.508 (95% CI 2.253–2.792). Family history of diabetes and hypertension were more commonly observed among women with GDM. Multivariate analysis showed that family history of diabetes (OR 1.101, 90% CI 1.028–1.180), weight gain during early pregnancy (OR 1.087, 90% CI 1.052–1.124) and systolic blood pressure (OR 1.015, 90% CI 1.011–1.020) were risk factors associated with GDM incidence. Conclusions GDM affects 17.6% of all pregnant women in Xiamen. Age and maternal obesity were major contributors to GDM. The trend of GDM risk remained stable during the study.

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Section: Discussioncontrasting

confidence: 52%

High, but stable, trend in the prevalence of gestational diabetes mellitus: A population‐based study in Xiamen, China

Yan

Yang

Lin

et al. 2019

J of Diabetes Invest

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“…However, an increasing prevalence is noted throughout the world [9][10][11]. A high prevalence of GDM is reported in India, with urban (17.8%), semi urban (13.8%) and rural (9.9%) variations based on WHO 1999 criteria [12].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of gestational diabetes mellitus in a Suburban District in Sri Lanka: a population based study

2016

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Introduction GDM is a leading metabolic cause of morbidity to mother and offspring. Determining its prevalence is important for health planning and implementation.Objective Assess prevalence of GDM in the District of Gampaha.Method Community based cross-sectional study was conducted in women attending field-based ante-natal clinics in two Medical Officer of Health (MOH) areas between January 2014 to March 2015.Consecutive women were recruited by cluster sampling with probability proportionate to size using strict exclusion criteria. GDM diagnosis was based on fasting 75 g OGTT, WHO 1999. All responders underwent 2 hr PPBS in first trimester->200 mg/dl with symptoms identified as abnormal, probably diabetes in pregnancy (DIP); those >120 and <200 mg/dl proceeded to OGTT before 16 weeks POA; all negatives were tested by OGTT between 24-28 weeks. Negatives for GDM at 24-28 weeks underwent OGTT between 32-36 weeks; venous plasma glucose tested by accredited laboratory.Results Sample consistedof 160, non-response 4.2% (67); 1533 underwent 2 hr PPBS with 40 exceeding 120mg: 4 >200 mg diagnosed as GDM / DIP, 36 (PPBS >120 < 200 mg) underwent OGTT before 16 weeks with 15 GDM. One hundred and thirty four (8.38%) miscarried including one with early abnormal OGTT. Of 1381 eligible for OGTT (24-28 weeks) 150 had GDM (10.86%). Only 344 (27.94% of normal 1231) consented for third trimester OGTT, of whom 25 had GDM-yielding a total of 194 with GDM (13.9%). ConclusionThe current community prevalence of GDM in the suburban Gampaha District, Sri Lanka is high.

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“…Recently, a report from Spain showed that adopting the IADPSG criteria is associated with increased prevalence and improved pregnancy outcome 15 . However, the prevalence of GDM varies significantly among different ethnic groups [16][17][18][19] , which could result in a different impact on pregnancy outcome. To the best of our knowledge, there is no study of Asians that compared the pregnancy outcomes by using the IADPSG criteria and the C&C criteria.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of more gestational diabetes lead to better pregnancy outcomes: Comparing the International Association of the Diabetes and Pregnancy Study Group criteria, and the Carpenter and Coustan criteria

Nien

Kuo

et al. 2015

J of Diabetes Invest

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Aims/IntroductionThe International Association of the Diabetes and Pregnancy Study Group (IADPSG) criteria for gestational diabetes are associated with increased prevalence. However, it remains unknown if intervention for more women with gestational diabetes mellitus by the IADPSG criteria results in better pregnancy outcomes than adopting the Carpenter and Coustan (C&C) criteria in Asian populations.Materials and MethodsThis was a retrospective cohort study. A total of 1,840 women, 952 subjects by the IADPSG criteria and 888 subjects by the C&C criteria, who delivered singletons in 2011 in a single tertiary center, were included in the study. The same therapeutic interventions were offered to women with gestational diabetes mellitus by the two criteria. Maternal and neonatal outcomes were evaluated.ResultsAdopting the IADPSG criteria increased the prevalence of gestational diabetes mellitus diagnosis to 13.44%, compared with 2.59% by the C&C criteria. The diagnosis was made 3 weeks earlier by the IADPSG criteria (27 vs 30.5 weeks, P < 0.0001). Adopting the IADPSG criteria was associated with reduced risk of primary cesarean section (adjusted odds ratio 0.79, 95% confidence interval 0.63–0.998, P < 0.05) and having any one of the adverse fetal outcomes (adjusted odds ratio 0.79, 95% confidence interval 0.64–0.998, P < 0.05), including birthweight >90th percentile, jaundice, admission to neonatal intensive care unit, birth trauma, neonatal hypoglycemia and fetal death.ConclusionsAdopting the IADPSG criteria is associated with improved pregnancy outcomes, at the expense of increased prevalence of gestational diabetes mellitus diagnosis.

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The prevalence of gestational diabetes mellitus among Aboriginal and Torres Strait Islander women in Australia: a systematic review and meta‐analysis

Abstract: The published GDM prevalence among Indigenous women varies markedly, probably due to variation in diagnostic and screening practices.

Cited by 25 publications

References 56 publications

High, but stable, trend in the prevalence of gestational diabetes mellitus: A population‐based study in Xiamen, China

High, but stable, trend in the prevalence of gestational diabetes mellitus: A population‐based study in Xiamen, China

Prevalence of gestational diabetes mellitus in a Suburban District in Sri Lanka: a population based study

Diagnosis of more gestational diabetes lead to better pregnancy outcomes: Comparing the International Association of the Diabetes and Pregnancy Study Group criteria, and the Carpenter and Coustan criteria

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