Myo-inositol supplementation for prevention of gestational diabetes mellitus in overweight and obese pregnant women: a systematic review and meta-analysis
Abstract Background The prevalence of gestational diabetes mellitus [GDM] and of its most important predisposing factor, i.e. overweight and obesity, have increased dramatically over the past 20 years. Therefore, the aim of this study was to systematically review the articles on the effect of myo-in...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | Diabetology & Metabolic Syndrome |
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| Online Access: | https://doi.org/10.1186/s13098-022-00862-5 |
| _version_ | 1818518310060294144 |
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| author | Sepideh Mashayekh-Amiri Sakineh Mohammad-Alizadeh-Charandabi Somaiyeh Abdolalipour Mojgan Mirghafourvand |
| author_facet | Sepideh Mashayekh-Amiri Sakineh Mohammad-Alizadeh-Charandabi Somaiyeh Abdolalipour Mojgan Mirghafourvand |
| author_sort | Sepideh Mashayekh-Amiri |
| collection | DOAJ |
| description | Abstract Background The prevalence of gestational diabetes mellitus [GDM] and of its most important predisposing factor, i.e. overweight and obesity, have increased dramatically over the past 20 years. Therefore, the aim of this study was to systematically review the articles on the effect of myo-inositol supplementation on the prevention of GDM in pregnant women with overweight and obesity. Methods We conducted a systematic literature search in electronic database (MEDLINE, Cochrane Library, ClinicalTrials.gov, Embase, ProQuest, PubMed, Google scholar, Scopus, Web of science and forward and backward citations) to identify all randomized controlled trials (RCTs) published until 21 December 2021. Finally, Among the 118 identified records, four studies were eligible and were included in this systematic review. The meta-analysis results were reported in the form of odds ratio (OR) to compare the incidence of GDM and pregnancy outcomes. They were also presented in the form of mean difference (MD) to compare fasting glucose (FG), 1-h and 2-h oral glucose tolerance test (OGTT) levels between the two groups. This study was registered on PROSPERO, number CRD42021290570. Results The results showed that the incidence of GDM was significantly lower in the myo-inositol group (OR 0.32, 95% CI 0.21 to 0.48; P < 0.001; I2 = 0%; Moderate certainty evidence). Moreover, FG-OGTT (MD − 2.64 mg/dl, 95% CI − 4.12 to − 1.17; P < 0.001; I2 = 0%; Moderate certainty evidence), 1-h-OGTT (MD − 7.47 mg/dl, 95% CI − 12.24 to − 2.31; P = 0.005; I2 = 27%; Low certainty evidence) and 2-h-OGTT levels (MD − 10.51 mg/dl, 95% CI − 16.88 to − 4.14; P = 0.001; I2 = 59%; Low certainty evidence) in the myo-inositol group were significantly lower than in the control group. Regarding the pregnancy outcomes, the incidence of gestational hypertension and preterm delivery was significantly lower in the myo-inositol group. However, no between-group difference was observed in the other outcomes. Conclusions Based on the results, myo-inositol has shown to be a new and safe preventive strategy in reducing the incidence of GDM and in regulating FG and 1-h and 2-h OGTT levels, and also in reducing the incidence of GDM complications such as preterm delivery and gestational hypertension in pregnant women with overweight and obesity. |
| first_indexed | 2024-12-11T01:08:34Z |
| format | Article |
| id | doaj.art-4458e242a4f1427bb57ed50e54e41c3b |
| institution | Directory Open Access Journal |
| issn | 1758-5996 |
| language | English |
| last_indexed | 2024-12-11T01:08:34Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Diabetology & Metabolic Syndrome |
| spelling | doaj.art-4458e242a4f1427bb57ed50e54e41c3b2022-12-22T01:26:07ZengBMCDiabetology & Metabolic Syndrome1758-59962022-07-0114111510.1186/s13098-022-00862-5Myo-inositol supplementation for prevention of gestational diabetes mellitus in overweight and obese pregnant women: a systematic review and meta-analysisSepideh Mashayekh-Amiri0Sakineh Mohammad-Alizadeh-Charandabi1Somaiyeh Abdolalipour2Mojgan Mirghafourvand3Department of Midwifery, Faculty of Nursing & Midwifery, Tabriz University of Medical SciencesDepartment of Midwifery, Faculty of Nursing & Midwifery, Tabriz University of Medical SciencesDepartment of Midwifery, Faculty of Nursing & Midwifery, Tabriz University of Medical SciencesDepartment of Midwifery, Faculty of Nursing & Midwifery, Tabriz University of Medical SciencesAbstract Background The prevalence of gestational diabetes mellitus [GDM] and of its most important predisposing factor, i.e. overweight and obesity, have increased dramatically over the past 20 years. Therefore, the aim of this study was to systematically review the articles on the effect of myo-inositol supplementation on the prevention of GDM in pregnant women with overweight and obesity. Methods We conducted a systematic literature search in electronic database (MEDLINE, Cochrane Library, ClinicalTrials.gov, Embase, ProQuest, PubMed, Google scholar, Scopus, Web of science and forward and backward citations) to identify all randomized controlled trials (RCTs) published until 21 December 2021. Finally, Among the 118 identified records, four studies were eligible and were included in this systematic review. The meta-analysis results were reported in the form of odds ratio (OR) to compare the incidence of GDM and pregnancy outcomes. They were also presented in the form of mean difference (MD) to compare fasting glucose (FG), 1-h and 2-h oral glucose tolerance test (OGTT) levels between the two groups. This study was registered on PROSPERO, number CRD42021290570. Results The results showed that the incidence of GDM was significantly lower in the myo-inositol group (OR 0.32, 95% CI 0.21 to 0.48; P < 0.001; I2 = 0%; Moderate certainty evidence). Moreover, FG-OGTT (MD − 2.64 mg/dl, 95% CI − 4.12 to − 1.17; P < 0.001; I2 = 0%; Moderate certainty evidence), 1-h-OGTT (MD − 7.47 mg/dl, 95% CI − 12.24 to − 2.31; P = 0.005; I2 = 27%; Low certainty evidence) and 2-h-OGTT levels (MD − 10.51 mg/dl, 95% CI − 16.88 to − 4.14; P = 0.001; I2 = 59%; Low certainty evidence) in the myo-inositol group were significantly lower than in the control group. Regarding the pregnancy outcomes, the incidence of gestational hypertension and preterm delivery was significantly lower in the myo-inositol group. However, no between-group difference was observed in the other outcomes. Conclusions Based on the results, myo-inositol has shown to be a new and safe preventive strategy in reducing the incidence of GDM and in regulating FG and 1-h and 2-h OGTT levels, and also in reducing the incidence of GDM complications such as preterm delivery and gestational hypertension in pregnant women with overweight and obesity.https://doi.org/10.1186/s13098-022-00862-5Myo-inositol supplementationGestational diabetes mellitusGDMOverweight and obese |
| spellingShingle | Sepideh Mashayekh-Amiri Sakineh Mohammad-Alizadeh-Charandabi Somaiyeh Abdolalipour Mojgan Mirghafourvand Myo-inositol supplementation for prevention of gestational diabetes mellitus in overweight and obese pregnant women: a systematic review and meta-analysis Diabetology & Metabolic Syndrome Myo-inositol supplementation Gestational diabetes mellitus GDM Overweight and obese |
| title | Myo-inositol supplementation for prevention of gestational diabetes mellitus in overweight and obese pregnant women: a systematic review and meta-analysis |
| title_full | Myo-inositol supplementation for prevention of gestational diabetes mellitus in overweight and obese pregnant women: a systematic review and meta-analysis |
| title_fullStr | Myo-inositol supplementation for prevention of gestational diabetes mellitus in overweight and obese pregnant women: a systematic review and meta-analysis |
| title_full_unstemmed | Myo-inositol supplementation for prevention of gestational diabetes mellitus in overweight and obese pregnant women: a systematic review and meta-analysis |
| title_short | Myo-inositol supplementation for prevention of gestational diabetes mellitus in overweight and obese pregnant women: a systematic review and meta-analysis |
| title_sort | myo inositol supplementation for prevention of gestational diabetes mellitus in overweight and obese pregnant women a systematic review and meta analysis |
| topic | Myo-inositol supplementation Gestational diabetes mellitus GDM Overweight and obese |
| url | https://doi.org/10.1186/s13098-022-00862-5 |
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