The Prevalence of Impaired Glucose Tolerance in Patients with Thalassemia Major in Iran: A systematic Review and Meta-analysis

Introduction: Impaired glucose tolerance (IGT) is one of the most common endocrine complications in major thalassemia patients. IGT prevalence in patients with thalassemia major has been differently in different studies in Iran, about which no total estimate can be proposed. Hence, this meta analysi...

Full description

Bibliographic Details
Main Authors: M Azami, Z Tardeh, GH Abangah, K Sayemiri
Format: Article
Language:fas
Published: Shahid Sadoughi University of Medical Sciences 2016-01-01
Series:Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd
Subjects:
Online Access:http://jssu.ssu.ac.ir/browse.php?a_code=A-10-2343-1&slc_lang=en&sid=1
_version_ 1819265846690709504
author M Azami
Z Tardeh
GH Abangah
K Sayemiri
author_facet M Azami
Z Tardeh
GH Abangah
K Sayemiri
author_sort M Azami
collection DOAJ
description Introduction: Impaired glucose tolerance (IGT) is one of the most common endocrine complications in major thalassemia patients. IGT prevalence in patients with thalassemia major has been differently in different studies in Iran, about which no total estimate can be proposed. Hence, this meta analysis study aimed to investigate IGT prevalence in major thalassemia patients in Iran. Methods: This study was a systematic review based on electronic databases including Magiran, Iranmedex, SID, Medlib, IranDoc, Scopus, PubMed, Sciencedirect, Cochrane, Embase, Web of Science, Springer, Online Library Wiley as well as Google Scholar search engine without any time limitations up to 2015. All the potentially relevant papers were reviewed independently by two investigators using the standard key words. Then, all the reviewed studies that had inclusion criterion were evaluated. In order to statistically analyze the study data, random effect model was used via Stata software (Ver.11.1). Results: 1346 subjects were examined in 13 studies. IGT prevalence in patients with thalassemia major was estimated 9.6 %( CI: 95%, 6.6-12.5) in Iran. The IGT prevalence in male and female major thalassemia patients were 6.5 %( CI: 95%, 1.6-11.3) and 10.2 %( CI: 95% , 6.1-14.3), respectively. Conclusion: IGT Prevalence was demonstrated to be really high in patients with thalassemia major. As a result, implementing screening programs seems to be necessary in regard with early diagnosis of endocrine disorders especially IGT in these patients. Furthermore, it is recommended that annual glucose tolerance test be taken within such patients.
first_indexed 2024-12-23T20:51:52Z
format Article
id doaj.art-51a54f31f6114900ba540cfc403e68da
institution Directory Open Access Journal
issn 2228-5741
2228-5733
language fas
last_indexed 2024-12-23T20:51:52Z
publishDate 2016-01-01
publisher Shahid Sadoughi University of Medical Sciences
record_format Article
series Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd
spelling doaj.art-51a54f31f6114900ba540cfc403e68da2022-12-21T17:31:39ZfasShahid Sadoughi University of Medical SciencesMajallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd2228-57412228-57332016-01-012310912922The Prevalence of Impaired Glucose Tolerance in Patients with Thalassemia Major in Iran: A systematic Review and Meta-analysisM Azami0Z Tardeh1GH Abangah2K Sayemiri3 Student Research Committee Student Research Committee Department of Interstice Medicine Department of Biostatistics Introduction: Impaired glucose tolerance (IGT) is one of the most common endocrine complications in major thalassemia patients. IGT prevalence in patients with thalassemia major has been differently in different studies in Iran, about which no total estimate can be proposed. Hence, this meta analysis study aimed to investigate IGT prevalence in major thalassemia patients in Iran. Methods: This study was a systematic review based on electronic databases including Magiran, Iranmedex, SID, Medlib, IranDoc, Scopus, PubMed, Sciencedirect, Cochrane, Embase, Web of Science, Springer, Online Library Wiley as well as Google Scholar search engine without any time limitations up to 2015. All the potentially relevant papers were reviewed independently by two investigators using the standard key words. Then, all the reviewed studies that had inclusion criterion were evaluated. In order to statistically analyze the study data, random effect model was used via Stata software (Ver.11.1). Results: 1346 subjects were examined in 13 studies. IGT prevalence in patients with thalassemia major was estimated 9.6 %( CI: 95%, 6.6-12.5) in Iran. The IGT prevalence in male and female major thalassemia patients were 6.5 %( CI: 95%, 1.6-11.3) and 10.2 %( CI: 95% , 6.1-14.3), respectively. Conclusion: IGT Prevalence was demonstrated to be really high in patients with thalassemia major. As a result, implementing screening programs seems to be necessary in regard with early diagnosis of endocrine disorders especially IGT in these patients. Furthermore, it is recommended that annual glucose tolerance test be taken within such patients.http://jssu.ssu.ac.ir/browse.php?a_code=A-10-2343-1&slc_lang=en&sid=1Endocrine disorder IGT Impaired glucose tolerance Iran Meta-analysis Systematic review Thalassemia major
spellingShingle M Azami
Z Tardeh
GH Abangah
K Sayemiri
The Prevalence of Impaired Glucose Tolerance in Patients with Thalassemia Major in Iran: A systematic Review and Meta-analysis
Majallah-i Dānishgāh-i ’Ulūm-i Pizishkī-i Shahīd Ṣadūqī Yazd
Endocrine disorder
IGT
Impaired glucose tolerance
Iran
Meta-analysis
Systematic review
Thalassemia major
title The Prevalence of Impaired Glucose Tolerance in Patients with Thalassemia Major in Iran: A systematic Review and Meta-analysis
title_full The Prevalence of Impaired Glucose Tolerance in Patients with Thalassemia Major in Iran: A systematic Review and Meta-analysis
title_fullStr The Prevalence of Impaired Glucose Tolerance in Patients with Thalassemia Major in Iran: A systematic Review and Meta-analysis
title_full_unstemmed The Prevalence of Impaired Glucose Tolerance in Patients with Thalassemia Major in Iran: A systematic Review and Meta-analysis
title_short The Prevalence of Impaired Glucose Tolerance in Patients with Thalassemia Major in Iran: A systematic Review and Meta-analysis
title_sort prevalence of impaired glucose tolerance in patients with thalassemia major in iran a systematic review and meta analysis
topic Endocrine disorder
IGT
Impaired glucose tolerance
Iran
Meta-analysis
Systematic review
Thalassemia major
url http://jssu.ssu.ac.ir/browse.php?a_code=A-10-2343-1&slc_lang=en&sid=1
work_keys_str_mv AT mazami theprevalenceofimpairedglucosetoleranceinpatientswiththalassemiamajoriniranasystematicreviewandmetaanalysis
AT ztardeh theprevalenceofimpairedglucosetoleranceinpatientswiththalassemiamajoriniranasystematicreviewandmetaanalysis
AT ghabangah theprevalenceofimpairedglucosetoleranceinpatientswiththalassemiamajoriniranasystematicreviewandmetaanalysis
AT ksayemiri theprevalenceofimpairedglucosetoleranceinpatientswiththalassemiamajoriniranasystematicreviewandmetaanalysis
AT mazami prevalenceofimpairedglucosetoleranceinpatientswiththalassemiamajoriniranasystematicreviewandmetaanalysis
AT ztardeh prevalenceofimpairedglucosetoleranceinpatientswiththalassemiamajoriniranasystematicreviewandmetaanalysis
AT ghabangah prevalenceofimpairedglucosetoleranceinpatientswiththalassemiamajoriniranasystematicreviewandmetaanalysis
AT ksayemiri prevalenceofimpairedglucosetoleranceinpatientswiththalassemiamajoriniranasystematicreviewandmetaanalysis