A portrait of gestational diabetes mellitus in Brazil: A systematic review and meta-analysis
ABSTRACT The diagnostic criteria for gestational diabetes mellitus (GDM), a transient hyperglycemic state during pregnancy, has varied remarkably over time, resulting in a diversity of prevalence rates. The aim of this systematic literature review was to provide estimates of prevalence rates of GDM...
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| Format: | Article |
| Language: | English |
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Brazilian Society of Endocrinology and Metabolism
2023-10-01
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| Series: | Archives of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972023000600304&tlng=en |
| _version_ | 1797644581566676992 |
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| author | Betine Pinto Moehlecke Iser Caroline Stein Luisia Feichas Alves Morgana Lourenço de Souza Carvalho Sergio Angelo Rojas Espinoza Maria Inês Schmidt |
| author_facet | Betine Pinto Moehlecke Iser Caroline Stein Luisia Feichas Alves Morgana Lourenço de Souza Carvalho Sergio Angelo Rojas Espinoza Maria Inês Schmidt |
| author_sort | Betine Pinto Moehlecke Iser |
| collection | DOAJ |
| description | ABSTRACT The diagnostic criteria for gestational diabetes mellitus (GDM), a transient hyperglycemic state during pregnancy, has varied remarkably over time, resulting in a diversity of prevalence rates. The aim of this systematic literature review was to provide estimates of prevalence rates of GDM in Brazil according to different diagnostic criteria. We identified, reviewed, and extracted data from the scientific literature on studies estimating the prevalence of diabetes in pregnant women living in Brazil. The databases searched were PubMed, LILACS, SciELO, Embase, Web of Science, and Cochrane Library. We grouped studies by the source of information assessing GDM, patients’ age, and criteria used to diagnose GDM. When three or more studies were available in a group, we calculated the pooled prevalence. The Joanna Briggs Institute (JBI) appraisal tool was used to assess the risk of bias. The data were reported according to the 2020 PRISMA recommendations. The study protocol was registered in PROSPERO. We identified 1,328 records and selected 21 studies involving 122,635 pregnant women. Studies in adults only, with primary data and laboratory measurements, and using the IADPSG criteria (n = 3) had a GDM prevalence of 18.0% (95% confidence interval [CI]: 16.0-20.1%) and included 6,243 participants. Estimates of self-reported GDM (n = 3; 10,136 participants of all ages) had a pooled GDM prevalence of 2.1% (95% CI: 1.5-5.2%), with high heterogeneity (I2 = 85.0%, p < 0.01). Studies including adolescents had consistently low prevalences. The prevalence of GDM in Brazil varied, was greater when the IADPSG criteria were applied, and depended on the methods used to obtain the GDM information and the age structure of the sample. |
| first_indexed | 2024-03-11T14:32:42Z |
| format | Article |
| id | doaj.art-d339aaac3f4447a79c93cb48203b2fc4 |
| institution | Directory Open Access Journal |
| issn | 2359-4292 |
| language | English |
| last_indexed | 2024-03-11T14:32:42Z |
| publishDate | 2023-10-01 |
| publisher | Brazilian Society of Endocrinology and Metabolism |
| record_format | Article |
| series | Archives of Endocrinology and Metabolism |
| spelling | doaj.art-d339aaac3f4447a79c93cb48203b2fc42023-10-31T07:46:39ZengBrazilian Society of Endocrinology and MetabolismArchives of Endocrinology and Metabolism2359-42922023-10-0167610.20945/2359-4292-2022-0521A portrait of gestational diabetes mellitus in Brazil: A systematic review and meta-analysisBetine Pinto Moehlecke Iserhttps://orcid.org/0000-0001-6061-2541Caroline Steinhttps://orcid.org/0000-0003-4777-1630Luisia Feichas Alveshttps://orcid.org/0000-0002-8400-6148Morgana Lourenço de Souza Carvalhohttps://orcid.org/0000-0001-8171-503XSergio Angelo Rojas Espinozahttps://orcid.org/0000-0001-7664-2948Maria Inês Schmidthttps://orcid.org/0000-0002-3837-0731ABSTRACT The diagnostic criteria for gestational diabetes mellitus (GDM), a transient hyperglycemic state during pregnancy, has varied remarkably over time, resulting in a diversity of prevalence rates. The aim of this systematic literature review was to provide estimates of prevalence rates of GDM in Brazil according to different diagnostic criteria. We identified, reviewed, and extracted data from the scientific literature on studies estimating the prevalence of diabetes in pregnant women living in Brazil. The databases searched were PubMed, LILACS, SciELO, Embase, Web of Science, and Cochrane Library. We grouped studies by the source of information assessing GDM, patients’ age, and criteria used to diagnose GDM. When three or more studies were available in a group, we calculated the pooled prevalence. The Joanna Briggs Institute (JBI) appraisal tool was used to assess the risk of bias. The data were reported according to the 2020 PRISMA recommendations. The study protocol was registered in PROSPERO. We identified 1,328 records and selected 21 studies involving 122,635 pregnant women. Studies in adults only, with primary data and laboratory measurements, and using the IADPSG criteria (n = 3) had a GDM prevalence of 18.0% (95% confidence interval [CI]: 16.0-20.1%) and included 6,243 participants. Estimates of self-reported GDM (n = 3; 10,136 participants of all ages) had a pooled GDM prevalence of 2.1% (95% CI: 1.5-5.2%), with high heterogeneity (I2 = 85.0%, p < 0.01). Studies including adolescents had consistently low prevalences. The prevalence of GDM in Brazil varied, was greater when the IADPSG criteria were applied, and depended on the methods used to obtain the GDM information and the age structure of the sample.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972023000600304&tlng=enGestational diabetesBrazilprevalenceepidemiology |
| spellingShingle | Betine Pinto Moehlecke Iser Caroline Stein Luisia Feichas Alves Morgana Lourenço de Souza Carvalho Sergio Angelo Rojas Espinoza Maria Inês Schmidt A portrait of gestational diabetes mellitus in Brazil: A systematic review and meta-analysis Archives of Endocrinology and Metabolism Gestational diabetes Brazil prevalence epidemiology |
| title | A portrait of gestational diabetes mellitus in Brazil: A systematic review and meta-analysis |
| title_full | A portrait of gestational diabetes mellitus in Brazil: A systematic review and meta-analysis |
| title_fullStr | A portrait of gestational diabetes mellitus in Brazil: A systematic review and meta-analysis |
| title_full_unstemmed | A portrait of gestational diabetes mellitus in Brazil: A systematic review and meta-analysis |
| title_short | A portrait of gestational diabetes mellitus in Brazil: A systematic review and meta-analysis |
| title_sort | portrait of gestational diabetes mellitus in brazil a systematic review and meta analysis |
| topic | Gestational diabetes Brazil prevalence epidemiology |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972023000600304&tlng=en |
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