A systematic review and meta-analysis of the prevalence and determinants of gestational diabetes mellitus in Nigeria

Background: Gestational diabetes mellitus (GDM) is any degree of glucose intolerance with onset or first diagnosis in pregnancy. GDM has numerous potential complications and it is important to estimate its burden and risk factors. The objective of the meta-analysis was to determine the pooled preval...

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Main Authors: Taoreed Adegoke Azeez, Tamunosaki Abo-Briggs, Ayodeji Sylvester Adeyanju
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Indian Journal of Endocrinology and Metabolism
Subjects:
Online Access:http://www.ijem.in/article.asp?issn=2230-8210;year=2021;volume=25;issue=3;spage=182;epage=190;aulast=Azeez
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author Taoreed Adegoke Azeez
Tamunosaki Abo-Briggs
Ayodeji Sylvester Adeyanju
author_facet Taoreed Adegoke Azeez
Tamunosaki Abo-Briggs
Ayodeji Sylvester Adeyanju
author_sort Taoreed Adegoke Azeez
collection DOAJ
description Background: Gestational diabetes mellitus (GDM) is any degree of glucose intolerance with onset or first diagnosis in pregnancy. GDM has numerous potential complications and it is important to estimate its burden and risk factors. The objective of the meta-analysis was to determine the pooled prevalence of GDM in Nigeria and identify its determinants. Methods: The study design was a meta-analysis; therefore the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Electronic databases (African Journal Online, PubMed, SCOPUS, and Google Scholar) and the gray literature were systematically searched. Statistical analysis was done with MetaXL using the random effect model. Heterogeneity was determined using the I2 statistic and the publication bias was checked with the Doi plot. Results: The total sample size was 46 210. The prevalence of GDM in Nigeria was 0.5 – 38% and the pooled prevalence was 11.0% (95% CI 8-13). The I2 statistic was 99%. The Doi plot suggested some degree of bias. The most frequently reported determinants of GDM were previous macrosomic babies, maternal obesity, family history of diabetes, previous miscarriage, and advanced maternal age. Conclusion: The prevalence of GDM in Nigeria is high and efforts should be geared at modifying its risk factors so as to reduce its prevalence and prevent the associated complications.
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spelling doaj.art-d7dff48d8b784a418fb56488e98e534d2022-12-21T20:47:14ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102021-01-0125318219010.4103/ijem.ijem_301_21A systematic review and meta-analysis of the prevalence and determinants of gestational diabetes mellitus in NigeriaTaoreed Adegoke AzeezTamunosaki Abo-BriggsAyodeji Sylvester AdeyanjuBackground: Gestational diabetes mellitus (GDM) is any degree of glucose intolerance with onset or first diagnosis in pregnancy. GDM has numerous potential complications and it is important to estimate its burden and risk factors. The objective of the meta-analysis was to determine the pooled prevalence of GDM in Nigeria and identify its determinants. Methods: The study design was a meta-analysis; therefore the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Electronic databases (African Journal Online, PubMed, SCOPUS, and Google Scholar) and the gray literature were systematically searched. Statistical analysis was done with MetaXL using the random effect model. Heterogeneity was determined using the I2 statistic and the publication bias was checked with the Doi plot. Results: The total sample size was 46 210. The prevalence of GDM in Nigeria was 0.5 – 38% and the pooled prevalence was 11.0% (95% CI 8-13). The I2 statistic was 99%. The Doi plot suggested some degree of bias. The most frequently reported determinants of GDM were previous macrosomic babies, maternal obesity, family history of diabetes, previous miscarriage, and advanced maternal age. Conclusion: The prevalence of GDM in Nigeria is high and efforts should be geared at modifying its risk factors so as to reduce its prevalence and prevent the associated complications.http://www.ijem.in/article.asp?issn=2230-8210;year=2021;volume=25;issue=3;spage=182;epage=190;aulast=Azeezgestational diabetesmeta-analysisnigeriaprevalencerisk factors
spellingShingle Taoreed Adegoke Azeez
Tamunosaki Abo-Briggs
Ayodeji Sylvester Adeyanju
A systematic review and meta-analysis of the prevalence and determinants of gestational diabetes mellitus in Nigeria
Indian Journal of Endocrinology and Metabolism
gestational diabetes
meta-analysis
nigeria
prevalence
risk factors
title A systematic review and meta-analysis of the prevalence and determinants of gestational diabetes mellitus in Nigeria
title_full A systematic review and meta-analysis of the prevalence and determinants of gestational diabetes mellitus in Nigeria
title_fullStr A systematic review and meta-analysis of the prevalence and determinants of gestational diabetes mellitus in Nigeria
title_full_unstemmed A systematic review and meta-analysis of the prevalence and determinants of gestational diabetes mellitus in Nigeria
title_short A systematic review and meta-analysis of the prevalence and determinants of gestational diabetes mellitus in Nigeria
title_sort systematic review and meta analysis of the prevalence and determinants of gestational diabetes mellitus in nigeria
topic gestational diabetes
meta-analysis
nigeria
prevalence
risk factors
url http://www.ijem.in/article.asp?issn=2230-8210;year=2021;volume=25;issue=3;spage=182;epage=190;aulast=Azeez
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