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《东地中海地区妊娠糖尿病患病率的系统评价和荟萃分析》

Prevalence of gestational diabetes mellitus in Eastern Mediterranean region: a systematic review and meta-analysis.

机构信息

Department of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Science, Zabol, Iran.

Department of Pediatric Nursing, School of Nursing and Midwifery, Jiroft University of Medical Sciences, Jiroft, Iran.

出版信息

Endocrine. 2019 Sep;65(3):505-514. doi: 10.1007/s12020-019-02026-4. Epub 2019 Aug 2.

Abstract

PURPOSE

Gestational diabetes mellitus (GDM) is one of the costly challenges in the health field. Despite the individual studies in the Eastern Mediterranean, there is no comprehensive study in this regard. The aim of this study was to determine the prevalence of GDM in the Eastern Mediterranean region.

METHODS

In this meta-analysis and systematic review, three international databases (PubMed, Web of science and Scopus) were searched from inception until 30 December 2018. The Hui tool was used to assess the quality of the included studies.

RESULTS

Thirty-three studies performed on 887166 participants were included in the meta-analysis. Based on the results of random effect method, the overall prevalence of GDM was 11.7%. Between six country with have three or more study, pooled prevalence for Saudi Arabi it was 3.6 times more than Israel (17.6 vs. 4.9%), and for Pakistan, Qatar, Bahrain and Iran were 15.3%, 14.7%, 12.2%, and 8.6%, respectively.

CONCLUSION

Despite the high diversity of methods, the results of the present study indicate a high prevalence of GDM in the Eastern Mediterranean region, indicating more policymakers' interest in timely screening and proper management.

摘要

目的

妊娠期糖尿病(GDM)是医疗领域面临的一项高成本挑战。尽管在东地中海地区进行了多项研究,但在这方面尚未进行全面研究。本研究旨在确定东地中海地区 GDM 的患病率。

方法

在这项荟萃分析和系统评价中,从创建到 2018 年 12 月 30 日,检索了三个国际数据库(PubMed、Web of science 和 Scopus)。使用 Hui 工具评估纳入研究的质量。

结果

共有 33 项针对 887166 名参与者的研究纳入荟萃分析。基于随机效应方法的结果,GDM 的总体患病率为 11.7%。在有三个或更多研究的六个国家中,沙特阿拉伯的 GDM 患病率比以色列高 3.6 倍(17.6%比 4.9%),巴基斯坦、卡塔尔、巴林和伊朗的 GDM 患病率分别为 15.3%、14.7%、12.2%和 8.6%。

结论

尽管方法存在高度多样性,但本研究结果表明,东地中海地区 GDM 的患病率较高,这表明政策制定者更有兴趣及时进行筛查和适当管理。

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