IDF Diabetes Atlas: Estimation of Global and Regional Gestational Diabetes Mellitus Prevalence for 2021 by International Association of Diabetes in Pregnancy Study Group's Criteria

被引：624

作者：

Wang, Hui ^{[1
,2
]}

Li, Ninghua ^{[1
,2
]}

Chivese, Tawanda ^{[3
]}

Werfalli, Mahmoud ^{[4
]}

Sun, Hong ^{[5
]}

Yuen, Lili ^{[6
]}

Hoegfeldt, Cecilia Ambrosius ^{[7
]}

Powe, Camille Elise ^{[8
,9
]}

Immanuel, Jincy ^{[6
]}

Karuranga, Suvi ^{[5
]}

Divakar, Hema ^{[10
]}

Levitt, NAomi ^{[11
,12
]}

Li, Changping ^{[1
,2
]}

Simmons, David

Yang, Xilin ^{[1
,2
]}

机构：

[1] Tianjin Med Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Tianjin, Peoples R China

[2] Tianjin Ctr Int Collaborat Res Environm Nutr & Pu, Tianjin, Peoples R China

[3] Qatar Univ, Coll Med, Dept Populat Med, QU Hlth, Doha, Qatar

[4] Univ Benghazi, Fac Med, Dept Family & Community Med, Benghazi, Libya

[5] Int Diabet Federat, Brussels, Belgium

[6] Western Sydney Univ, Sch Med, Campbelltown, NSW, Australia

[7] Univ Oxford, Dept Psychiat, Oxford, England

[8] Massachusetts Gen Hosp, Diabet Unit, Boston, MA 02114 USA

[9] Harvard Med Sch, Boston, MA 02115 USA

[10] Divakars Specialty Hosp, Bangalore, Karnataka, India

[11] Univ Cape Town, Dept Med, Chron Dis Initiat Africa, Cape Town, South Africa

[12] Univ Cape Town, Dept Med, Div Endocrinol, Cape Town, Western Cape, South Africa

来源：

DIABETES RESEARCH AND CLINICAL PRACTICE | 2022年 / 183卷

关键词：

Prevalence; Gestational diabetes mellitus; International Diabetes Federation; Diabetes Atlas; Regional differences; HYPERGLYCEMIA; RISK; METAANALYSIS; DIAGNOSIS; CLASSIFICATION; COHORT; WOMEN;

D O I：

10.1016/j.diabres.2021.109050

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims: The approaches used to screen and diagnose gestational diabetes mellitus (GDM) vary widely. We generated a comparable estimate of the global and regional prevalence of GDM by International Association of Diabetes in Pregnancy Study Group (IADPSG)'s criteria.Methods: We searched PubMed and other databases and retrieved 57 studies to estimate the prevalence of GDM. Prevalence rate ratios of different diagnostic criteria, screening strategies and age groups, were used to standardize the prevalence of GDM in individual studies included in the analysis. Fixed effects meta-analysis was conducted to estimate standardized pooled prevalence of GDM by IDF regions and World Bank country income groups.Results: The pooled global standardized prevalence of GDM was 14.0% (95% confidence interval: 13.97-14.04%). The regional standardized prevalence of GDM were 7.1% (7.0-7.2%) in North America and Caribbean (NAC), 7.8% (7.2-8.4%) in Europe (EUR), 10.4% (10.1-10.7%) in South America and Central America (SACA), 14.2% (14.0-14.4%) in Africa (AFR), 14.7% (14.7-14.8%) in Western Pacific (WP), 20.8% (20.2-21.4%) in South-East Asia (SEA) and 27.6% (26.9-28.4%) in Middle East and North Africa (MENA). The standardized prevalence of GDM in low-, middle-and high-income countries were 12.7% (11.0-14.6%), 9.2% (9.0-9.3%) and 14.2% (14.1-14.2%), respectively.Conclusions: The highest standardized prevalence of GDM was in MENA and SEA, followed by WP and AFR. Among the three World Bank country income groups, high income coun-tries had the highest standardized prevalence of GDM. The standardized estimates for the prevalence of GDM provide an insight for the global picture of GDM.(c) 2021 Elsevier B.V. All rights reserved.

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