Association between the history of abortion and gestational diabetes mellitus: A meta-analysis.
Endocrine
; 80(1): 29-39, 2023 04.
Article
en En
| MEDLINE
| ID: mdl-36357823
ABSTRACT
PURPOSE:
Gestational diabetes mellitus (GDM) is a common metabolic disease in pregnant women. The purpose of this study was to determine whether a history of abortion increases the risk of GDM by meta-analysis.METHODS:
A comprehensive literature search was conducted in nine databases of studies on the association between abortion history and GDM up to April 12, 2022. Fixed- or random-effects models were used to estimate the pooled odds ratio (OR) and 95% CI. The I square value (I2) was used to assess heterogeneity. Possible sources of heterogeneity were explored by conducting subgroup analysis and meta-regression. A sensitivity analysis was also performed for this meta-analysis. Publication bias was assessed by funnel plots and Egger's tests.RESULTS:
Thirty-one studies enrolling 311,900 subjects were included in this meta-analysis. The risk of GDM was higher in women who experienced abortion than in those who did not (OR = 1.41 95% CI 1.28-1.55, I2 = 66.8%). The risk of GDM increased with an increasing number of abortions (1 time OR = 1.67, 95% CI = 1.26-2.22; 2 times OR = 2.10, 95% CI = 1.26-3.49; ≥3 times OR = 2.49, 95% CI = 1.24-5.01). Both spontaneous abortion (OR = 1.52, 95% CI = 1.30-1.78) and induced abortion (OR = 1.07, 95% CI = 1.03-1.11) were associated with an increased risk of GDM.CONCLUSIONS:
A history of abortion was associated with an increased risk of GDM in pregnant women, which may be a risk factor for predicting GDM.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Aborto Espontáneo
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Aborto Inducido
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Diabetes Gestacional
Tipo de estudio:
Prognostic_studies
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Risk_factors_studies
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Systematic_reviews
Límite:
Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Endocrine
Asunto de la revista:
ENDOCRINOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
China