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Non classical risk factors for gestational diabetes mellitus: a systematic review of the literature.
Cad Saude Publica 2009; 25 Suppl 3:S341-59CS

Abstract

Age, obesity and family history of diabetes are well known risk factors for gestational diabetes mellitus. Others are more controversial. The objective of this review is to find evidence in the literature that justifies the inclusion of these other conditions among risk factors. The MEDLINE, Cochrane, LILACS and Pan American Health Organization databases were searched, covering articles dating from between 1992 and 2006. Keywords were used in combination (AND) with gestational diabetes mellitus separately and with each one of the risk factors studied. The methodological quality of the studies included was assessed, resulting in the selection of 41 papers. Most studies investigating maternal history of low birth weight, low stature, and low level of physical activity have found positive associations with gestational diabetes mellitus. Low socioeconomic levels, smoking during pregnancy, high parity, belonging to minority groups, and excessive weight gain during pregnancy presented conflicting results. Publication bias cannot be ruled out. Standardization of techniques, cutoff points for screening and diagnosis, as well as studies involving larger sample sizes would allow future meta-analyses.

Authors+Show Affiliations

Universidade Federal de Pelotas, Pelotas, Brasil. malicedode@terra.com.brNo affiliation info available

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

20027384

Citation

Dode, Maria Alice Souza de Oliveira, and Iná S. dos Santos. "Non Classical Risk Factors for Gestational Diabetes Mellitus: a Systematic Review of the Literature." Cadernos De Saude Publica, vol. 25 Suppl 3, 2009, pp. S341-59.
Dode MA, dos Santos IS. Non classical risk factors for gestational diabetes mellitus: a systematic review of the literature. Cad Saude Publica. 2009;25 Suppl 3:S341-59.
Dode, M. A., & dos Santos, I. S. (2009). Non classical risk factors for gestational diabetes mellitus: a systematic review of the literature. Cadernos De Saude Publica, 25 Suppl 3, pp. S341-59.
Dode MA, dos Santos IS. Non Classical Risk Factors for Gestational Diabetes Mellitus: a Systematic Review of the Literature. Cad Saude Publica. 2009;25 Suppl 3:S341-59. PubMed PMID: 20027384.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non classical risk factors for gestational diabetes mellitus: a systematic review of the literature. AU - Dode,Maria Alice Souza de Oliveira, AU - dos Santos,Iná S, PY - 2009/04/28/received PY - 2009/08/19/accepted PY - 2009/12/23/entrez PY - 2010/1/21/pubmed PY - 2010/12/14/medline SP - S341 EP - 59 JF - Cadernos de saude publica JO - Cad Saude Publica VL - 25 Suppl 3 N2 - Age, obesity and family history of diabetes are well known risk factors for gestational diabetes mellitus. Others are more controversial. The objective of this review is to find evidence in the literature that justifies the inclusion of these other conditions among risk factors. The MEDLINE, Cochrane, LILACS and Pan American Health Organization databases were searched, covering articles dating from between 1992 and 2006. Keywords were used in combination (AND) with gestational diabetes mellitus separately and with each one of the risk factors studied. The methodological quality of the studies included was assessed, resulting in the selection of 41 papers. Most studies investigating maternal history of low birth weight, low stature, and low level of physical activity have found positive associations with gestational diabetes mellitus. Low socioeconomic levels, smoking during pregnancy, high parity, belonging to minority groups, and excessive weight gain during pregnancy presented conflicting results. Publication bias cannot be ruled out. Standardization of techniques, cutoff points for screening and diagnosis, as well as studies involving larger sample sizes would allow future meta-analyses. SN - 1678-4464 UR - https://www.unboundmedicine.com/medline/citation/20027384/full_citation L2 - http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2009001500002&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -