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Cardiovascular risk factors in women with previous gestational diabetes mellitus: A systematic review and meta-analysis
This systematic review and meta-analysis aimed to synthesize evidence on conventional cardiovascular disease (CVD) risk factors among women with previous Gestational Diabetes Mellitus (GDM). The review protocol is registered with PROSPERO (CRD42019118149). PubMed, CINAHL, SCOPUS, and EMBASE database...
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| Published in: | Reviews in endocrine & metabolic disorders 2021-12, Vol.22 (4), p.729-761 |
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| container_title | Reviews in endocrine & metabolic disorders |
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| creator | Pathirana, Maleesa M. Lassi, Zohra Ali, Anna Arstall, Margaret Roberts, Claire T. Andraweera, Prabha H. |
| description | This systematic review and meta-analysis aimed to synthesize evidence on conventional cardiovascular disease (CVD) risk factors among women with previous Gestational Diabetes Mellitus (GDM). The review protocol is registered with PROSPERO (CRD42019118149). PubMed, CINAHL, SCOPUS, and EMBASE databases were searched. Studies reporting on CVD risk factors in women with previous GDM compared to women without previous GDM were selected. A total of 139 studies were eligible, of which 93 were included in the meta-analysis. Women with previous GDM have significantly higher systolic blood pressure (2.47 mmHg 95% CI 1.74 to 3.40,
n
= 48, 50,118 participants) diastolic blood pressure (1.89 mmHg 95% CI 1.32 to 2.46, n = 48, 49,495 participants), BMI (1.54 kg/m
2
95% CI 1.32 to 2.46,
n
= 78, 255,308 participants), total cholesterol (0.26 SMD 95% CI 0.15 to 0.37, n = 48, 38,561 participants), LDL cholesterol (0.19 SMD 95% CI 0.08 to 0.30,
n
= 44, 16,980 participants), triglycerides (0.56 SMD 95% CI 0.42 to 0.70,
n
= 46, 13,175 participants), glucose (0.69 SMD 95% CI 0.56 to 0.81,
n
= 55, 127,900 participants), insulin (0.41 SMD 95% CI 0.23 to 0.59,
n
= 32, 8881 participants) and significantly lower HDL cholesterol (−0.28 SMD 95% CI −0.39 to −0.16,
n
= 56, 35,882 participants), compared to women without previous GDM. The increased blood pressure, total cholesterol, triglycerides and glucose are seen as early as |
| doi_str_mv | 10.1007/s11154-020-09587-0 |
| format | article |
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n
= 48, 50,118 participants) diastolic blood pressure (1.89 mmHg 95% CI 1.32 to 2.46, n = 48, 49,495 participants), BMI (1.54 kg/m
2
95% CI 1.32 to 2.46,
n
= 78, 255,308 participants), total cholesterol (0.26 SMD 95% CI 0.15 to 0.37, n = 48, 38,561 participants), LDL cholesterol (0.19 SMD 95% CI 0.08 to 0.30,
n
= 44, 16,980 participants), triglycerides (0.56 SMD 95% CI 0.42 to 0.70,
n
= 46, 13,175 participants), glucose (0.69 SMD 95% CI 0.56 to 0.81,
n
= 55, 127,900 participants), insulin (0.41 SMD 95% CI 0.23 to 0.59,
n
= 32, 8881 participants) and significantly lower HDL cholesterol (−0.28 SMD 95% CI −0.39 to −0.16,
n
= 56, 35,882 participants), compared to women without previous GDM. The increased blood pressure, total cholesterol, triglycerides and glucose are seen as early as <1 year post-partum.Women with previous GDM have a higher risk of CVD based on significant increases in conventional risk factors. Some risk factors are seen as early as <1 year post-partum. Women with GDM may benefit from early screening to identify modifiable CVD risk factors.</description><identifier>ISSN: 1389-9155</identifier><identifier>EISSN: 1573-2606</identifier><identifier>DOI: 10.1007/s11154-020-09587-0</identifier><identifier>PMID: 33106997</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Blood Pressure ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Cholesterol ; Diabetes ; Diabetes mellitus ; Diabetes, Gestational - diagnosis ; Diabetes, Gestational - epidemiology ; Endocrinology ; Female ; Gestational diabetes ; Heart Disease Risk Factors ; High density lipoprotein ; Humans ; Insulin ; Internal Medicine ; Low density lipoprotein ; Medicine ; Medicine & Public Health ; Meta-analysis ; Pregnancy ; Reviews ; Risk Factors ; Systematic review ; Triglycerides</subject><ispartof>Reviews in endocrine & metabolic disorders, 2021-12, Vol.22 (4), p.729-761</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>2020. Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-1396e68401b9d5290f74fc25a7eacffedfd7cb10eb7966fae4d381e9fe67ae623</citedby><cites>FETCH-LOGICAL-c375t-1396e68401b9d5290f74fc25a7eacffedfd7cb10eb7966fae4d381e9fe67ae623</cites><orcidid>0000-0002-5350-6334 ; 0000-0003-2434-8370 ; 0000-0003-0760-6382 ; 0000-0002-7832-1694 ; 0000-0002-5817-4156 ; 0000-0002-9250-2192</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33106997$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pathirana, Maleesa M.</creatorcontrib><creatorcontrib>Lassi, Zohra</creatorcontrib><creatorcontrib>Ali, Anna</creatorcontrib><creatorcontrib>Arstall, Margaret</creatorcontrib><creatorcontrib>Roberts, Claire T.</creatorcontrib><creatorcontrib>Andraweera, Prabha H.</creatorcontrib><title>Cardiovascular risk factors in women with previous gestational diabetes mellitus: A systematic review and meta-analysis</title><title>Reviews in endocrine & metabolic disorders</title><addtitle>Rev Endocr Metab Disord</addtitle><addtitle>Rev Endocr Metab Disord</addtitle><description>This systematic review and meta-analysis aimed to synthesize evidence on conventional cardiovascular disease (CVD) risk factors among women with previous Gestational Diabetes Mellitus (GDM). The review protocol is registered with PROSPERO (CRD42019118149). PubMed, CINAHL, SCOPUS, and EMBASE databases were searched. Studies reporting on CVD risk factors in women with previous GDM compared to women without previous GDM were selected. A total of 139 studies were eligible, of which 93 were included in the meta-analysis. Women with previous GDM have significantly higher systolic blood pressure (2.47 mmHg 95% CI 1.74 to 3.40,
n
= 48, 50,118 participants) diastolic blood pressure (1.89 mmHg 95% CI 1.32 to 2.46, n = 48, 49,495 participants), BMI (1.54 kg/m
2
95% CI 1.32 to 2.46,
n
= 78, 255,308 participants), total cholesterol (0.26 SMD 95% CI 0.15 to 0.37, n = 48, 38,561 participants), LDL cholesterol (0.19 SMD 95% CI 0.08 to 0.30,
n
= 44, 16,980 participants), triglycerides (0.56 SMD 95% CI 0.42 to 0.70,
n
= 46, 13,175 participants), glucose (0.69 SMD 95% CI 0.56 to 0.81,
n
= 55, 127,900 participants), insulin (0.41 SMD 95% CI 0.23 to 0.59,
n
= 32, 8881 participants) and significantly lower HDL cholesterol (−0.28 SMD 95% CI −0.39 to −0.16,
n
= 56, 35,882 participants), compared to women without previous GDM. The increased blood pressure, total cholesterol, triglycerides and glucose are seen as early as <1 year post-partum.Women with previous GDM have a higher risk of CVD based on significant increases in conventional risk factors. Some risk factors are seen as early as <1 year post-partum. Women with GDM may benefit from early screening to identify modifiable CVD risk factors.</description><subject>Blood Pressure</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cholesterol</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes, Gestational - diagnosis</subject><subject>Diabetes, Gestational - epidemiology</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gestational diabetes</subject><subject>Heart Disease Risk Factors</subject><subject>High density lipoprotein</subject><subject>Humans</subject><subject>Insulin</subject><subject>Internal Medicine</subject><subject>Low density lipoprotein</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Pregnancy</subject><subject>Reviews</subject><subject>Risk Factors</subject><subject>Systematic review</subject><subject>Triglycerides</subject><issn>1389-9155</issn><issn>1573-2606</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kUuPFCEUhYnROA_9Ay4MiRs3KI8CGneTjo4mk7jRNaGoy8hYj5ZLTaf_vbQ9auLCDZeE7xzOzSHkheBvBOf2LQohdMe45Iw7vbGMPyLnQlvFpOHmcburjWNOaH1GLhDvOJfCOP2UnCkluHHOnpP9NpQhL_cB4zqGQkvG7zSFWJeCNM90v0zQzly_0V2B-7ysSG8Ba6h5mcNIhxx6qIB0gnHMdcV39IriAStMDYn0qIE9DfPQiBpYaKIDZnxGnqQwIjx_mJfk64f3X7Yf2c3n60_bqxsWldWVCeUMmE3HRe8GLR1PtktR6mAhxJRgSIONveDQW2dMCtANaiPAJTA2gJHqkrw--e7K8mNtwf2UMbasYYa2i5ed7oy2ouMNffUPerespeVtlBHaCS470Sh5omJZEAskvyt5CuXgBffHWvypFt9q8b9q8Ufrlw_Waz_B8Efyu4cGqBOA7Wm-hfL37__Y_gTjI5q_</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Pathirana, Maleesa M.</creator><creator>Lassi, Zohra</creator><creator>Ali, Anna</creator><creator>Arstall, Margaret</creator><creator>Roberts, Claire T.</creator><creator>Andraweera, Prabha H.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5350-6334</orcidid><orcidid>https://orcid.org/0000-0003-2434-8370</orcidid><orcidid>https://orcid.org/0000-0003-0760-6382</orcidid><orcidid>https://orcid.org/0000-0002-7832-1694</orcidid><orcidid>https://orcid.org/0000-0002-5817-4156</orcidid><orcidid>https://orcid.org/0000-0002-9250-2192</orcidid></search><sort><creationdate>20211201</creationdate><title>Cardiovascular risk factors in women with previous gestational diabetes mellitus: A systematic review and meta-analysis</title><author>Pathirana, Maleesa M. ; 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The review protocol is registered with PROSPERO (CRD42019118149). PubMed, CINAHL, SCOPUS, and EMBASE databases were searched. Studies reporting on CVD risk factors in women with previous GDM compared to women without previous GDM were selected. A total of 139 studies were eligible, of which 93 were included in the meta-analysis. Women with previous GDM have significantly higher systolic blood pressure (2.47 mmHg 95% CI 1.74 to 3.40,
n
= 48, 50,118 participants) diastolic blood pressure (1.89 mmHg 95% CI 1.32 to 2.46, n = 48, 49,495 participants), BMI (1.54 kg/m
2
95% CI 1.32 to 2.46,
n
= 78, 255,308 participants), total cholesterol (0.26 SMD 95% CI 0.15 to 0.37, n = 48, 38,561 participants), LDL cholesterol (0.19 SMD 95% CI 0.08 to 0.30,
n
= 44, 16,980 participants), triglycerides (0.56 SMD 95% CI 0.42 to 0.70,
n
= 46, 13,175 participants), glucose (0.69 SMD 95% CI 0.56 to 0.81,
n
= 55, 127,900 participants), insulin (0.41 SMD 95% CI 0.23 to 0.59,
n
= 32, 8881 participants) and significantly lower HDL cholesterol (−0.28 SMD 95% CI −0.39 to −0.16,
n
= 56, 35,882 participants), compared to women without previous GDM. The increased blood pressure, total cholesterol, triglycerides and glucose are seen as early as <1 year post-partum.Women with previous GDM have a higher risk of CVD based on significant increases in conventional risk factors. Some risk factors are seen as early as <1 year post-partum. Women with GDM may benefit from early screening to identify modifiable CVD risk factors.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33106997</pmid><doi>10.1007/s11154-020-09587-0</doi><tpages>33</tpages><orcidid>https://orcid.org/0000-0002-5350-6334</orcidid><orcidid>https://orcid.org/0000-0003-2434-8370</orcidid><orcidid>https://orcid.org/0000-0003-0760-6382</orcidid><orcidid>https://orcid.org/0000-0002-7832-1694</orcidid><orcidid>https://orcid.org/0000-0002-5817-4156</orcidid><orcidid>https://orcid.org/0000-0002-9250-2192</orcidid></addata></record> |
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| ispartof | Reviews in endocrine & metabolic disorders, 2021-12, Vol.22 (4), p.729-761 |
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| source | Springer Nature |
| subjects | Blood Pressure Cardiovascular diseases Cardiovascular Diseases - epidemiology Cardiovascular Diseases - etiology Cholesterol Diabetes Diabetes mellitus Diabetes, Gestational - diagnosis Diabetes, Gestational - epidemiology Endocrinology Female Gestational diabetes Heart Disease Risk Factors High density lipoprotein Humans Insulin Internal Medicine Low density lipoprotein Medicine Medicine & Public Health Meta-analysis Pregnancy Reviews Risk Factors Systematic review Triglycerides |
| title | Cardiovascular risk factors in women with previous gestational diabetes mellitus: A systematic review and meta-analysis |
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