Gestational Diabetes Mellitus in Southeast Asia: A Scoping Review

A rapid increase in the prevalence of gestational diabetes mellitus (GDM) has been associated with various factors such as urbanization, lifestyle changes, adverse hyperglycemic intrauterine environment, and the resulting epigenetic changes. Despite this, the burden of GDM has not been well-assessed...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-01, Vol.18 (3), p.1272
Main Authors: Kunasegaran, Thubasni, Balasubramaniam, Vinod R M T, Arasoo, Valliammai Jayanthi Thirunavuk, Palanisamy, Uma Devi, Ramadas, Amutha
Format: Article
Language:English
Subjects:
Asia, Southeastern - epidemiology
Complications
Diabetes mellitus
Diabetes, Gestational - epidemiology
Diagnostic systems
Diagnostic tests
Epigenetics
Ethnicity
Female
Gestational diabetes
Glucose
Heterogeneity
Humans
Intrauterine exposure
Literature reviews
Mass Screening
Population
Population characteristics
Pregnancy
Prevalence
Research methodology
Review
Risk analysis
Risk Factors
Socioeconomic factors
Urbanization
Womens health
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Summary:A rapid increase in the prevalence of gestational diabetes mellitus (GDM) has been associated with various factors such as urbanization, lifestyle changes, adverse hyperglycemic intrauterine environment, and the resulting epigenetic changes. Despite this, the burden of GDM has not been well-assessed in Southeast Asia. We comprehensively reviewed published Southeast Asian studies to identify the current research trend in GDM in this region. Joanna Briggs Institute's methodology was used to guide the scoping review. The synthesis of literature findings demonstrates almost comparable clinical evidence in terms of risk factors and complications, challenges presented in diagnosing GDM, and its disease management, given the similarities of the underlying population characteristics in Southeast Asia. Evidence suggests that a large proportion of GDM risk in women may be preventable by lifestyle modifications. However, the GDM burden across countries is expected to rise, given the heterogeneity in screening approaches and diagnostic criteria, mainly influenced by economic status. There is an urgent need for concerted efforts by government and nongovernmental sectors to implement national programs to prevent, manage, and monitor the disease.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18031272