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Accès ouvert déclaré 2023 review

Participant characteristics in the prevention of gestational diabetes as evidence for precision medicine: a systematic review and meta-analysis

23Citations signalées, ce qui n’est pas une note de qualité
166Institutions déclarées
26Pays d’affiliation déclarés

Rattachement africain : au, us, in, gb, be, Éthiopie, de, dk, se, ca, es, nl, fi, hk, my, cn, it, sk, no, fr, Afrique du Sud, tw, sg, ie, kr, nz. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

BACKGROUND: Precision prevention involves using the unique characteristics of a particular group to determine their responses to preventive interventions. This study aimed to systematically evaluate the participant characteristics associated with responses to interventions in gestational diabetes mellitus (GDM) prevention. METHODS: We searched MEDLINE, EMBASE, and Pubmed to identify lifestyle (diet, physical activity, or both), metformin, myoinositol/inositol and probiotics interventions of GDM prevention published up to May 24, 2022. RESULTS: From 10347 studies, 116 studies (n = 40940 women) are included. Physical activity results in greater GDM reduction in participants with a normal body mass index (BMI) at baseline compared to obese BMI (risk ratio, 95% confidence interval: 0.06 [0.03, 0.14] vs 0.68 [0.26, 1.60]). Combined diet and physical activity interventions result in greater GDM reduction in participants without polycystic ovary syndrome (PCOS) than those with PCOS (0.62 [0.47, 0.82] vs 1.12 [0.78-1.61]) and in those without a history of GDM than those with unspecified GDM history (0.62 [0.47, 0.81] vs 0.85 [0.76, 0.95]). Metformin interventions are more effective in participants with PCOS than those with unspecified status (0.38 [0.19, 0.74] vs 0.59 [0.25, 1.43]), or when commenced preconception than during pregnancy (0.21 [0.11, 0.40] vs 1.15 [0.86-1.55]). Parity, history of having a large-for-gestational-age infant or family history of diabetes have no effect on intervention responses. CONCLUSIONS: GDM prevention through metformin or lifestyle differs according to some individual characteristics. Future research should include trials commencing preconception and provide results disaggregated by a priori defined participant characteristics including social and environmental factors, clinical traits, and other novel risk factors to predict GDM prevention through interventions.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.

Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Participant characteristics in the prevention of gestational diabetes as evidence for precision medicine: a systematic review and meta-analysis
Date Crossref
05/10/2023
Éditeur
Springer Science and Business Media LLC
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Les institutions déclarées

Eastern HealthMonash HealthMonash UniversityKaiser PermanenteKaiser Permanente Center for Health ResearchPennington Biomedical Research CenterDeakin UniversityMadras Diabetes Research FoundationKing's College LondonNorthwestern UniversityLurie Children's HospitalThe University of AdelaideUniversity of AntwerpUniversity of GondarUniversity of Newcastle AustraliaNewcastle UniversityAmerican Diabetes AssociationEuropean Association for the Study of DiabetesBrigham and Women's HospitalHarvard UniversityUniversity of CopenhagenNovo Nordisk FoundationMassachusetts General HospitalLund UniversityUniversity of CambridgeRosie HospitalUniversity of CalgaryCardinal Glennon Children’s Medical CenterSaint Louis UniversityUniversity of ExeterUniversitat Autònoma de BarcelonaInstituto de Salud Carlos IIIHospital de Sant PauBiomedical Research Networking Center in Bioengineering, Biomaterials and NanomedicineInstitut de Recerca Sant PauBroad InstituteJohns Hopkins UniversityJohns Hopkins MedicineIndiana University School of MedicineIndiana University – Purdue University IndianapolisRutgers, The State University of New JerseyCentre Hospitalier Universitaire Sainte-JustineUniversité de MontréalErasmus MCUniversity of DundeeGenomics (United Kingdom)Stanford UniversityUniversity of FloridaUniversity of North Carolina at Chapel HillUniversity of HelsinkiHelsinki University HospitalInstitute for Molecular Medicine FinlandFolkhälsans ForskningscentrumBoston Children's HospitalChinese University of Hong KongUniversity of MalayaAsia Diabetes FoundationBoston Children's MuseumUniversity of Eastern FinlandKuopio University HospitalThe Queen's Medical Research InstituteUniversity of EdinburghUniversity of PittsburghUniversity of PaduaZuyderland Medisch CentrumUniversity of ChicagoDeutsches Diabetes-Zentrum e.V.German Center for Diabetes ResearchHeinrich Heine University DüsseldorfVA Eastern Colorado Health Care SystemUniversity of Colorado DenverSlovak Academy of SciencesInstitute of Experimental Endocrinology of the Slovak Academy of SciencesUniversity of BergenHaukeland University HospitalBaylor College of MedicineChildren's Nutrition Research Center at Baylor College of MedicineTexas Children's HospitalUniversity of ManitobaInsermSorbonne UniversitéNutrition et obésité : approches systémiquesAssistance Publique – Hôpitaux de ParisDalian Medical UniversitySecond Affiliated Hospital of Chongqing Medical UniversityChongqing Medical UniversityUniversity of the WitwatersrandUniversity of Colorado AnschutzRiley Hospital for ChildrenRichard L. Roudebush VA Medical CenterInstitut d'Investigació Biomèdica de GironaHospital Universitari de Girona Doctor Josep TruetaNorthwell HealthFeinstein Institute for Medical ResearchUniversity of California, San FranciscoCedars-Sinai Medical CenterUniversity of South DakotaSanford Children's Specialty ClinicColorado School of Public HealthRoyal Devon & Exeter NHS Foundation TrustUniversity of OxfordOxford Centre for Diabetes, Endocrinology and MetabolismChildren's Hospital of PittsburghBenaroya Research InstitutePopulation Health Research InstituteMcMaster UniversityUniversity of KwaZulu-NatalUniversity of VirginiaUniversity of MinnesotaKU LeuvenUniversity of GlasgowUniversity of Southern DenmarkRigshospitaletNational Health Research InstitutesTaipei Veterans General HospitalTaichung Veterans General HospitalSteno Diabetes CentersAarhus University HospitalUniversity Children's Hospital TübingenInstitute of Diabetes ResearchJoslin Diabetes CenterUniversity Medical Center GroningenHôpital Saint-AntoineThe Royal Melbourne HospitalThe University of MelbourneWalter and Eliza Hall Institute of Medical ResearchSt Thomas' HospitalGuy's and St Thomas' NHS Foundation TrustHôpital Necker-Enfants MaladesInstitut CochinUniversity of Maryland, BaltimoreDartmouth CollegeAzienda USL di BolognaUniversity of BolognaPitié-Salpêtrière HospitalNational University of SingaporeNational Institutes of HealthNational Institute of Diabetes and Digestive and Kidney DiseasesImpactUniversity of Colorado BoulderTrinity College DublinWexford General HospitalEndeavor HealthAarhus UniversitySanford ResearchUniversity of WashingtonUniversité de SherbrookeHarvard Pilgrim Health CareSeoul National University HospitalLurie Children's HospitalIcahn School of Medicine at Mount SinaiImperial College Healthcare NHS TrustImperial College LondonDr. Mohan's Diabetes Specialities CentreUniversity of AucklandCounties Manukau District Health BoardAuckland District Health BoardWellcome/MRC Institute of Metabolic ScienceOxford BioMedica (United Kingdom)University of MichiganTranslational Research Institute for Metabolism and DiabetesInstitute of Genetics and CancerYale UniversityThe University of SydneyRoyal Prince Alfred HospitalDüsseldorf University Hospital

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

Gestational Diabetes Research and ManagementBirth, Development, and HealthDiabetes and associated disorders

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