PMID- 38044810 OWN - NLM STAT- MEDLINE DCOM- 20240307 LR - 20240307 IS - 1471-0528 (Electronic) IS - 1470-0328 (Linking) VI - 131 IP - 5 DP - 2024 Apr TI - Persistent organic pollutant exposure as a risk factor of gestational diabetes mellitus: A systematic review and meta-analysis. PG - 579-588 LID - 10.1111/1471-0528.17725 [doi] AB - BACKGROUND: Findings related to the association between persistent organic pollutants (POPs) and gestational diabetes mellitus (GDM) are inconclusive. OBJECTIVES: To estimate the strength of the association between POP exposure and GDM in a systematic review with meta-analysis. SEARCH STRATEGY: MEDLINE, Scopus and Web of Science were searched until July 2023. SELECTION CRITERIA: Cohort and case-control studies analysing the association between POPs and GDM. DATA COLLECTION AND ANALYSIS: We assessed the risk of bias using the Quality in Prognosis Studies scale (QUIPS). Standardised mean differences were pooled using random-effect models. MAIN RESULTS: Sixteen articles including 12 216 participants were selected. The risk of bias was high in four articles (25%), moderate in 11 (68.75%) and low in one (6.25%). Small mean difference between GDM cases and controls was observed for PFHpA (0.26, 95% confidence interval [CI] 0.1-0.35, I(2) = 0.0%), PCB180 (0.37, 95% CI 0.19-0.56; I(2) = 25.3%), BDE47 (0.23, 95% CI 0.0-0.45, I(2) = 0%), BDE99 (0.36, 95% CI 0.14-0.59; I(2) = 0%), BDE100 (0.42, 95% CI 0.19-0.64; I(2) = 0%) and HCB (0.22, 95% CI 0.01-0.42, I(2) = 39.6%). No considerable difference was observed for the rest of POPs. CONCLUSION: Small mean differences between GDM cases and controls were observed for some POPs. However, evidence shows mostly moderate quality and results were heterogeneous. Improved research methodology is needed to assess POPs and GDM risk. CI - (c) 2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd. FAU - Kouiti, Malak AU - Kouiti M AUID- ORCID: 0000-0003-3797-045X AD - Departamento de Medicina Preventiva y Salud Publica, Universidad de Granada, Granada, Spain. AD - Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat, Morocco. FAU - Castillo-Hermoso, Maria Angeles AU - Castillo-Hermoso MA AD - Departamento de Medicina Preventiva y Salud Publica, Universidad de Granada, Granada, Spain. FAU - Youlyouz-Marfak, Ibtissam AU - Youlyouz-Marfak I AD - Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat, Morocco. FAU - Khan, Khalid Saeed AU - Khan KS AUID- ORCID: 0000-0001-5084-7312 AD - Departamento de Medicina Preventiva y Salud Publica, Universidad de Granada, Granada, Spain. AD - Consorcio Centro de Investigacion Biomedica en Red de Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain. FAU - Thangaratinam, Shakila AU - Thangaratinam S AD - Institute for Metabolism and Systems Research, University of Birmingham, Birmingham, UK. AD - Birmingham Women's and Children's National Health Service Foundation Trust, Birmingham, UK. FAU - Olmedo-Requena, Rocio AU - Olmedo-Requena R AD - Departamento de Medicina Preventiva y Salud Publica, Universidad de Granada, Granada, Spain. AD - Consorcio Centro de Investigacion Biomedica en Red de Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain. AD - Instituto de Investigacion Biosanitaria ibs.GRANADA, Granada, Spain. FAU - Zamora, Javier AU - Zamora J AD - Consorcio Centro de Investigacion Biomedica en Red de Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain. AD - Institute for Metabolism and Systems Research, University of Birmingham, Birmingham, UK. AD - Birmingham Women's and Children's National Health Service Foundation Trust, Birmingham, UK. AD - Clinical Biostatistics Unit, Hospital Ramon y Cajal (IRYCIS), Madrid, Spain. FAU - Jimenez-Moleon, Jose Juan AU - Jimenez-Moleon JJ AD - Departamento de Medicina Preventiva y Salud Publica, Universidad de Granada, Granada, Spain. AD - Consorcio Centro de Investigacion Biomedica en Red de Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain. AD - Instituto de Investigacion Biosanitaria ibs.GRANADA, Granada, Spain. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20231204 PL - England TA - BJOG JT - BJOG : an international journal of obstetrics and gynaecology JID - 100935741 RN - 0 (Persistent Organic Pollutants) SB - IM MH - Pregnancy MH - Female MH - Humans MH - *Diabetes, Gestational/epidemiology MH - Persistent Organic Pollutants MH - Case-Control Studies MH - Risk Factors OTO - NOTNLM OT - exposure OT - gestational diabetes mellitus OT - meta-analysis OT - persistent organic pollutants OT - risk factor OT - systematic review EDAT- 2023/12/04 06:41 MHDA- 2024/03/07 06:42 CRDT- 2023/12/04 03:46 PHST- 2023/11/01 00:00 [revised] PHST- 2023/03/20 00:00 [received] PHST- 2023/11/09 00:00 [accepted] PHST- 2024/03/07 06:42 [medline] PHST- 2023/12/04 06:41 [pubmed] PHST- 2023/12/04 03:46 [entrez] AID - 10.1111/1471-0528.17725 [doi] PST - ppublish SO - BJOG. 2024 Apr;131(5):579-588. doi: 10.1111/1471-0528.17725. Epub 2023 Dec 4.