PMID- 38378536
OWN - NLM
STAT- MEDLINE
DCOM- 20240222
LR  - 20240224
IS  - 1471-2458 (Electronic)
IS  - 1471-2458 (Linking)
VI  - 24
IP  - 1
DP  - 2024 Feb 20
TI  - National and regional prevalence of gestational diabetes mellitus in India: a 
      systematic review and Meta-analysis.
PG  - 527
LID - 10.1186/s12889-024-18024-9 [doi]
LID - 527
AB  - BACKGROUND: Gestational diabetes mellitus (GDM) is frequently misdiagnosed during 
      pregnancy. There is an abundance of evidence, but little is known regarding the 
      regional prevalence estimates of GDM in India. This systematic review and 
      meta-analysis aims to provide valuable insights into the national and regional 
      prevalence of GDM among pregnant women in India. METHODS: We conducted an initial 
      article search on PubMed, Scopus, Google Scholar, and ShodhGanga searches to 
      identify quantitative research papers (database inception till 15th June,2022). 
      This review included prevalence studies that estimated the occurrence of GDM 
      across different states in India. RESULTS: Two independent reviewers completed 
      the screening of 2393 articles, resulting in the identification of 110 articles 
      that met the inclusion criteria, which collectively provided 117 prevalence 
      estimates. Using a pooled estimate calculation (with an Inverse square 
      heterogeneity model), the pooled prevalence of GDM in pregnant women was 
      estimated to be 13%, with a 95% confidence interval (CI) ranging from 9 to 16%.. 
      In India, Diabetes in Pregnancy Study of India (DIPSI) was the most common 
      diagnostic criteria used, followed by International Association of Diabetes and 
      Pregnancy Study Groups (IADPSG) and World Health Organization (WHO) 1999. It was 
      observed that the rural population has slightly less prevalence of GDM at 10.0% 
      [6.0-13.0%, I(2)(=)96%] when compared to the urban population where the 
      prevalence of GDM was 12.0% [9.0-16.0%, I(2) = 99%]. CONCLUSIONS: This review 
      emphasizes the lack of consensus in screening and diagnosing gestational diabetes 
      mellitus (GDM), leading to varied prevalence rates across Indian states. It 
      thoroughly examines the controversies regarding GDM screening by analyzing 
      population characteristics, geographic variations, diagnostic criteria agreement, 
      screening timing, fasting vs. non-fasting approaches, cost-effectiveness, and 
      feasibility, offering valuable recommendations for policy makers. By fostering 
      the implementation of state-wise screening programs, it can contribute to 
      improving maternal and neonatal outcomes and promoting healthier pregnancies 
      across the country.
CI  - (c) 2024. The Author(s).
FAU - Mantri, Neha
AU  - Mantri N
AUID- ORCID: 0000-0002-1709-1274
AD  - School of Public Health, AIIMS, Jodhpur, India.
FAU - Goel, Akhil Dhanesh
AU  - Goel AD
AUID- ORCID: 0000-0002-6156-7903
AD  - Department of Community Medicine & Family Medicine, AIIMS, Jodhpur, India. 
      doc.akhilgoel@gmail.com.
FAU - Patel, Mamta
AU  - Patel M
AUID- ORCID: 0000-0002-4659-3687
AD  - School of Public Health, AIIMS, Jodhpur, India.
FAU - Baskaran, Pritish
AU  - Baskaran P
AD  - Department of Community Medicine & Family Medicine, AIIMS, Jodhpur, India.
FAU - Dutta, Gitashree
AU  - Dutta G
AD  - Department of Community Medicine & Family Medicine, AIIMS, Jodhpur, India.
FAU - Gupta, Manoj Kumar
AU  - Gupta MK
AUID- ORCID: 0000-0002-5367-5795
AD  - Department of Community Medicine & Family Medicine, AIIMS, Jodhpur, India.
FAU - Yadav, Vikas
AU  - Yadav V
AD  - ICMR-NIREH, Bhopal, Madhya Pradesh, India.
FAU - Mittal, Madhukar
AU  - Mittal M
AUID- ORCID: 0000-0002-6919-5614
AD  - Department of Endocrinology and Metabolism, AIIMS, Jodhpur, India.
FAU - Shekhar, Shashank
AU  - Shekhar S
AD  - Department of Obstetrics and Gynaecology, AIIMS, Jodhpur, India.
FAU - Bhardwaj, Pankaj
AU  - Bhardwaj P
AUID- ORCID: 0000-0001-9960-3060
AD  - Department of Community Medicine & Family Medicine, Academic Head, School of 
      Public Health, AIIMS, Jodhpur, India.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20240220
PL  - England
TA  - BMC Public Health
JT  - BMC public health
JID - 100968562
SB  - IM
MH  - Infant, Newborn
MH  - Pregnancy
MH  - Female
MH  - Humans
MH  - *Diabetes, Gestational/diagnosis/epidemiology
MH  - Prevalence
MH  - Glucose Tolerance Test
MH  - Fasting
MH  - India/epidemiology
MH  - Pregnancy Outcome/epidemiology
PMC - PMC10877914
OTO - NOTNLM
OT  - DIPSI
OT  - Diagnosis
OT  - Gestational diabetes mellitus
OT  - Glucose tolerance test
OT  - IADPSG
OT  - Pregnancy complications
COIS- The authors declare no competing interests.
EDAT- 2024/02/21 11:14
MHDA- 2024/02/22 12:12
PMCR- 2024/02/20
CRDT- 2024/02/20 23:36
PHST- 2023/07/16 00:00 [received]
PHST- 2024/02/06 00:00 [accepted]
PHST- 2024/02/22 12:12 [medline]
PHST- 2024/02/21 11:14 [pubmed]
PHST- 2024/02/20 23:36 [entrez]
PHST- 2024/02/20 00:00 [pmc-release]
AID - 10.1186/s12889-024-18024-9 [pii]
AID - 18024 [pii]
AID - 10.1186/s12889-024-18024-9 [doi]
PST - epublish
SO  - BMC Public Health. 2024 Feb 20;24(1):527. doi: 10.1186/s12889-024-18024-9.