Prevalence rate of gestational diabetes mellitus in China: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

NA Renqimuge ,  LI Dongmei , MI Linxiang , LIANG Hongwei

Department of Endocrinology, Inner Mongolia Autonomous Region People’s Hospital, Hohhot, 010010, P.R.China;

Corresponding author：

LI Dongmei, Email: ldm1229@126.com

Keywords：

China; Gestational diabetes mellitus; Prevalence rate; Meta-analysis

DOI：

10.7507/1672-2531.201710044

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo systematically review the prevalence rate of gestational diabetes mellitus in Chinese population.MethodsPubMed, EMbase, The Cochrane Library, CNKI, WanFang Data and VIP databases were electronically searched to collect relevant literature of the prevalence rate of gestational diabetes in Chinese population from inception to October 2017. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies, then, meta-analysis was performed by using R 3.4.1 software.ResultsA total of 27 studies were included involving 183 338 peoples, of whom 23 834 were diagnosed as gestational diabetes mellitus by oral glucose tolerance test (75g). The prevalence rate was 13% (95%CI 10 to 16). The prevalence rate of gestational diabetes mellitus in north area was 13% (95%CI 9 to 19), central area was 11% (95%CI 2 to 39), east area was 15% (95%CI 12 to 19), south area was 12% (95%CI 11 to 14), northwest area was 5% (95%CI 3 to 8) and southwest area was 4% (95%CI 3 to 4). The prevalence rate of gestational diabetes mellitus during January 2005 to December 2012 was 11% (95%CI 7 to 16), during December 2012 to June 2016 was 17% (95%CI 14 to 20). The prevalence of specialist hospitals was 9% (95%CI 6 to 14), and which of comprehensive hospital was 14% (95%CI 11 to 18). The prevalence of gestational diabetes screening at 24 to 28 weeks gestation remained at 13% (95%CI 10 to 17).ConclusionThe prevalence rate of gestational diabetes mellitus is high in China. The prevalence rate of gestational diabetes mellitus in north China, central China and east China is significantly higher than that in southern China, northwest China and southwest China. The prevalence rate during 2012-2016 is significantly higher than that in 2005 to 2012. Improvement of lifestyle and living standard should be considered be closely related with that. The prevalence of comprehensive hospitals is higher than specialist hospitals. It is related to the China’s economic conditions, medical care situations and the medical habits of patients.

Citation： NA Renqimuge, LI Dongmei, MI Linxiang, LIANG Hongwei. Prevalence rate of gestational diabetes mellitus in China: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2018, 18(3): 280-285. doi: 10.7507/1672-2531.201710044 Copy

1.	Zinman B, Gerich J, Buse JB, et al. American Diabetes Association. Standards of medical care in diabetes-2010. Diabetes Care, 2010, 33(3): 692-692.
2.	Shahbazian H, Nouhjah S, Shahbazian N, et al. Gestational diabetes mellitus in an Iranian pregnant population using IADPSG criteria: Incidence, contributing factors and outcomes. Diabetes Metab Syndr, 2016, 10(4): 242-246.
3.	Unwin N, Shaw J, Zimmet P, et al. Impaired glucose tolerance and impaired fasting glycaemia: the current status on definition and intervention. Diabet Med, 2002, 19(9): 708-723.
4.	Khambalia AZ, Seen LS. Trends in overweight and obese adults in Malaysia (1996-2009): a systematic review. Obes Rev, 2010, 11(6): 403-412.
5.	魏玉梅, 杨慧霞. 妊娠期糖尿病不同诊断标准适宜性的比较. 中华妇产科杂志, 2011, 46(8): 578-581.
6.	刘卓. 妊娠糖尿病筛查与妊娠糖尿病母儿结局影响分析. 中国医学工程, 2012, 20(8): 93-95.
7.	常乐, 江亚平, 蒋世菊, 等. 单中心 2 864 例孕 24 至 28 周妊娠妇女口服 75 g 无水葡萄糖耐量试验结果分析. 中华检验医学杂志, 2012, 35(6): 517-520.
8.	陈瑜, 陈道桢, 赵晓玲, 等. 新疆阿合奇县妊娠期糖尿病筛查分析. 同济大学学报(医学版), 2013, 34(6): 123-126.
9.	朱超望, 翟光华. 国际糖尿病与妊娠研究组诊断新标准对妊娠糖尿病筛查的影响. 国际检验医学杂志, 2013, 34(12): 1533-1534.
10.	Zhu WW, Yang HX, Wei YM, et al. Evaluation of the value of fasting plasma glucose in the first prenatal visit to diagnose gestational diabetes mellitus in china. Diabetes Care, 2013, 36(3): 586-590.
11.	郑爱荣, 周吉珍, 梁波. 山西寿阳地区妊娠糖尿病筛查分析. 中国药物经济学, 2014, 3(9): 176-177.
12.	牟英文, 赵秀敏, 吕丽. 妊娠期糖尿病最新诊断标准的临床应用研究. 牡丹江医学院学报, 2014, 35(4): 79-81.
13.	Shang M, Lin L, Ma L, et al. Investigation on the suitability of the International Association of Diabetes and Pregnancy Study Group diagnostic criteria for gestational diabetes mellitus in China. J Obstet Gynaecol, 2014, 34(2): 141-145.
14.	Leng J, Shao P, Zhang C, et al. Prevalence of gestational diabetes mellitus and its risk factors in Chinese pregnant women: a prospective population-based study in Tianjin, China. PLoS One, 2015, 10(3): e0121029.
15.	徐国珍, 鲁成林, 晏顺芹. 妊娠期糖尿病的回顾性研究. 中国医药指南, 2015, 13(4): 167.
16.	刘小书. 妊娠期妇女作糖耐量筛查的检测意义. 中外女性健康研究, 2015, (20): 35-35.
17.	刘恬怡, 李健, 周裕林, 等. 妊娠期糖尿病的流行病学调查研究. 中国妇幼保健, 2015, 30(9): 1408-1410.
18.	李利平, 姜宏卫, 陈治珉, 等. 国际糖尿病妊娠研究组新诊断标准调查妊娠期糖尿病患病率及其危险因素分析. 中国糖尿病杂志, 2015, 23(4): 289-292.
19.	冯莉, 卜艳龙, 周玲, 等. 年龄对妊娠期糖尿病发病风险影响的调查研究. 解放军医药杂志, 2016, 28(9): 8-11.
20.	孙小媛. 论产科门诊妊娠期糖尿病的筛查与管理. 医药, 2016, 16(3): 242.
21.	吴建华. OGTT检测在妊娠糖尿病筛查中的应用分析. 中国继续医学教育, 2016, 8(31): 36-37.
22.	马梅, 卓碧敏, 王秀清. 福州地区妊娠期糖尿病患病率分析及其相关危险因素. 中国卫生标准管理, 2016, 7(24): 3-5.
23.	陆丽芳, 张洪, 毛锦江, 等. 2 000 例妊娠期糖尿病筛查及影响因素分析. 广西医科大学学报, 2016, 33(6): 1063-1064.
24.	刘娟, 徐建祥. 临沂市妊娠期糖尿病筛查结果及相关因素分析. 中国糖尿病杂志, 2016, 24(5): 426-430.
25.	崔贞, 崔雪娜, 徐金娥. 青岛地区妊娠期糖尿病发病率及临床资料分析. 中国妇幼健康研究, 2016, 27(3): 348-351.
26.	Wei YM, Yan J, Yang HX. Identification of severe gestational diabetes mellitus after new criteria used in China. J Perinatol, 2016, 36(2): 90-94.
27.	张邑雨, 郝娟, 李倩, 等. 某地区妊娠妇女 75gOGTT 筛查结果分析. 基层医学论坛, 2017, 4(21): 472-473.
28.	田海荣, 季业, 甘桂萍, 等. 上海朱泾地区妊娠早期空腹血糖与妊娠期糖尿病相关性的回顾性分析. 中国糖尿病杂志, 2017, 25(4): 303-307.
29.	路红春, 赵梅, 潘迎春, 等. 安庆地区妊娠期糖尿病患病情况及其影响因素分析. 皖南医学院学报, 2017, 36(4): 392-394, 398.
30.	Zhu WW, Yang HX, Wang C, et al. High prevalence of gestational diabetes mellitus in Beijing: effect of maternal birth weight and other risk factors. Chin Med J (Engl), 2017, 130(9): 1019-1025.
31.	Yan Y, Liu Z, Liu D. Heterogeneity of glycometabolism in patients with gestational diabetes mellitus: Retrospective study of 1,683 pregnant women. J Diabetes Investig, 2017, 8(4): 554-559.
32.	Eades CE, Cameron DM, Evans JMM. Prevalence of gestational diabetes mellitus in Europe: a meta-analysis. Diabetes Res Clin Pract, 2017, 129: 173-181.

1. Zinman B, Gerich J, Buse JB, et al. American Diabetes Association. Standards of medical care in diabetes-2010. Diabetes Care, 2010, 33(3): 692-692.
2. Shahbazian H, Nouhjah S, Shahbazian N, et al. Gestational diabetes mellitus in an Iranian pregnant population using IADPSG criteria: Incidence, contributing factors and outcomes. Diabetes Metab Syndr, 2016, 10(4): 242-246.
3. Unwin N, Shaw J, Zimmet P, et al. Impaired glucose tolerance and impaired fasting glycaemia: the current status on definition and intervention. Diabet Med, 2002, 19(9): 708-723.
4. Khambalia AZ, Seen LS. Trends in overweight and obese adults in Malaysia (1996-2009): a systematic review. Obes Rev, 2010, 11(6): 403-412.
5. 魏玉梅, 杨慧霞. 妊娠期糖尿病不同诊断标准适宜性的比较. 中华妇产科杂志, 2011, 46(8): 578-581.
6. 刘卓. 妊娠糖尿病筛查与妊娠糖尿病母儿结局影响分析. 中国医学工程, 2012, 20(8): 93-95.
7. 常乐, 江亚平, 蒋世菊, 等. 单中心 2 864 例孕 24 至 28 周妊娠妇女口服 75 g 无水葡萄糖耐量试验结果分析. 中华检验医学杂志, 2012, 35(6): 517-520.
8. 陈瑜, 陈道桢, 赵晓玲, 等. 新疆阿合奇县妊娠期糖尿病筛查分析. 同济大学学报(医学版), 2013, 34(6): 123-126.
9. 朱超望, 翟光华. 国际糖尿病与妊娠研究组诊断新标准对妊娠糖尿病筛查的影响. 国际检验医学杂志, 2013, 34(12): 1533-1534.
10. Zhu WW, Yang HX, Wei YM, et al. Evaluation of the value of fasting plasma glucose in the first prenatal visit to diagnose gestational diabetes mellitus in china. Diabetes Care, 2013, 36(3): 586-590.
11. 郑爱荣, 周吉珍, 梁波. 山西寿阳地区妊娠糖尿病筛查分析. 中国药物经济学, 2014, 3(9): 176-177.
12. 牟英文, 赵秀敏, 吕丽. 妊娠期糖尿病最新诊断标准的临床应用研究. 牡丹江医学院学报, 2014, 35(4): 79-81.
13. Shang M, Lin L, Ma L, et al. Investigation on the suitability of the International Association of Diabetes and Pregnancy Study Group diagnostic criteria for gestational diabetes mellitus in China. J Obstet Gynaecol, 2014, 34(2): 141-145.
14. Leng J, Shao P, Zhang C, et al. Prevalence of gestational diabetes mellitus and its risk factors in Chinese pregnant women: a prospective population-based study in Tianjin, China. PLoS One, 2015, 10(3): e0121029.
15. 徐国珍, 鲁成林, 晏顺芹. 妊娠期糖尿病的回顾性研究. 中国医药指南, 2015, 13(4): 167.
16. 刘小书. 妊娠期妇女作糖耐量筛查的检测意义. 中外女性健康研究, 2015, (20): 35-35.
17. 刘恬怡, 李健, 周裕林, 等. 妊娠期糖尿病的流行病学调查研究. 中国妇幼保健, 2015, 30(9): 1408-1410.
18. 李利平, 姜宏卫, 陈治珉, 等. 国际糖尿病妊娠研究组新诊断标准调查妊娠期糖尿病患病率及其危险因素分析. 中国糖尿病杂志, 2015, 23(4): 289-292.
19. 冯莉, 卜艳龙, 周玲, 等. 年龄对妊娠期糖尿病发病风险影响的调查研究. 解放军医药杂志, 2016, 28(9): 8-11.
20. 孙小媛. 论产科门诊妊娠期糖尿病的筛查与管理. 医药, 2016, 16(3): 242.
21. 吴建华. OGTT检测在妊娠糖尿病筛查中的应用分析. 中国继续医学教育, 2016, 8(31): 36-37.
22. 马梅, 卓碧敏, 王秀清. 福州地区妊娠期糖尿病患病率分析及其相关危险因素. 中国卫生标准管理, 2016, 7(24): 3-5.
23. 陆丽芳, 张洪, 毛锦江, 等. 2 000 例妊娠期糖尿病筛查及影响因素分析. 广西医科大学学报, 2016, 33(6): 1063-1064.
24. 刘娟, 徐建祥. 临沂市妊娠期糖尿病筛查结果及相关因素分析. 中国糖尿病杂志, 2016, 24(5): 426-430.
25. 崔贞, 崔雪娜, 徐金娥. 青岛地区妊娠期糖尿病发病率及临床资料分析. 中国妇幼健康研究, 2016, 27(3): 348-351.
26. Wei YM, Yan J, Yang HX. Identification of severe gestational diabetes mellitus after new criteria used in China. J Perinatol, 2016, 36(2): 90-94.
27. 张邑雨, 郝娟, 李倩, 等. 某地区妊娠妇女 75gOGTT 筛查结果分析. 基层医学论坛, 2017, 4(21): 472-473.
28. 田海荣, 季业, 甘桂萍, 等. 上海朱泾地区妊娠早期空腹血糖与妊娠期糖尿病相关性的回顾性分析. 中国糖尿病杂志, 2017, 25(4): 303-307.
29. 路红春, 赵梅, 潘迎春, 等. 安庆地区妊娠期糖尿病患病情况及其影响因素分析. 皖南医学院学报, 2017, 36(4): 392-394, 398.
30. Zhu WW, Yang HX, Wang C, et al. High prevalence of gestational diabetes mellitus in Beijing: effect of maternal birth weight and other risk factors. Chin Med J (Engl), 2017, 130(9): 1019-1025.
31. Yan Y, Liu Z, Liu D. Heterogeneity of glycometabolism in patients with gestational diabetes mellitus: Retrospective study of 1,683 pregnant women. J Diabetes Investig, 2017, 8(4): 554-559.
32. Eades CE, Cameron DM, Evans JMM. Prevalence of gestational diabetes mellitus in Europe: a meta-analysis. Diabetes Res Clin Pract, 2017, 129: 173-181.

Chinese Journal of Evidence-Based Medicine

Prevalence rate of gestational diabetes mellitus in China: a meta-analysis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content