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维生素D对妊娠期糖尿病易感性的影响——一项荟萃分析

Significance of Vitamin D on the Susceptibility of Gestational Diabetes Mellitus - A Meta-Analysis.

作者信息

Tripathi Prashant, Rao Yashwant Kumar, Pandey Kiran, Gautam Kirti Amresh

机构信息

Department of Biochemistry, GSVM Medical College, Kanpur, Uttar Pradesh, India.

Department of Pediatrics, GSVM Medical College, Kanpur, Uttar Pradesh, India.

出版信息

Indian J Endocrinol Metab. 2019 Sep-Oct;23(5):514-524. doi: 10.4103/ijem.IJEM_184_19.

Abstract

Vitamin D plays an important role in glucose tolerance by stimulating insulin secretion and evidences suggest a contradictory result on the association between vitamin D status and risk of developing gestational diabetes mellitus (GDM). The present updated meta-analysis has been undertaken to find out the joined effect of vitamin D status on the risk of effect GDM considering previously published articles. Data were collected through literature search using electronic databases to retrieve relevant published research articles using various combinations of the following keywords, "vitamin D," "vitamin D deficiency," "cholecalciferol," "25-hydroxyvitamin D," "25(OH) D," "gestational diabetes mellitus," and "GDM." A total of 36 studies including 7,596 GDM cases and 23,377 non-GDM controls were involved in this study. Overall, pooled meta-analysis showed that pregnant women diagnosed with GDM have 18% higher risk of GDM risk when compared with controls [odds ratio (OR) = 1.18, 95% confidence interval (CI) 1.10-1.25; = 0.00] with high heterogeneity (I = 73.29). The mean difference was also significantly different between cases and controls (OR = -0.18, 95% CI - 0.22 to - 0.14; = 0.00). Subgroup analysis showed significant results with age more than 30 years, Asian and European regions, and case-control, cross-sectional, and nested case-control study design. Low concentration of vitamin D is associated with the development of GDM. Although in future more studies especially systematically designed clinical trials based on vitamin D supplementation with large sample size on different population are needed to elucidate the exact concentration of vitamin D during pregnancy as well as before and after pregnancy.

摘要

维生素D通过刺激胰岛素分泌在葡萄糖耐量方面发挥重要作用,且有证据表明维生素D状态与妊娠期糖尿病(GDM)发生风险之间的关联存在矛盾结果。本更新的荟萃分析旨在结合先前发表的文章,探究维生素D状态对GDM发生风险的综合影响。通过使用电子数据库进行文献检索来收集数据,利用以下关键词的各种组合检索相关已发表的研究文章:“维生素D”、“维生素D缺乏”、“胆钙化醇”、“25-羟基维生素D”、“25(OH)D”、“妊娠期糖尿病”和“GDM”。本研究共纳入了包括7596例GDM病例和23377例非GDM对照的36项研究。总体而言,汇总的荟萃分析显示,与对照组相比,被诊断为GDM的孕妇患GDM的风险高18%[优势比(OR)=1.18,95%置信区间(CI)1.10 - 1.25;P = 0.00],异质性较高(I² = 73.29)。病例组和对照组之间的平均差异也具有显著性(OR = -0.18,95%CI -0.22至 -0.14;P = 0.00)。亚组分析显示,年龄大于30岁、亚洲和欧洲地区以及病例对照、横断面和巢式病例对照研究设计的结果具有显著性。低浓度的维生素D与GDM的发生有关。尽管未来需要更多的研究,尤其是基于不同人群大样本量维生素D补充的系统设计的临床试验,以阐明孕期以及孕前和产后维生素D的确切浓度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4d8/6873259/51bdfd586cfd/IJEM-23-514-g001.jpg

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本文引用的文献

1
Effects of Vitamin D Deficiency on Incidence Risk of Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis.
Front Endocrinol (Lausanne). 2018 Feb 1;9:7. doi: 10.3389/fendo.2018.00007. eCollection 2018.
2
Maternal Vitamin D Status and Risk of Gestational Diabetes: a Meta-Analysis.
Cell Physiol Biochem. 2018;45(1):291-300. doi: 10.1159/000486810. Epub 2018 Jan 19.
3
Gestational Diabetes Mellitus, Fetal Growth and Vitamin D.
J Bone Metab. 2017 Aug;24(3):155-159. doi: 10.11005/jbm.2017.24.3.155. Epub 2017 Aug 31.
7
8
Vitamin D Status and Gestational Diabetes: Effect of Smoking Status during Pregnancy.
Paediatr Perinat Epidemiol. 2016 May;30(3):229-37. doi: 10.1111/ppe.12278. Epub 2016 Feb 5.

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