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：

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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, 楊慧霞. 妊娠期糖尿病不同診斷標準適宜性的比較. 中華婦產科雜志, 2011, 46(8): 578-581.
6.	劉卓. 妊娠糖尿病篩查與妊娠糖尿病母兒結局影響分析. 中國醫學工程, 2012, 20(8): 93-95.
7.	常樂, 江亞平, 蔣世菊, 等. 單中心 2 864 例孕 24 至 28 周妊娠婦女口服 75 g 無水葡萄糖耐量試驗結果分析. 中華檢驗醫學雜志, 2012, 35(6): 517-520.
8.	陳瑜, 陳道楨, 趙曉玲, 等. 新疆阿合奇縣妊娠期糖尿病篩查分析. 同濟大學學報(醫學版), 2013, 34(6): 123-126.
9.	朱超望, 翟光華. 國際糖尿病與妊娠研究組診斷新標準對妊娠糖尿病篩查的影響. 國際檢驗醫學雜志, 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.	鄭愛榮, 周吉珍, 梁波. 山西壽陽地區妊娠糖尿病篩查分析. 中國藥物經濟學, 2014, 3(9): 176-177.
12.	牟英文, 趙秀敏, 呂麗. 妊娠期糖尿病最新診斷標準的臨床應用研究. 牡丹江醫學院學報, 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.	徐國珍, 魯成林, 晏順芹. 妊娠期糖尿病的回顧性研究. 中國醫藥指南, 2015, 13(4): 167.
16.	劉小書. 妊娠期婦女作糖耐量篩查的檢測意義. 中外女性健康研究, 2015, (20): 35-35.
17.	劉恬怡, 李健, 周裕林, 等. 妊娠期糖尿病的流行病學調查研究. 中國婦幼保健, 2015, 30(9): 1408-1410.
18.	李利平, 姜宏衛, 陳治珉, 等. 國際糖尿病妊娠研究組新診斷標準調查妊娠期糖尿病患病率及其危險因素分析. 中國糖尿病雜志, 2015, 23(4): 289-292.
19.	馮莉, 卜艷龍, 周玲, 等. 年齡對妊娠期糖尿病發病風險影響的調查研究. 解放軍醫藥雜志, 2016, 28(9): 8-11.
20.	孫小媛. 論產科門診妊娠期糖尿病的篩查與管理. 醫藥, 2016, 16(3): 242.
21.	吳建華. OGTT檢測在妊娠糖尿病篩查中的應用分析. 中國繼續醫學教育, 2016, 8(31): 36-37.
22.	馬梅, 卓碧敏, 王秀清. 福州地區妊娠期糖尿病患病率分析及其相關危險因素. 中國衛生標準管理, 2016, 7(24): 3-5.
23.	陸麗芳, 張洪, 毛錦江, 等. 2 000 例妊娠期糖尿病篩查及影響因素分析. 廣西醫科大學學報, 2016, 33(6): 1063-1064.
24.	劉娟, 徐建祥. 臨沂市妊娠期糖尿病篩查結果及相關因素分析. 中國糖尿病雜志, 2016, 24(5): 426-430.
25.	崔貞, 崔雪娜, 徐金娥. 青島地區妊娠期糖尿病發病率及臨床資料分析. 中國婦幼健康研究, 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.	張邑雨, 郝娟, 李倩, 等. 某地區妊娠婦女 75gOGTT 篩查結果分析. 基層醫學論壇, 2017, 4(21): 472-473.
28.	田海榮, 季業, 甘桂萍, 等. 上海朱涇地區妊娠早期空腹血糖與妊娠期糖尿病相關性的回顧性分析. 中國糖尿病雜志, 2017, 25(4): 303-307.
29.	路紅春, 趙梅, 潘迎春, 等. 安慶地區妊娠期糖尿病患病情況及其影響因素分析. 皖南醫學院學報, 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, 楊慧霞. 妊娠期糖尿病不同診斷標準適宜性的比較. 中華婦產科雜志, 2011, 46(8): 578-581.
6. 劉卓. 妊娠糖尿病篩查與妊娠糖尿病母兒結局影響分析. 中國醫學工程, 2012, 20(8): 93-95.
7. 常樂, 江亞平, 蔣世菊, 等. 單中心 2 864 例孕 24 至 28 周妊娠婦女口服 75 g 無水葡萄糖耐量試驗結果分析. 中華檢驗醫學雜志, 2012, 35(6): 517-520.
8. 陳瑜, 陳道楨, 趙曉玲, 等. 新疆阿合奇縣妊娠期糖尿病篩查分析. 同濟大學學報(醫學版), 2013, 34(6): 123-126.
9. 朱超望, 翟光華. 國際糖尿病與妊娠研究組診斷新標準對妊娠糖尿病篩查的影響. 國際檢驗醫學雜志, 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. 鄭愛榮, 周吉珍, 梁波. 山西壽陽地區妊娠糖尿病篩查分析. 中國藥物經濟學, 2014, 3(9): 176-177.
12. 牟英文, 趙秀敏, 呂麗. 妊娠期糖尿病最新診斷標準的臨床應用研究. 牡丹江醫學院學報, 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. 徐國珍, 魯成林, 晏順芹. 妊娠期糖尿病的回顧性研究. 中國醫藥指南, 2015, 13(4): 167.
16. 劉小書. 妊娠期婦女作糖耐量篩查的檢測意義. 中外女性健康研究, 2015, (20): 35-35.
17. 劉恬怡, 李健, 周裕林, 等. 妊娠期糖尿病的流行病學調查研究. 中國婦幼保健, 2015, 30(9): 1408-1410.
18. 李利平, 姜宏衛, 陳治珉, 等. 國際糖尿病妊娠研究組新診斷標準調查妊娠期糖尿病患病率及其危險因素分析. 中國糖尿病雜志, 2015, 23(4): 289-292.
19. 馮莉, 卜艷龍, 周玲, 等. 年齡對妊娠期糖尿病發病風險影響的調查研究. 解放軍醫藥雜志, 2016, 28(9): 8-11.
20. 孫小媛. 論產科門診妊娠期糖尿病的篩查與管理. 醫藥, 2016, 16(3): 242.
21. 吳建華. OGTT檢測在妊娠糖尿病篩查中的應用分析. 中國繼續醫學教育, 2016, 8(31): 36-37.
22. 馬梅, 卓碧敏, 王秀清. 福州地區妊娠期糖尿病患病率分析及其相關危險因素. 中國衛生標準管理, 2016, 7(24): 3-5.
23. 陸麗芳, 張洪, 毛錦江, 等. 2 000 例妊娠期糖尿病篩查及影響因素分析. 廣西醫科大學學報, 2016, 33(6): 1063-1064.
24. 劉娟, 徐建祥. 臨沂市妊娠期糖尿病篩查結果及相關因素分析. 中國糖尿病雜志, 2016, 24(5): 426-430.
25. 崔貞, 崔雪娜, 徐金娥. 青島地區妊娠期糖尿病發病率及臨床資料分析. 中國婦幼健康研究, 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. 張邑雨, 郝娟, 李倩, 等. 某地區妊娠婦女 75gOGTT 篩查結果分析. 基層醫學論壇, 2017, 4(21): 472-473.
28. 田海榮, 季業, 甘桂萍, 等. 上海朱涇地區妊娠早期空腹血糖與妊娠期糖尿病相關性的回顧性分析. 中國糖尿病雜志, 2017, 25(4): 303-307.
29. 路紅春, 趙梅, 潘迎春, 等. 安慶地區妊娠期糖尿病患病情況及其影響因素分析. 皖南醫學院學報, 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

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