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Is gestational diabetes mellitus an independent risk factor for macrosomia: a meta-analysis?

Abstract

Purpose

The aim of our meta-analysis was to explore whether gestational diabetes mellitus (GDM) is an independent risk factor for macrosomia or not.

Methods

Three databases were systematically reviewed and reference lists of relevant articles were checked. Meta-analysis of published epidemiological studies (cohort and case–control studies) comparing whether GDM was associated with macrosomia. Calculations of pooled estimates were conducted in random-effect models. Heterogeneity was tested by using Chi square test and I 2 statistics. Publication bias was estimated from Egger’s test (linear regression method) and Begg’s test (rank correlation method).

Results

Twelve studies met the inclusion criteria, including five cohort studies and seven case–control studies. The meta-analysis showed that GDM was associated with macrosomia independent of other risk factors.

The adjusted odds ratio was 1.71, 95 % CI (1.52, 1.94) in random-effect model, stratified analyses showed no differences regarding different study design, quality grade, definition of macrosomia, location of study and number of confounding factors adjusted for. There was no indication of a publication bias either from the result of Egger’s test or Begg’s test.

Conclusion

Our findings indicate that GDM should be considered as an independent risk factor for newborn macrosomia. To adequately evaluate the clinical evolution of GDM need to be carefully assessed and monitored.

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Acknowledgments

This work was supported by grants from the National Natural Science Foundation of China (Grant Numbers 81373011) and Anhui Provincial Natural Science Foundation (No. 1408085MH160) and Dietary Nutrition Research and Mission Fund of Danone Institution (DIC2014-08). Xiujie He and Feng-yun Qin contributed equally to this work and should be considered co-first authors.

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We declare that we have no conflict of interest.

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Correspondence to Chuan-Lai Hu.

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He, XJ., Qin, Fy., Hu, CL. et al. Is gestational diabetes mellitus an independent risk factor for macrosomia: a meta-analysis?. Arch Gynecol Obstet 291, 729–735 (2015). https://doi.org/10.1007/s00404-014-3545-5

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  • DOI: https://doi.org/10.1007/s00404-014-3545-5

Keywords

  • Gestational diabetes mellitus
  • Macrosomia
  • Cohort study
  • Case–control study
  • Meta-analysis