Gestational diabetes mellitus and its associated factors in Ethiopia: a systematic review and meta-analysis

Abstract

Background In Ethiopia, gestational diabetes mellitus (GDM) is a significant public health issue and a risk to maternal and child health. Understanding the prevalence and factors of GDM in Ethiopia may also help determine the best interventions. Therefore, we tried to review gestational diabetes and its factors in Ethiopia.AQ: Please check and confirm the edit made to the article title.yes i have checked and confirm Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) instrument was used to conduct the review. In order to report on the prevalence and contributing factors of gestational diabetes mellitus, the following databases were used: Google Scholar, PubMed, EMBASE, Scopus, Web of Sciences, and Grey literature. Pilo-tests were conducted using a standardized data gathering form in research using a random sample. All statistical analyses were performed using STATA version 16 software for Windows and the random-effects meta-analysis method. The results are presented using texts, tables, and forest plots, along with measure of effect and a 95% confidence interval.Affiliations: Please confirm if the author names are presented accurately and in the correct sequence (given name, middle name/initial, family name). Author Given name: [Fentahun Yenealem], Last name [Beyene], Given name: [Bekalu Getnet], Last name [Kassa], Given name: [Gedefaye Nibret], Last name [Mihretie], Given name: [Alemu Degu], Last name [Ayele].yes checked and corrected AQ: Is this word Pilo-tests spelled correctly throughout the article?Thank you the correction Affiliations: Please check and confirm whether the city name is correctly identified for the affiliation 2.yes checked and corrected Results Out of 1755 records, 10 studies with 6525 participants that fully satisfy the inclusion criteria were included for the meta-analysis. The pooled prevalence of gestational diabetes mellitus in Ethiopia was 12.04% [95% CI (8.17%, 15.90%)]. Inadequate dietary diversity, high body mass index, having a family history of DM, history of having macrosomic neonate, low physical activity, and previous history of GDM were statistically significant.AQ: Please note that the sentence Inadequate dietary diversity, high body mass index… is repeated under the below heading Conclusion.yes checked and corrected Conclusion The pooled prevalence of gestational diabetes mellitus is high in Ethiopia. Inadequate dietary diversity, high body mass index, having a family history of DM, history of having macrosomic neonate, low physical activity and previous history of GDM were statically significant variables. Emphasize on early screening, prenatal care and all women having risk factors and trying to get pregnant should get screens for diabetes to improve the maternal and child health at large.AQ: Please check the clarity of the sentence Emphasize on early screening, prenatal…it is clear and easly understand the readers

Prevalence and Predictors of Gestational Diabetes Mellitus in Sub‐Saharan Africa: A 10‐Year Systematic Review

“…Of the studies, overweight or obesity, advanced maternal age, family history of diabetes and having a previous history of gestational diabetes mellitus were significant predictors of gestational diabetes. These findings are consistent with Beyene et al [10], a systematic review in Ethiopia, who reported that high body mass index, family history of diabetes and previous history of GDM were significantly associated with experiencing gestational diabetes. Similarly, a systematic review by Kiani et al [62] in Iran found excess weight and obesity, older maternal age, family history of diabetes and history of gestational diabetes as predictors of gestational diabetes [62].…”

“…Specifically, it is similar to the prevalence reported in sub-Saharan Africa (2%-6%) by Mwanri et al [9] and in Europe (5.4%) as per a meta-analysis by Eades et al [57]. However, the GDM prevalence observed in this review is notably lower than that found in a systematic review in Ethiopia conducted by Beyene et al [10], who reported a pooled prevalence of 12.04%. It is also lower than the prevalence recorded in the United States from the National Health and Nutrition Examination Surveys between 2007 and 2014 (7.6%) [58].…”

“…Also, vitamin D, triglyceride and type of dietary intake were significant predictors of experiencing gestational diabetes mellitus. This is consistent with Beyene et al [10], a review in Ethiopia which reported that inadequate dietary diversity was significantly associated with GDM [10]. A lack of dietary variety can lead to a decreased chance of acquiring a wide range of vitamins, minerals, nutrients and micronutrients essential for preventing nutrient deficiencies and chronic illnesses, thereby further predisposing women to gestational diabetes.…”

“…The prevalence of GDM in SSA is estimated to be 14% [9]. GDM prevalence observed in a systematic review in Ethiopia reported a pooled prevalence of 12.04% [10]. In Ghana, 10% of expectant mothers had GDM as of 2014.…”

Knowledge on gestational diabetes mellitus and associated factors among pregnant women attending antenatal care clinics of North Shewa zone public hospitals, Oromia region, Central Ethiopia: a cross-sectional study

“…20 In Ethiopia, the pooled prevalence of GDM is 12.04% (95% CI (8.17% to 15.90%)). 21 In this regard, it has been acknowledged that an inadequate level of GDM knowledge among pregnant women has contributed significantly to the increase in cases in this population. Despite this evidence, no study has been conducted in Ethiopia to investigate pregnant women's knowledge of GDM.…”