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Journal of Diabetes Research
Volume 2018, Article ID 6536974, 10 pages
https://doi.org/10.1155/2018/6536974
Review Article

Prevalence of Gestational Diabetes Mellitus in Eastern and Southeastern Asia: A Systematic Review and Meta-Analysis

1School of Public Health, Curtin University, Perth, WA, Australia
2National Institute of Hygiene and Epidemiology, Hanoi, Vietnam
3Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam
4United Nations Population Fund, Hanoi, Vietnam

Correspondence should be addressed to Ngoc Minh Pham; nv.ude.unt@np.hnim

Received 30 August 2017; Accepted 16 December 2017; Published 20 February 2018

Academic Editor: Daniela Foti

Copyright © 2018 Cong Luat Nguyen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. To review the prevalence of gestational diabetes mellitus (GDM) in Eastern and Southeastern Asia. Methods. We systematically searched for observational studies on GDM prevalence from January 2000 to December 2016. Inclusion criteria were original English papers, with full texts published in peer-reviewed journals. The quality of included studies was evaluated using the guidelines of the National Health and Medical Research Council, Australia. Fixed effects and random effects models were used to estimate the summary prevalence of GDM and the corresponding 95% confidence intervals (CI). Results. A total of 4415 papers were screened, and 48 studies with 63 GDM prevalence observations were included in the final review. The pooled prevalence of GDM was 10.1% (95% CI: 6.5%–15.7%), despite substantial variations across nations. The prevalence of GDM in lower- or upper-middle income countries was about 64% higher than in their high-income counterparts. Moreover, the one-step screening method was twice more likely to be used in diagnosing GDM when compared to the two-step screening procedure. Conclusions. The prevalence of GDM in Eastern and Southeastern Asia was high and varied among and within countries. There is a need for international uniformity in screening strategies and diagnostic criteria for GDM.