Maternal gestational diabetes mellitus and the childhood asthma in offspring: a meta-analysis

Italian Journal of Pediatrics

Research

Xufeng Huang¹  Zhengguo Huang¹  You Jiang¹  Jing Zhang¹ 

[1] Department of Pediatrics, Fuyang First People’s Hospital, No. 429 Beihuan Road, Fuyang District, 311400, Hangzhou, China;

关键词: Gestational diabetes mellitus;    Asthma;    Offspring;    Risk factor;    Meta-analysis;   

DOI  :  10.1186/s13052-023-01532-6

 received in 2023-05-03, accepted in 2023-09-14,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundMaternal diabetes might be related to a high risk of allergic disease in offspring. However, it remains unknown if maternal gestational diabetes mellitus (GDM) is also associated with a high incidence of childhood asthma in offspring. A systematic review and meta-analysis was performed to investigate the above association.MethodsRelevant observational studies were obtained by search of electronic databases including Medline, Embase, Cochrane Library, and Web of Science. A randomized-effects model was selected to pool the data by incorporating the influence of potential heterogeneity. The Newcastle-Ottawa Scale was used for study quality evaluation. Subgroup analyses were performed to evaluate the potential influences of study characteristics on the outcome.ResultsTen datasets from seven moderate to high quality cohort studies, involving 523,047 mother-child pairs were included in the meta-analysis. Overall, maternal GDM was associated with a higher risk of childhood asthma in offspring (risk ratio [RR]: 1.22, 95% confidence interval [CI]: 1.07 to 1.39, p = 0.003; I2 = 30%). Subgroup analyses showed that the association was not significantly affected by study design, validation methods for GDM, or diagnostic strategy for asthma (p for subgroup analyses all > 0.05). The association between maternal GDM and asthma in offspring was more remarkable after adjusting maternal body mass index in early pregnancy (RR: 1.50 versus 1.06, p < 0.001), but significantly weakened after adjusting hypertensive disorders during pregnancy (RR: 1.08 versus 1.50, p = 0.001).ConclusionsMaternal GDM may be associated with an increased incidence of childhood asthma in offspring.

【 授权许可】

CC BY   
© Società Italiana di Pediatria 2023

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