Type 2 & other diabetes

Fetal and post‐natal outcomes in offspring after intrauterine metformin exposure: A systematic review and meta‐analysis of animal experiments

Diabet MedPublished Systematic review and meta-analysis of animal experiments

Authors' conclusion

This systematic review was unable to establish effects of metformin treatment during pregnancy on anthropometric, cardiovascular and metabolic outcomes in non-human offspring. Heterogeneity between studies was high and reporting of methodological details often limited. This highlights a need for additional high-quality research both in humans and model systems to allow firm conclusions to be established. Future research should include focus on the effects of metformin in older offspring age groups, and on outcomes which have gone uninvestigated to date.

Study context

Population
Offspring in controlled animal studies (95% rodent, 5% pig models); follow-up from birth to 2 years of age37 articles · 716 litters
Participants
3,133 offspring
Comparison
Intrauterine metformin exposure vs control
Outcome
Offspring anthropometric, cardiovascular and metabolic outcomes
Methodological detailsrandom effects model, standardized mean difference, Risk of bias unclear in most studies due to poor reporting of methodological details
  • Random effects model
  • Standardized mean difference
  • Risk of bias unclear in most studies due to poor reporting of methodological details

Pooled result

As reported in the abstract

Anthropometric, cardiovascular and metabolic offspring outcomes
  • No significant effects of metformin on any anthropometric, cardiovascular or metabolic offspring outcome in the overall meta-analysis
  • 34 articles in meta-analysis
  • Between-studies heterogeneity high

Original publication

Fetal and post‐natal outcomes in offspring after intrauterine metformin exposure: A systematic review and meta‐analysis of animal experiments. Diabet Med. Published 26 October 2023. doi:10.1111/dme.15243

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