Gestational diabetes & diabetes in pregnancy

Gestational diabetes mellitus and development of intergenerational overall and subtypes of cardiovascular diseases: a systematic review and meta-analysis

Cardiovasc DiabetolPublished Systematic review and meta-analysis

Authors' conclusion

These findings underscore the heightened risk of developing various CVDs for mothers and offspring affected by GDM, emphasizing the importance of preventive measures even right after birth to mitigate the burden of CVDs in these populations.

Study context

Population
Mothers and offspring post-delivery; studies from PubMed, Embase, Web of Science and Scopus, January 1980–June 2024
Participants
77,678,684 mothers38 studies
Comparison
Gestational diabetes mellitus (GDM) vs no GDM
Outcome
Overall CVD development post-delivery in mothers and offspring
Methodological detailsrandom-effects meta-analysis, predefined PROSPERO protocol, Newcastle-Ottawa Scale quality assessment
  • Random-effects meta-analysis
  • Predefined PROSPERO protocol
  • Newcastle-Ottawa Scale quality assessment

Pooled result

As reported in the abstract

Overall cardiovascular diseases (CVDs) after delivery
GDM vs No GDMRelative risk (95% CI)
Mothers
1.46(1.34–1.59)
Offspring
1.23(1.05–1.45)

Further pooled results

CVD subtypes in mothers (cerebrovascular disease, coronary artery disease, HF, VTE)

Mothers with history of GDM faced various risks of developing different CVD subtypes
20% to 2-fold
  • Subgroup analysis

Original publication

Gestational diabetes mellitus and development of intergenerational overall and subtypes of cardiovascular diseases: a systematic review and meta-analysis. Cardiovasc Diabetol. Published 28 August 2024. doi:10.1186/s12933-024-02416-7

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