Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes
Gestational diabetes mellitus (GDM) is glucose intolerance first diagnosed during pregnancy. In Malaysia, the prevalence, risk factors, and maternal/foetal outcomes vary somewhat among the local studies. In this systematic review of Malaysian studies, we synthesise relevant data from 13 journal arti...
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Penerbit Universiti Kebangsaan Malaysia
2021
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my-ukm.journal.175922021-11-19T01:58:15Z http://journalarticle.ukm.my/17592/ Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes Cheong, Lieng Teng Foo, Ken Yong Ka, Mun Lum Shen, Yung Toh Chan, Xuan Hii Sivalingam Nalliah, Gestational diabetes mellitus (GDM) is glucose intolerance first diagnosed during pregnancy. In Malaysia, the prevalence, risk factors, and maternal/foetal outcomes vary somewhat among the local studies. In this systematic review of Malaysian studies, we synthesise relevant data from 13 journal articles (including 10,285 women with gestational diabetes). A meta-analysis of twelve datasets showed a prevalence of 21.5% (95% CI 17.3 to 25.9%, random effect model). Clinical factors in the mother found to increase her risk of GDM were consistent with international data. A meta-analysis of complications showed statistically significant increase for macrosomia (OR 3.08, 95% CI 1.77 to 5.36) but not for pre-eclampsia (OR 1.44, 95% CI 0.52 to 4.00) and caesarean delivery (OR 1.31, 95% CI 0.98 to 1.75). The high prevalence of gestational diabetes mellitus and documented adverse consequences support the need for universal screening of this condition in all pregnant women in Malaysia. Penerbit Universiti Kebangsaan Malaysia 2021-08 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/17592/1/19.pdf Cheong, Lieng Teng and Foo, Ken Yong and Ka, Mun Lum and Shen, Yung Toh and Chan, Xuan Hii and Sivalingam Nalliah, (2021) Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes. Sains Malaysiana, 50 (8). pp. 2367-2377. ISSN 0126-6039 https://www.ukm.my/jsm/malay_journals/jilid50bil8_2021/KandunganJilid50Bil8_2021.html |
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Gestational diabetes mellitus (GDM) is glucose intolerance first diagnosed during pregnancy. In Malaysia, the prevalence, risk factors, and maternal/foetal outcomes vary somewhat among the local studies. In this systematic review of Malaysian studies, we synthesise relevant data from 13 journal articles (including 10,285 women with gestational diabetes). A meta-analysis of twelve datasets showed a prevalence of 21.5% (95% CI 17.3 to 25.9%, random effect model). Clinical factors in the mother found to increase her risk of GDM were consistent with international data. A meta-analysis of complications showed statistically significant increase for macrosomia (OR 3.08, 95% CI 1.77 to 5.36) but not for pre-eclampsia (OR 1.44, 95% CI 0.52 to 4.00) and caesarean delivery (OR 1.31, 95% CI 0.98 to 1.75). The high prevalence of gestational diabetes mellitus and documented adverse consequences support the need for universal screening of this condition in all pregnant women in Malaysia. |
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Cheong, Lieng Teng Foo, Ken Yong Ka, Mun Lum Shen, Yung Toh Chan, Xuan Hii Sivalingam Nalliah, |
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Cheong, Lieng Teng Foo, Ken Yong Ka, Mun Lum Shen, Yung Toh Chan, Xuan Hii Sivalingam Nalliah, Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes |
author_facet |
Cheong, Lieng Teng Foo, Ken Yong Ka, Mun Lum Shen, Yung Toh Chan, Xuan Hii Sivalingam Nalliah, |
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Cheong, Lieng Teng |
title |
Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes |
title_short |
Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes |
title_full |
Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes |
title_fullStr |
Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes |
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Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes |
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gestational diabetes in malaysia : a systematic review of prevalence, risk factors and outcomes |
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Penerbit Universiti Kebangsaan Malaysia |
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2021 |
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http://journalarticle.ukm.my/17592/1/19.pdf http://journalarticle.ukm.my/17592/ https://www.ukm.my/jsm/malay_journals/jilid50bil8_2021/KandunganJilid50Bil8_2021.html |
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