Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc
Journal website https://www.jofem.org

Original Article

Volume 14, Number 5, October 2024, pages 226-239


A Meta-Analysis on the Prevalence and Risk of Gestational Diabetes Mellitus in the Context of COVID-19

Figures

Figure 1.
Figure 1. Flowchart summarizing the selection process.
Figure 2.
Figure 2. Forest plot shows the random effects meta-analysis model comparing the prevalence of GDM among pregnant women during pandemic and pre-pandemic period. COVID-19: coronavirus disease 2019; GDM: gestational diabetes mellitus.
Figure 3.
Figure 3. Forest plot shows the random effects meta-analysis model evaluating the risk of COVID-19 for the diagnosis of GDM among pregnant women diagnosed with GDM and without GDM. COVID-19: coronavirus disease 2019; GDM: gestational diabetes mellitus.
Figure 4.
Figure 4. Forest plot shows the random effects meta-analysis model evaluating the risk of GDM for the diagnosis of COVID-19 among pregnant women tested positive and negative for COVID-19. COVID-19: coronavirus disease 2019; GDM: gestational diabetes mellitus.

Table

Table 1. Characteristics of Studies Included in the Meta-Analysis
 
StudyStudy design (country)Total study populationStudy periodOverall quality
Pre-pandemic cohort (years)Pandemic cohort (years)
Comparison of GDM prevalence during pandemic and pre-pandemic cohorts
  Gu, 2020 [14]Cohort (China)582January to February 2019January to February 2020Good
  Justman, 2020 [15]Cohort (Israel)1,352March to April 2019March to April 2020Good
  Pariente, 2020 [16]Cohort (Israel)346November 2016 to April 2017March 18 to April 29, 2020Good
  Molina-Vega, 2021 [17]Cohort (Spain)492September 1, 2019 to November 30, 2019September 1, 2020 to November 30, 2020Good
  Chelu, 2022 [18]Cohort (Romania)17,2302017 to 20192020 and 2021Good
  Collins-Smith, 2022 [19]Cohort (USA)20,548April to July, 2018 and 2019April to July 2020Good
  Gurol-Urganci, 2022 [20]Cohort (UK)948,020March 23, 2019 to February 22, 2020March 23, 2020 to February 22, 2021Good
  Handley, 2022 [21]Cohort (USA)31,474March 10 to December 31, 2018 and 2019March 10 to December 31, 2020Good
  He, 2022 [22]Cohort (China)140,8442015 to 20192020Good
  Keating, 2022 [23]Case-control (Ireland)3,890April 1 to June 30, 2019April 1 to June 30, 2020Good
  La Verde, 2022 [24]Cohort (Italy)1,295June 11, 2019 to March 9, 2020March 10, 2020 to December 1, 2020Good
  Liu, 2022 [25]Cohort (China)3,272June 2020 to July 2020October 2020 to December 2020Good
  Ornaghi, 2022 [26]Cohort (Italy)3,666March 1 to November 30, 2019March 1 to November 30, 2020Good
  Yin, 2022 [27]Cohort (China)53,680January to February, 2019January to February, 2020 and 2021Good
  Zanardo, 2022 [28]Case-control (Italy)1,17020192020Good
  Zheng, 2022 [29]Cohort (China)6,611January 23 to July 31, 2019January 23 to July 31, 2020Good
  Ansari, 2023 [30]Cohort (Iran)5,711March to May 2019March to May 2020Good
  Auger, 2023 [31]Cohort (Canada)569,686January 1, 2014 to February 29, 2020 and August 23, 2019 to February 29, 2020March 1, 2020 to March 31, 2021Good
  Boguslawski, 2023 [32]Cohort (USA)1,680March 1, 2019 to August 31, 2019March 1, 2020 to August 31, 2020Good
  Gharacheh, 2023 [33]Cohort (Iran)1,208,671February 30 to August 30, 2019February 30 to August 30, 2020Good
  Gholami, 2023 [34]Cohort (Iran)2,371,332February 2019 to February 30, 2020March 1, 2020 to March 1, 2021Good
  Meloncelli, 2023 [35]Cohort (Australia)57,891July 1 to December 31, 2019July 1 to December 31, 2020Good
  Raischer, 2023 [36]Cohort (Israel)4,765April to September 2019April to September 2020Good
  Rhou, 2023 [37]Cohort (Australia)28,207January 1, 2018 to January 31, 2020February 1, 2020 to January 31, 2022Good
  Garrow, 2024 [4]Cohort (USA)69,824May 1, 2018 to March 11, 2020March 12, 2020 to December 2022Good
  Zare, 2024 [38]Cohort (Iran)6,856February 18, 2019 to February 17, 2020February 18, 2020 to February 17, 2021Good
StudyStudy design (country)Total study populationStudy periodNo. of pregnant women with GDM and with COVID-19 (total GDM/total COVID-19)Overall quality
COVID-19 as a risk factor for GDM
  Adhikari, 2020 [39]Cohort (USA)3,374March 18 to August 22, 202014/252Good
  Gulersen, 2020 [40]Cohort (USA)100April 9, 2020 to April 27, 20201/50Good
  Kayem, 2020 [41]Cohort (France)617March 1 to April 14, 202071/617Good
  Knight, 2020 [42]Cohort (UK)427March 1 to April 14, 202050/427Good
  Panagiotakopoulos, 2020 [43]Cohort (USA)105March 1 to May 30, 202016/105Fair
  Patberg, 2021 [44]Cohort (USA)133March 31 to June 17, 20205/77Good
  Prabhu, 2020 [45]Cohort (USA)675March 22 to March 24, 20206/70Good
  Sakowicz, 2020 [46]Cohort (USA)1,418April 8 to May 31, 20206/101Good
  Yang, 2020 [47]Cohort (China)11,078January 13 to March 18, 20203/65Good
  Yazihan, 2020 [48]Case-control (Turkey)187June 14 to August 28, 20201/95Good
  Aydin, 2021 [49]Cohort (Turkey)167April to December 20203/163Good
  Epelboin, 2021 [50]Cohort (France)244,645March to June 2020139/874Good
  Gupta, 2021 [51]Cohort (India)3,165September 1 to November 30, 202016/108Good
  Hcini, 2021 [52]Cohort (French Guiana)507June 16 to August 16, 202013/137Good
  Hill, 2021 [53]Cohort (USA)218April 10 to June 15, 20209/218Good
  Katz, 2021 [54]Case-control (USA)1,454March 19 to May 31, 202033/490Good
  Siddiqui, 2021 [55]Cohort (India)100May 25 to September 3, 20204/100Poor
  Almaghrabi, 2022 [56]Cohort (Saudi arabia)3120219/31Good
  Damar Cakirca, 2022 [57]Cohort (Turkey)75April to August 20203/75Poor
  Eskanazi, 2022 [58]Cohort (18 countries*)2,071March 2020 to February 202175/672Good
  Ferrara, 2022 [59]Cohort (USA)44,318March 1, 2020 to March 16, 2021104/1,101Good
  Kleinwechter, 2022 [60]Cohort (Germany and Austria)2819April 3, 2020 to August 24, 2021140/1,490Good
  Kurian, 2022 [61]Cohort (India)856August 1, 2020 to July 31, 2021120/856Good
  Minisha, 2022 [62]Cohort (Qatar)500March 2020 to March 2021202/500Good
  Monod, 2022 [63]Case-control (Italy)159January to February 202215/65Good
  Ortqvist, 2022 [64]Cohort (Sweden and Norway)188,822March 2020 to January 2021 (Sweden) and March 2020 to August 2021 (Norway)172/2,222Good
  Radan, 2022 [65]Case-control (Switzerland)224May 2020 to July 202126/75Good
  Radan, 2022 [66]Cohort (Switzerland)153May 2020 to July 202130/153Poor
  Simon, 2022 [67]Cohort (France)510,387March to December 2020498/2,927Good
  Vikas, 2022 [68]Cohort (India)493 months during COVID-19 pandemic4/49Poor
  Vousden, 2022 [69]Cohort (UK)4,436March 1, 2020 to October 31, 2021439/4,436Good
  Ziert, 2022 [70]Cohort (Germany)1,485April 3, 2020 to April 24, 2021144/1,485Good
  Cundubey, 2023 [71]Case-control (Turkey)463March 2020 to March 202213/56Good
  Libretti, 2024 [72]Case-control (Italy)168March 2020 to March 202323/168Good
  Xiao, 2023 [73]Case-control (China)198December 1, 2022 to January 31, 202320/89Good
  Zehra, 2023 [74]Case-control (Pakistan)246April 1, 2020 to January 31, 202259/244Good
  Yi, 2024 [75]Cohort (China)611December 7, 2019 to April 30, 2023105/611Good
StudyStudy design (country)Total study populationStudy periodNo. of pregnant womenOverall quality
Total GDM/total COVID-19 positiveTotal GDM/total COVID-19 negative
COVID-19: coronavirus disease 2019; GDM: gestational diabetes mellitus; UK: United Kingdom; USA: United States of America.
GDM as a risk factor for COVID-19
  Adhikari, 2020 [39]Cohort (China)3,374March 18 to August 22, 202014/252207/3,122Good
  Gulersen, 2020 [40]Cohort (USA)100April 9, 2020 to April 27, 2020 and November 2019 (controls)1/507/50Good
  Patberg, 2020 [44]Cohort (USA)133March 31, 2020 to June 17, 20205/770/56Good
  Prabhu, 2020 [45]Cohort (USA)675March 22, 2020 to March 24, 20206/7054/605Good
  Sakowicz, 2020 [46]Cohort (USA)1,418April 8, 2020 to May 31, 20206/10187/1,317Good
  Yang, 2020 [47]Cohort (China)11,078January 13 to March 18, 20203/651,207/11,013Good
  Yazihan, 2020 [48]Case-control (Turkey)187June 14, 2020 to August 28, 20201/952/92Good
  Epelboin, 2021 [50]Cohort (France)244,645March to June 2020139/87429,251/243,771Good
  Gupta, 2021 [51]Cohort (India)3,165September 1, 2020 to November 30, 2020108/16334/3,057Good
  Hcini, 2021 [52]Cohort (French Guiana)507June 16 to August 16, 202013/13730/370Good
  Hill, 2021 [53]Cohort (USA)218April 10 to June 15, 20204/4947/413Good
  Katz, 2021 [54]Case-control (USA)1,454March 19 to May 31, 202033/49067/964Good
  Eskanazi, 2022 [58]Cohort (18 countries*)2,071March 2020 to February 202175/672119/1,399Good
  Monod, 2022 [63]Case-control (Italy)159January 2020 to February 202215/6518/94Good
  Ortqvist, 2022 [64]Cohort (Sweden and Norway)188,822March 2020 to January 2021 (Sweden) and March 2020 to August 2021 (Norway)172/2,2225,648/105,477Good
  Radan, 2022 [65]Case-control (Switzerland)224May 2020 to July 202126/7524/149Good
  Simon, 2022 [67]Cohort (France)510,387March to December, 2020498/2,92769,130/507,460Good
  Cundubey, 2023 [71]Case-control (Turkey)463March 2020 to March 202213/5688/407Good
  Libretti, 2023 [72]Case-control (Italy)168March 2020 to March, 202323/1689/170Good
  Xiao, 2023 [73]Case-control (China)198December 1, 2022 to January 31, 202320/8921/109Good
  Zehra, 2023 [74]Case-control (Pakistan)246April 1 to January 31, 202259/24455/247Good