The Association between Vitamin D Intake and Gestational Diabetes Mellitus: A Systematic Review
Background: Several studies have focused on the role of vitamin D in preventing gestational diabetes mellitus (GDM) but also in improving or preventing the unwanted perinatal outcomes of GDM. Even today, efforts to clarify the relationship between vitamin D deficiency (VDD) in pregnancy and GDM cont...
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IMR Press
2023-05-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/50/5/10.31083/j.ceog5005096 |
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| author | Artemisia Kokkinari Maria Dagla Aikaterini Lykeridou Georgios Iatrakis |
| author_facet | Artemisia Kokkinari Maria Dagla Aikaterini Lykeridou Georgios Iatrakis |
| author_sort | Artemisia Kokkinari |
| collection | DOAJ |
| description | Background: Several studies have focused on the role of vitamin D in preventing gestational diabetes mellitus (GDM) but also in improving or preventing the unwanted perinatal outcomes of GDM. Even today, efforts to clarify the relationship between vitamin D deficiency (VDD) in pregnancy and GDM continue. Methods: We conducted research to search for systematic reviews (SRs) of randomized controlled trials (RCTs), in databases at PubMed, Google Scholar, Web of Science, Science Direct, Embase, Cochrane, Crossref and CAS, published from 2016 to 2021. These concerned maternal vitamin D status or taking vitamin D supplements, alone or in combination with other vitamins or minerals in pregnancy and their association with GDM. We used the AMSTAR (assessment of multiple systematic reviews) scoring scale quality and scoring checklist, which assessed the quality of each SR, at low medium or high. Results: Seven SRs of RCTS involving 7902 participants were selected. The results suggest that if pregnant women with GDM take vitamin D supplements, they improve blood vitamin D levels, as well as biomarkers related to blood glucose. It was also shown that pregnant women with GDM who took vitamin D supplements (1000–4762 IU/day) improved the primary GDM outcome measurements such as fasting blood glucose (FBG), glycosylated hemoglobin (HbA1c), serum insulin and homeostasis model of assessment of insulin resistance (HOMA-IR). In addition, improvements were observed in their lipid profile markers, such as total cholesterol (TC), low-dense lipoprotein (LDL), high-dense lipoprotein levels (HDL) and high-sensitivity C-reactive protein (hs-CRP). Also, the adverse outcomes of GDM in both the mother and the newborn appear to have decreased. However, there are studies that do not support the therapeutic effect of vitamin D intake by pregnant women with GDM. Conclusions: In conclusion, taking vitamin D, during pregnancy, for the prevention or treatment of GDM, is controversial and the real benefit unclear. Further RCTs are necessary. |
| format | Article |
| id | doaj-art-0e1d29fe5c52469baeda366df188ffa0 |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2023-05-01 |
| publisher | IMR Press |
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| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-0e1d29fe5c52469baeda366df188ffa02025-08-20T02:02:25ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-05-015059610.31083/j.ceog5005096S0390-6663(23)02049-3The Association between Vitamin D Intake and Gestational Diabetes Mellitus: A Systematic ReviewArtemisia Kokkinari0Maria Dagla1Aikaterini Lykeridou2Georgios Iatrakis3Department of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, GreeceDepartment of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, GreeceDepartment of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, GreeceDepartment of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, GreeceBackground: Several studies have focused on the role of vitamin D in preventing gestational diabetes mellitus (GDM) but also in improving or preventing the unwanted perinatal outcomes of GDM. Even today, efforts to clarify the relationship between vitamin D deficiency (VDD) in pregnancy and GDM continue. Methods: We conducted research to search for systematic reviews (SRs) of randomized controlled trials (RCTs), in databases at PubMed, Google Scholar, Web of Science, Science Direct, Embase, Cochrane, Crossref and CAS, published from 2016 to 2021. These concerned maternal vitamin D status or taking vitamin D supplements, alone or in combination with other vitamins or minerals in pregnancy and their association with GDM. We used the AMSTAR (assessment of multiple systematic reviews) scoring scale quality and scoring checklist, which assessed the quality of each SR, at low medium or high. Results: Seven SRs of RCTS involving 7902 participants were selected. The results suggest that if pregnant women with GDM take vitamin D supplements, they improve blood vitamin D levels, as well as biomarkers related to blood glucose. It was also shown that pregnant women with GDM who took vitamin D supplements (1000–4762 IU/day) improved the primary GDM outcome measurements such as fasting blood glucose (FBG), glycosylated hemoglobin (HbA1c), serum insulin and homeostasis model of assessment of insulin resistance (HOMA-IR). In addition, improvements were observed in their lipid profile markers, such as total cholesterol (TC), low-dense lipoprotein (LDL), high-dense lipoprotein levels (HDL) and high-sensitivity C-reactive protein (hs-CRP). Also, the adverse outcomes of GDM in both the mother and the newborn appear to have decreased. However, there are studies that do not support the therapeutic effect of vitamin D intake by pregnant women with GDM. Conclusions: In conclusion, taking vitamin D, during pregnancy, for the prevention or treatment of GDM, is controversial and the real benefit unclear. Further RCTs are necessary.https://www.imrpress.com/journal/CEOG/50/5/10.31083/j.ceog5005096pregnancyvitamin dgdm |
| spellingShingle | Artemisia Kokkinari Maria Dagla Aikaterini Lykeridou Georgios Iatrakis The Association between Vitamin D Intake and Gestational Diabetes Mellitus: A Systematic Review Clinical and Experimental Obstetrics & Gynecology pregnancy vitamin d gdm |
| title | The Association between Vitamin D Intake and Gestational Diabetes Mellitus: A Systematic Review |
| title_full | The Association between Vitamin D Intake and Gestational Diabetes Mellitus: A Systematic Review |
| title_fullStr | The Association between Vitamin D Intake and Gestational Diabetes Mellitus: A Systematic Review |
| title_full_unstemmed | The Association between Vitamin D Intake and Gestational Diabetes Mellitus: A Systematic Review |
| title_short | The Association between Vitamin D Intake and Gestational Diabetes Mellitus: A Systematic Review |
| title_sort | association between vitamin d intake and gestational diabetes mellitus a systematic review |
| topic | pregnancy vitamin d gdm |
| url | https://www.imrpress.com/journal/CEOG/50/5/10.31083/j.ceog5005096 |
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