Association of Helicobacter pylori Infection with Glycemic Control in Patients with Diabetes: A Meta-Analysis

Objective. To assess the association between Helicobacter pylori (HP) infection and glycemic control in patients with diabetes through a meta-analytic approach. Research Design and Methods. Electronic literature searches were conducted for cross-sectional studies that examined the hemoglobin A1c (A1...

Full description

Saved in:
Bibliographic Details
Main Authors: Chika Horikawa, Satoru Kodama, Kazuya Fujihara, Yoko Yachi, Shiro Tanaka, Akiko Suzuki, Osamu Hanyu, Hitoshi Shimano, Hirohito Sone
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2014/250620
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850218362966114304
author Chika Horikawa
Satoru Kodama
Kazuya Fujihara
Yoko Yachi
Shiro Tanaka
Akiko Suzuki
Osamu Hanyu
Hitoshi Shimano
Hirohito Sone
author_facet Chika Horikawa
Satoru Kodama
Kazuya Fujihara
Yoko Yachi
Shiro Tanaka
Akiko Suzuki
Osamu Hanyu
Hitoshi Shimano
Hirohito Sone
author_sort Chika Horikawa
collection DOAJ
description Objective. To assess the association between Helicobacter pylori (HP) infection and glycemic control in patients with diabetes through a meta-analytic approach. Research Design and Methods. Electronic literature searches were conducted for cross-sectional studies that examined the hemoglobin A1c (A1C) level by whether patients with diabetes were or were not carriers of HP. Mean differences in A1C between groups with and without HP infection were pooled with a random-effects model. Results. Thirteen eligible studies were included in this meta-analysis. Overall, the HP carriers did not have significantly higher A1C levels compared with HP noncarriers (mean difference (95% CI), 0.19% (−0.18 to 0.46), P = 0.16). When the analysis was limited to studies targeting patients with type 1 diabetes, there was also no significant difference in A1C (0.69% (−0.31 to 1.68), P = 0.18). Conclusions. There was insufficient evidence that HP infection worsened glycemic control in patients with diabetes.
format Article
id doaj-art-3a5e51b1320e414a8cd4aedd9536fc52
institution OA Journals
issn 2314-6745
2314-6753
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Journal of Diabetes Research
spelling doaj-art-3a5e51b1320e414a8cd4aedd9536fc522025-08-20T02:07:46ZengWileyJournal of Diabetes Research2314-67452314-67532014-01-01201410.1155/2014/250620250620Association of Helicobacter pylori Infection with Glycemic Control in Patients with Diabetes: A Meta-AnalysisChika Horikawa0Satoru Kodama1Kazuya Fujihara2Yoko Yachi3Shiro Tanaka4Akiko Suzuki5Osamu Hanyu6Hitoshi Shimano7Hirohito Sone8Department of Health and Nutrition, Faculty of Human Life Studies, University of Niigata Prefecture, Niigata, JapanDepartment of Internal Medicine, Faculty of Medicine, Niigata University, 1-754 Asahimachi, Niigata 951-8510, JapanDepartment of Internal Medicine, Faculty of Medicine, Niigata University, 1-754 Asahimachi, Niigata 951-8510, JapanDepartment of Internal Medicine, Faculty of Medicine, Niigata University, 1-754 Asahimachi, Niigata 951-8510, JapanDepartment of Clinical Trial, Design & Management, Translational Research Center, Kyoto University Hospital, Kyoto, JapanDepartment of Internal Medicine, Faculty of Medicine, Niigata University, 1-754 Asahimachi, Niigata 951-8510, JapanDepartment of Internal Medicine, Faculty of Medicine, Niigata University, 1-754 Asahimachi, Niigata 951-8510, JapanDepartment of Internal Medicine, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, JapanDepartment of Internal Medicine, Faculty of Medicine, Niigata University, 1-754 Asahimachi, Niigata 951-8510, JapanObjective. To assess the association between Helicobacter pylori (HP) infection and glycemic control in patients with diabetes through a meta-analytic approach. Research Design and Methods. Electronic literature searches were conducted for cross-sectional studies that examined the hemoglobin A1c (A1C) level by whether patients with diabetes were or were not carriers of HP. Mean differences in A1C between groups with and without HP infection were pooled with a random-effects model. Results. Thirteen eligible studies were included in this meta-analysis. Overall, the HP carriers did not have significantly higher A1C levels compared with HP noncarriers (mean difference (95% CI), 0.19% (−0.18 to 0.46), P = 0.16). When the analysis was limited to studies targeting patients with type 1 diabetes, there was also no significant difference in A1C (0.69% (−0.31 to 1.68), P = 0.18). Conclusions. There was insufficient evidence that HP infection worsened glycemic control in patients with diabetes.http://dx.doi.org/10.1155/2014/250620
spellingShingle Chika Horikawa
Satoru Kodama
Kazuya Fujihara
Yoko Yachi
Shiro Tanaka
Akiko Suzuki
Osamu Hanyu
Hitoshi Shimano
Hirohito Sone
Association of Helicobacter pylori Infection with Glycemic Control in Patients with Diabetes: A Meta-Analysis
Journal of Diabetes Research
title Association of Helicobacter pylori Infection with Glycemic Control in Patients with Diabetes: A Meta-Analysis
title_full Association of Helicobacter pylori Infection with Glycemic Control in Patients with Diabetes: A Meta-Analysis
title_fullStr Association of Helicobacter pylori Infection with Glycemic Control in Patients with Diabetes: A Meta-Analysis
title_full_unstemmed Association of Helicobacter pylori Infection with Glycemic Control in Patients with Diabetes: A Meta-Analysis
title_short Association of Helicobacter pylori Infection with Glycemic Control in Patients with Diabetes: A Meta-Analysis
title_sort association of helicobacter pylori infection with glycemic control in patients with diabetes a meta analysis
url http://dx.doi.org/10.1155/2014/250620
work_keys_str_mv AT chikahorikawa associationofhelicobacterpyloriinfectionwithglycemiccontrolinpatientswithdiabetesametaanalysis
AT satorukodama associationofhelicobacterpyloriinfectionwithglycemiccontrolinpatientswithdiabetesametaanalysis
AT kazuyafujihara associationofhelicobacterpyloriinfectionwithglycemiccontrolinpatientswithdiabetesametaanalysis
AT yokoyachi associationofhelicobacterpyloriinfectionwithglycemiccontrolinpatientswithdiabetesametaanalysis
AT shirotanaka associationofhelicobacterpyloriinfectionwithglycemiccontrolinpatientswithdiabetesametaanalysis
AT akikosuzuki associationofhelicobacterpyloriinfectionwithglycemiccontrolinpatientswithdiabetesametaanalysis
AT osamuhanyu associationofhelicobacterpyloriinfectionwithglycemiccontrolinpatientswithdiabetesametaanalysis
AT hitoshishimano associationofhelicobacterpyloriinfectionwithglycemiccontrolinpatientswithdiabetesametaanalysis
AT hirohitosone associationofhelicobacterpyloriinfectionwithglycemiccontrolinpatientswithdiabetesametaanalysis