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2023: Two-year Impact Factor: 2.4
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CiteScore (2023):7.1
 
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Health Promot Perspect. 2024;14(2): 109-120.
doi: 10.34172/hpp.2024.05
PMID: 39291040
PMCID: PMC11403342
  Abstract View: 349
  PDF Download: 163

Systematic Review

Examining the quality of life among pregnant women diagnosed with gestational diabetes mellitus: A systematic review and meta-analysis for women’s health promotion

Majid Mobasseri 1 ORCID logo, Mehrnoush Mobasseri 1, Ayda Alizadeh 2, Sara Hakimzadeh 3, Seyedeh Sara Ebadi 3, Samin Imani 2, Nima Pourgholam 3, Saber Azami-Aghdash 4* ORCID logo

1 Endocrine Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
3 School of Nursing and Midwifery, Iran University of Medical Science, Tehran, Iran
4 Research Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author: Azami-Aghdash, Email: s.azami.a90@gmail.com

Abstract

Background: Quality of life (QoL) of women with gestational diabetes mellitus (GDM) is one of the fundamental issues and public health challenges. This study examines the QoL among pregnant women with GDM through a systematic review and meta-analysis.

Methods: A search was conducted in Scopus, PubMed, and the Web of Science databases for articles published until Jan 30, 2024. Manual searches of gray literature, Google Scholar, reference checks, and citation checks were conducted. The JBI’s Critical Appraisal Checklist for Analytical Cross-Sectional Studies was utilized to assess the quality of the articles’ reporting. The random model implemented in Stata software (version 16; Stata Corp.) was utilized to conduct the meta-analysis.

Results: Among the 516 studies obtained from the literature, only 15 were deemed suitable for inclusion. Most studies (73.3%) were conducted in nations with high-income levels. Additionally, general QoL was assessed in most studies (11 studies). The SF-36 and WHOQOLBREF questionnaires were the most often utilized. Based on the SF-36 measure, there was no statistically significant difference in the QoL of patients with GDM compared to the control group in most of dimensions. The WHOQOL-BREF instrument was utilized to estimate the QoL score at 49.69. The EQ-5D-5L tool revealed a difference in QoL scores between the GDM and control groups (MD=-7.40). The research findings were highly heterogeneous. The median evaluation score for the reporting quality of the articles was calculated to be 5, with a mean of 4.8 out of 7.

Conclusion: The results of the present study showed that GDM reduces the QoL of pregnant women, especially in terms of mental and social health. Therefore, interventions and support programs should be designed and implemented to improve these women’s QoL.

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Submitted: 20 Dec 2023
Accepted: 09 Feb 2024
ePublished: 29 Jul 2024
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