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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Prevalence of anxiety among gestational diabetes mellitus patients: A systematic review and meta-analysis
Kai Wei Lee, Hong Chuan Loh, Seng Choi Chong, Siew Mooi Ching, Navin Kumar Devaraj, Maiza Tusimin, Habibah Abdul Hamid, Fan Kee Hoo
Kai Wei Lee, Siew Mooi Ching, Navin Kumar Devaraj, Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
Hong Chuan Loh, Clinical Research Centre, Hospital Seberang Jaya, Ministry of Health Malaysia, Perai 13700, Penang, Malaysia
Seng Choi Chong, Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
Maiza Tusimin, Habibah Abdul Hamid, Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
Fan Kee Hoo, Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
Author contributions: Lee KW and Loh HC conceived and designed the experiments; and performed the data extraction; Lee KW, Loh HC, Chong SC, Ching SM, Devaraj NK, Tusimin M, Abdul Hamid H, and Hoo FK analysed the data; Ching SM, Devaraj NK, Tusimin M, and Hoo FK contributed to the quality appraisal; Lee KW, Loh HC, Chong SC, Ching SM, Devaraj NK and Abdul Hamid H wrote the paper; all authors have read and approved the manuscript.
Supported by the Universiti Putra Malaysia under Putra Graduate Initiative, No UPM/700-2/1/GP-IPS/2018/9593800; and High Impact Grant, No. UPM/800-3/3/1/GPB/2018/9659600.
Conflict-of-interest statement: The authors declare that they have no competing interests.
PRISMA 2009 Checklist statement: This study was written according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Siew Mooi Ching, MD, MMed (FamMed), Associate Professor, Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia.
sm_ching@upm.edu.my
Received: April 23, 2020
Peer-review started: April 23, 2020
First decision: April 30, 2020
Revised: May 4, 2020
Accepted: June 17, 2020
Article in press: June 17, 2020
Published online: June 28, 2020
Processing time: 75 Days and 9.4 Hours
BACKGROUND
A diagnosis of gestational diabetes mellitus (GDM) negatively influences maternal mental health. There is a lack of systematic review and meta-analysis on prevalence of anxiety among GDM women.
AIM
To pool data from existing literature to determine the pooled estimates for the prevalence of anxiety among women diagnosed with GDM.
METHODS
We searched multiple databases including MEDLINE, Cinahl, PubMed and Scopus to identify studies published up to 31 October 2019 with data on the prevalence of anxiety among women diagnosed with GDM. Data were extracted from published reports. Estimates were pooled using random-effects meta-analyses.
RESULTS
We reviewed 19 abstracts, retrieved 10 articles and included three studies incorporating 12744 GDM women from three countries. The pooled prevalence of anxiety was 29.5% (95%CI: 6.9, 52.0) among GDM women.
CONCLUSION
Prevalence of anxiety among GDM women was high. We suggest that epidemiological studies on anxiety should be conducted urgently as it merits clinical attention. In addition, it is important to identify factors associated with anxiety among women diagnosed with GDM.
Core tip: This is a systematic review and meta-analysis reporting the pooled prevalence of anxiety among gestational diabetes mellitus patients which stood at 29.5%.
