{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:47:14Z","timestamp":1792133234298,"version":"4.4.0"},"reference-count":136,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,4,25]],"date-time":"2022-04-25T00:00:00Z","timestamp":1650844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT 2009038"],"award-info":[{"award-number":["GNT 2009038"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["GNT 1161871"],"award-info":[{"award-number":["GNT 1161871"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      Gestational diabetes (GDM) is associated with several adverse outcomes for the mother and child. Higher levels of individual lipids are associated with risk of GDM and metabolic syndrome (MetS), a clustering of risk factors also increases risk for GDM. Metabolic factors can be modified by diet and lifestyle. This review comprehensively evaluates the association between MetS and its components, measured in early pregnancy, and risk for GDM. Databases (Cumulative Index to Nursing and Allied Health Literature, PubMed, Embase, and Cochrane Library) were searched from inception to 5 May 2021. Eligible studies included \u22651 metabolic factor (waist circumference, blood pressure, fasting plasma glucose (FPG), triglycerides, and high\u2010density lipoprotein cholesterol), measured at &lt;16\u00a0weeks' gestation. At least two authors independently screened potentially eligible studies. Heterogeneity was quantified using\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      . Data were pooled by random\u2010effects models and expressed as odds ratio and 95% confidence intervals (CIs). Of 7213 articles identified, 40 unique articles were included in meta\u2010analysis. In analyses adjusting for maternal age and body mass index, GDM was increased with increasing FPG (odds ratios [OR] 1.92; 95% CI 1.39\u20132.64,\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0=\u00a07 studies) or having MetS (OR 2.52; 1.65, 3.84,\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0=\u00a03). Women with overweight (OR 2.17; 95% CI 1.89, 2.50,\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0=\u00a012) or obesity (OR 4.34; 95% CI 2.79\u20136.74,\n                      <jats:italic>k<\/jats:italic>\n                      \u00a0=\u00a09) also were at increased risk for GDM. Early pregnancy assessment of glucose or the MetS, offers a potential opportunity to detect and treat individual risk factors as an approach towards GDM prevention; weight loss for pregnant women with overweight or obesity is not recommended.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Systematic review registration: PROSPERO CRD42020199225.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.3532","type":"journal-article","created":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T12:46:08Z","timestamp":1649940368000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Maternal metabolic factors and the association with gestational diabetes: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1017-8032","authenticated-orcid":false,"given":"Nahal","family":"Habibi","sequence":"first","affiliation":[{"name":"Robinson Research Institute University of Adelaide  Adelaide South Australia Australia"},{"name":"Adelaide Medical School University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7356-4523","authenticated-orcid":false,"given":"Aya","family":"Mousa","sequence":"additional","affiliation":[{"name":"Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chau Thien","family":"Tay","sequence":"additional","affiliation":[{"name":"Monash Centre for Health Research and Implementation, School of Public Health and Preventive 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