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Intrahepatic cholestasis of pregnancy can increase the risk of metabolic disorders: A meta-analysis
BACKGROUND: Gestational diabetes mellitus (GDM) and preeclampsia (PE) are common complications during pregnancy. Studies indicated that abnormal bile acid metabolism is related to its pathogenesis. Intrahepatic cholestasis of pregnancy (ICP) is the most common pregnancy-specific liver disease, which...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Society of Medical Biochemists of Serbia, Belgrade
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618343/ https://www.ncbi.nlm.nih.gov/pubmed/36381082 http://dx.doi.org/10.5937/jomb0-33222 |
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author | Zhang, Leiying Tang, Chen Ye, Chenlian Huang, Luren Wu, Yan |
author_facet | Zhang, Leiying Tang, Chen Ye, Chenlian Huang, Luren Wu, Yan |
author_sort | Zhang, Leiying |
collection | PubMed |
description | BACKGROUND: Gestational diabetes mellitus (GDM) and preeclampsia (PE) are common complications during pregnancy. Studies indicated that abnormal bile acid metabolism is related to its pathogenesis. Intrahepatic cholestasis of pregnancy (ICP) is the most common pregnancy-specific liver disease, which classic symptoms include generalized pruritus that commonly and biochemical evidence of elevated bile acids. Our study aimed to explore the correlation between the ICP presence and risk of GDM, PE incident in pregnant women. METHODS: A meta-analysis, which included 10 eligible studies including 17,688 ICP cases and 1,386,771 controls, was performed to assess the correlation of ICP with preeclampsia (PE) and gestational diabetes mellitus (GDM). There were 7 studies investigating the relationship between ICP and PE, and 9 studies that evaluated the relationship between ICP and GDM. All eligible studies were screened from Pubmed, Web of Science and EBSCO databases. RESULTS: The results of this meta-analysis indicate that ICP significantly increase the risk for both PE (pooled odds ratio OR: 2.56 95%CI: 2.27 2.88, I2 heterogeneity = 35%, p heterogeneity = 0.16) and GDM (pooled OR: 2.28 95%CI: 1.69 3.07, I2 heterogeneity = 81%, p heterogeneity < 0.001). In the sensitivity analysis of GDM, excluding the largest heterogeneity study cannot change the result (pooled OR: 2.86 95%CI: 2.59 3.16, I2 heterogeneity = 0%, p heterogeneity = 0.56). CONCLUSIONS: This meta-analysis shows that ICP is closely associated with ICP increased risk of PE and GDM) during pregnancy. |
format | Online Article Text |
id | pubmed-9618343 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Society of Medical Biochemists of Serbia, Belgrade |
record_format | MEDLINE/PubMed |
spelling | pubmed-96183432022-11-14 Intrahepatic cholestasis of pregnancy can increase the risk of metabolic disorders: A meta-analysis Zhang, Leiying Tang, Chen Ye, Chenlian Huang, Luren Wu, Yan J Med Biochem Original Paper BACKGROUND: Gestational diabetes mellitus (GDM) and preeclampsia (PE) are common complications during pregnancy. Studies indicated that abnormal bile acid metabolism is related to its pathogenesis. Intrahepatic cholestasis of pregnancy (ICP) is the most common pregnancy-specific liver disease, which classic symptoms include generalized pruritus that commonly and biochemical evidence of elevated bile acids. Our study aimed to explore the correlation between the ICP presence and risk of GDM, PE incident in pregnant women. METHODS: A meta-analysis, which included 10 eligible studies including 17,688 ICP cases and 1,386,771 controls, was performed to assess the correlation of ICP with preeclampsia (PE) and gestational diabetes mellitus (GDM). There were 7 studies investigating the relationship between ICP and PE, and 9 studies that evaluated the relationship between ICP and GDM. All eligible studies were screened from Pubmed, Web of Science and EBSCO databases. RESULTS: The results of this meta-analysis indicate that ICP significantly increase the risk for both PE (pooled odds ratio OR: 2.56 95%CI: 2.27 2.88, I2 heterogeneity = 35%, p heterogeneity = 0.16) and GDM (pooled OR: 2.28 95%CI: 1.69 3.07, I2 heterogeneity = 81%, p heterogeneity < 0.001). In the sensitivity analysis of GDM, excluding the largest heterogeneity study cannot change the result (pooled OR: 2.86 95%CI: 2.59 3.16, I2 heterogeneity = 0%, p heterogeneity = 0.56). CONCLUSIONS: This meta-analysis shows that ICP is closely associated with ICP increased risk of PE and GDM) during pregnancy. Society of Medical Biochemists of Serbia, Belgrade 2022-10-15 2022-10-15 /pmc/articles/PMC9618343/ /pubmed/36381082 http://dx.doi.org/10.5937/jomb0-33222 Text en 2022 Leiying Zhang, Chen Tang, Chenlian Ye, Luren Huang, Yan Wu, published by CEON/CEES https://creativecommons.org/licenses/by/4.0/This work is licensed under the Creative Commons Attribution 4.0 License. |
spellingShingle | Original Paper Zhang, Leiying Tang, Chen Ye, Chenlian Huang, Luren Wu, Yan Intrahepatic cholestasis of pregnancy can increase the risk of metabolic disorders: A meta-analysis |
title | Intrahepatic cholestasis of pregnancy can increase the risk of metabolic disorders: A meta-analysis |
title_full | Intrahepatic cholestasis of pregnancy can increase the risk of metabolic disorders: A meta-analysis |
title_fullStr | Intrahepatic cholestasis of pregnancy can increase the risk of metabolic disorders: A meta-analysis |
title_full_unstemmed | Intrahepatic cholestasis of pregnancy can increase the risk of metabolic disorders: A meta-analysis |
title_short | Intrahepatic cholestasis of pregnancy can increase the risk of metabolic disorders: A meta-analysis |
title_sort | intrahepatic cholestasis of pregnancy can increase the risk of metabolic disorders: a meta-analysis |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9618343/ https://www.ncbi.nlm.nih.gov/pubmed/36381082 http://dx.doi.org/10.5937/jomb0-33222 |
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