Sleep-disordered breathing and gestational diabetes mellitus: a meta-analysis of 9,795 participants enrolled in epidemiological observational studies.
OBJECTIVE
Recently, sleep-disordered breathing (SDB) has been reported to be associated with the development of gestational diabetes mellitus (GDM). Accordingly, as this is emergent area of research that has significant clinical relevance, the objective of this meta-analysis is to examine the relationship between SDB with GDM.


METHODS
We searched several electronic databases for all of the studies published before January 2013 and reviewed references of published articles. Meta-analytic procedures were used to estimate the unadjusted and BMI-adjusted odds ratios (ORs) using a random effects model. Significant values, weighted effect sizes, and 95% CIs were calculated, and tests of homogeneity of variance were performed.


RESULTS
Results from nine independent studies with a total of 9,795 pregnant women showed that SDB was significantly associated with an increased risk of GDM. Women with SDB had a more than threefold increased risk of GDM, with a pooled BMI-adjusted OR 3.06 (95% CI 1.89-4.96).


CONCLUSIONS
These findings demonstrate a significant association between SDB and GDM that is evident even after considered confounding by obesity. This meta-analysis indicates a need to evaluate the role of early recognition and treatment of SDB early during pregnancy.
Corresponding author: Miguel Angel Luque-Fernandez, mluquefe@hsph.harvard.edu.
Miguel Angel
MA
Luque-Fernandez
Paul A
PA
Bain
Bizu
B
Gelaye
Susan
S
Redline
Michelle A
MA
Williams
D016640:Diabetes, Gestational / Q000453:epidemiology*; D005260:Female; D006801:Humans; D011247:Pregnancy; D012891:Sleep Apnea Syndromes / Q000453:epidemiology*