Evidence mapPaperPMID 39994595Full record

SynthesisBMC pregnancy and childbirth2025

Investigating factors affecting the quality of life of women with gestational diabetes: a systematic review and meta-analysis.

Mahnaz Kayyal, Samira Ahmadi, Gholamreza Sadeghi, Elham Rasoulian-Barzoki, Solmaz Norouzi, Fatemeh Abdi, Mohammadamin Jandaghian-Bidgoli

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mahnaz Kayyal *Medical Surgical Nursing, Shahid Mostafa Khomeini Hospital of Tabas, Birjand University of Medical Sciences, Birjand, Iran.ORCID http://orcid.org/0000-0001-9947-3390
Samira Ahmadi *Social Determinants of Health Research Center, Health and Metabolic Diseases Research Institute, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID http://orcid.org/0000-0002-0590-1129
Gholamreza SadeghiDepartment of Health Care Management, Faculty of Health, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.ORCID http://orcid.org/0009-0007-4730-8749
Elham Rasoulian-BarzokiDepartment of Nursing, Faculty of Nursing, Kashan Branch, Islamic Azad University, Kashan, Iran.ORCID http://orcid.org/0000-0002-9967-5088
Solmaz NorouziDepartment of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. snorouzibiostatistics@gmail.com.ORCID http://orcid.org/0000-0001-5805-6072
Fatemeh AbdiNursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0001-8338-166X
Mohammadamin Jandaghian-BidgoliPh.D Student of Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.ORCID http://orcid.org/0000-0003-0195-9099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGestational diabetes mellitus (GDM) affects a significant proportion of pregnant women, impacting both physical and psychological well-being. This study aimed to investigate the factors influencing quality of life (QoL) in women with GDM.

methodsThis systematic review followed PRISMA guidelines and was registered in PROSPERO (ID: CRD42024612587). A comprehensive search was conducted in PubMed, Scopus, ProQuest, Web of Science, and CINAHL, using MeSH terms related to gestational diabetes and quality of life. Eligible studies included adult women with gestational diabetes and assessed factors influencing their quality of life. The included studies were related to various stages including antenatal, during pregnancy or postpartum. Data extraction was performed independently by two authors, and study quality was evaluated using the Newcastle-Ottawa Scale (NOS). Statistical analyses were conducted in STATA, including meta-analysis with a random-effects model.

findingsThe findings reveal that women with GDM experience significantly lower QoL compared to healthy pregnant women, with sexual dysfunction being a notable contributor. Women with GDM reported lower sexual desire, satisfaction, and higher pain levels, which were significantly associated with poorer QoL, particularly in mental health and pain domains. Socio-demographic factors such as age, education, income, and marital status were significantly linked to QoL, with younger women and those with lower education or income reporting poorer outcomes. Psychological factors, including stress, depression, and anxiety, negatively impacted QoL, while social support, self-efficacy, and illness acceptance were positively correlated with better QoL outcomes. Additionally, stress was found to be the main predictor of QoL for women over 30, while social relationships were more important for younger women. Treatment with insulin or a combination of insulin and oral hypoglycemic agents was associated with lower QoL compared to dietary management alone.

conclusionThis systematic review identified key psychosocial and medical factors influencing the quality of life in women with gestational diabetes. The findings emphasize the importance of addressing psychological well-being, social support, and treatment approaches to enhance QoL in these women. Further research is needed to explore interventions targeting mental health and stress management to improve outcomes for women with gestational diabetes.

Indexed as

Diabetes, GestationalQuality of LifeAdultFemaleHumansPregnancyGestational diabetesMeta-analysisQuality of lifeSystematic reviewWomen’s health

Identifiers

PMID39994595
PMCPMC11852864

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.