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Maternal Diabetes and Cognitive Performance in the Offspring: A Systematic Review and Meta-Analysis

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  • Maria Camprubi Robles
  • Cristina Campoy
  • Llenalia Garcia Fernandez
  • Jose M Lopez-Pedrosa
  • Ricardo Rueda
  • Maria J Martin

Abstract

Objective: Diabetes during gestation is one of the most common pregnancy complications associated with adverse health effects for the mother and the child. Maternal diabetes has been proposed to negatively affect the cognitive abilities of the child, but experimental research assessing its impact is conflicting. The main aim of our study was to compare the cognitive function in children of diabetic and healthy pregnant women. Methods: A systematic review and meta-analysis was conducted through a literature search using different electronic databases from the index date to January 31, 2015. We included studies that assessed the cognitive abilities in children (up to 14 years) of diabetic and non-diabetic mothers using standardized and validated neuropsychological tests. Results: Of 7,698 references reviewed, 12 studies involving 6,140 infants met our inclusion criteria and contributed to meta-analysis. A random effect model was used to compute the standardized mean differences and 95% confidence interval (CI) were calculated. Infants (1–2 years) of diabetic mothers had significantly lower scores of mental and psychomotor development compared to control infants. The effect size for mental development was -0.41 (95% CI -0.59, -0.24; p

Suggested Citation

  • Maria Camprubi Robles & Cristina Campoy & Llenalia Garcia Fernandez & Jose M Lopez-Pedrosa & Ricardo Rueda & Maria J Martin, 2015. "Maternal Diabetes and Cognitive Performance in the Offspring: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-16, November.
    • Handle: RePEc:plo:pone00:0142583
    DOI: 10.1371/journal.pone.0142583
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    References listed on IDEAS

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    1. Unknown, 2009. "Front Matter," Economics of Agriculture, Institute of Agricultural Economics, vol. 56(2), pages 1-6.
    2. Unknown, 2009. "Front Matter," Economics of Agriculture, Institute of Agricultural Economics, vol. 56(01), pages 1-7.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    1. Diana Arabiat & Mohammad AL Jabery & Vivien Kemp & Mark Jenkins & Lisa C. Whitehead & Gary Adams, 2021. "Motor Developmental Outcomes in Children Exposed to Maternal Diabetes during Pregnancy: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(4), pages 1-24, February.
    2. Diana Arabiat & Mohammad AL Jabery & Lisa Whitehead, 2024. "Does Intrauterine Exposure to Diabetes Impact Mental and Motor Skills? A Meta-Analysis of the Bayley Scales of Infant Development," IJERPH, MDPI, vol. 21(2), pages 1-15, February.

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