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Table 1 Characteristics of the 40 included studies and their respective STROBE scores

From: Burden, risk factors and maternal and offspring outcomes of gestational diabetes mellitus (GDM) in sub-Saharan Africa (SSA): a systematic review and meta-analysis

Author year [Ref]

Country

Screening procedure

Diagnostic criteria

50 GCT cut-off

mmol/L

Fasting cut-off

mmol/L

1 h cut-off

mmol/L

2 h cut-off

mmol/L

3 h cut-off

mmol/L

1 or 2-steps

Sample size

GDM cases

STROBE Score

Notelovitz 1969 [33]

South Africa

Fasting, 2 h OGTT (100 g)

Own criteria, modified O’Sullivan & Mahan

 

6.4

 

8.3

 

One step

301

25

14

Jackson 1979 [34]

South Africa

Fasting, 1 h 2 h OGTT (50 g)

Own criteria, adapted O’Sullivan & Mahan

 

5.5

10.0

6.7

 

One step

558

17

14

Abudu 1987 [35]

Nigeria

50 g GCT, fasting, 1 h 2 h OGTT (50 g)

O’Sullivan & Mahan

7.2

5.0

9.2

8.1

 

Two steps

336

5

14

Swai 1991 [36]

Tanzania

Fasting, 2 h OGTT (75 g)

WHO 1985

 

7.8

 

11.1

 

One step

189

0

14

Ranchod 1991 [37]

South Africa

50 g GCT, fasting, 2 h OGTT (75 g)

WHO 1985

7.8

  

7.8

 

Two steps

1717

65

15

Seyoum 1999 [38]

Ethiopia

Fasting, 2 h OGTT (75 g)

WHO 1985

   

7.8

 

One step

890

33

17

Ozumba 2004

Nigeria

Fasting, 2 h OGTT (75 g)

WHO 2006

 

7

 

11.1

 

One step

5025

15

14

Olarinoye 2004 [40]

Nigeria

3 h OGTT (75 g)

WHO 1985

   

7.8

 

One step

138

16

17

Mamabolo 2007 [41]

South Africa

Fasting, 2 h OGTT (75 g)

WHO 2006

 

7.0

 

11.1

 

One step

262

4

18

Adegbola 2008 [42]

Nigeria

50 g GCT, 1 h, 2 h, 3 h OGTT (100 g)

CC criteria

7.2

5.3

10.0

8.6

7.8

Two steps

241

12

16

Kamanu 2009 [43]

Nigeria

50 g GCT, 1 h 2 h OGTT (75 g)

modified CC

7.8

 

10.0

8.6

 

Two steps

9040

140

18

Basu 2010 [44]

South Africa

Fasting or random blood

Institutional protocol

 

8.0

   

One step

767

14

18

Kuti 2011 [45]

Nigeria

Fasting 2 h OGTT (75 g)

WHO 1999

 

7.0

 

7.8

 

One step

765

106

18

Tandu-Mba 2012 [46]

DR Congo

Fasting only

ADA 2003/4

 

5.3

   

One step

108

8

14

Jao 2013 [47]

Cameroon

Fasting only

ADA 2010

 

5.3

   

One step

316

20

16

Anzaku 2013 [48]

Nigeria

50 g GCT, 2 h OGTT (75 g)

WHO 1985

7.8

  

7.8

 

Two steps

253

21

18

Mwanri 2013 [49]

Tanzania

Fasting, 2 h OGTT (75 g)

IADPSG

 

6.1

 

7.8

 

One step

910

119

20

Fawole 2013 [50]

Nigeria

Fasting, 2 h OGTT (75 g)

WHO 1999

 

7.0

 

7.8

 

One step

530

9

18

Minsart 2014 [51]

Djibouti

Fasting, 1 h 2 h OGTT (75 g)

IADPSG

 

5.1

10.0

8.5

 

One step

231

106

17

Olagbuji 2015 [52]

Nigeria

Fasting, 1 h 2 h OGTT (75 g)

IADPSG

 

5.1

10.0

8.5

 

One step

1059

91

19

Oppong 2015 [53]

Ghana

Fasting, 1 h 2 h OGTT (75 g)

WHO 2013

 

5.1

10.0

8.5

 

One step

399

37

19

Olagbuji 2017 [54]

Nigeria

Fasting, 1 h 2 h OGTT (75 g)

IADPSG

 

5.1

10.0

8.5

 

Two steps

280

44

17

Mapira 2017 [55]

Rwanda

Fasting only

ADA 2011

 

7.0

   

One step

288

24

18

Pastakia 2017 [56]

Kenya

Fasting, 1 h 2 h OGTT (50/75 g)

IADPSG

 

5.1

10.0

8.5

 

One step

616

18

16

Nakabuye 2017 [57]

Uganda

Fasting, 2 h OGTT (75 g)

WHO 2013

 

5.1

 

8.5

 

One step

251

76

17

Oriji 2017 [58]

Nigeria

Fasting, 1 h 2 h OGTT (75 g)

WHO 2013

 

5.1

10.0

8.5

 

One step

235

35

18

Adam 2018 [59]

South Africa

Fasting, 1 h 2 h OGTT, 75 g

WHO 2013

 

5.1

10.0

8.5

 

One step

529

141

15

Njete 2018 [21]

Tanzania

Fasting, 1 h 2 h OGTT, 75 g

WHO 2013

 

5.1

10.0

8.5

 

One step

333

65

20

Nhidza 2018 [60]

Zimbabwe

Fasting, 2 h OGTT, 75 g

WHO 2006

 

7.0

 

11.1

 

One step

150

10

14

Macaulay 2018a [24]

South Africa

Fasting, 1 h 2 h OGTT, 75 g

IADPSG

 

5.1

10.0

8.5

 

One step

1906

179

21

Macaulay 2018b [61]

South Africa

Fasting, 1 h 2 h OGTT, 75 g

WHO 2013

 

5.1

10.0

8.5

 

One step

741

83

21

Egbe 2018 [23]

Cameroon

Fasting, 1 h 2 h OGTT, 75 g

IADPSG

 

5.1

10.0

8.5

 

One step

200

41

18

Feleke 2017 [22]

Ethiopia

NR

NR

NR

NR

NR

NR

NR

NR

2257

567

17

        

Total

 

31,821

2146

 
  1. ADA American Diabetes Association, CC Carpenter and Coustan, GCT Glucose challenge test, IADPSG International Association of Diabetes in Pregnancy Study Groups, NR Not reported, OGTT Oral glucose tolerance test, WHO World Health Organization, STROBE: Strengthening the Reporting of Observational Studies in Epidemiology