2022, Number 05
<< Back Next >>
Ginecol Obstet Mex 2022; 90 (05)
Relationship between iron and gestational diabetes mellitus: a narrative review
Márquez-Ibarra AA, Mariscal-Ramírez BE, González-Ponce AM, Valbuena-Gregorio E
Language: Spanish
References: 34
Page: 434-442
PDF size: 223.34 Kb.
ABSTRACT
Objective: To evaluate the scientific evidence about the relationship between iron
and gestational diabetes mellitus.
Methodology: Narrative review, based on the search for articles published from
2000 to 2021 in the PubMed, LILACS, BIREME, NICE, SIGN and CENETEC databases
with the MeSH: Iron, iron and diabetes, Iron overland, Gestational Diabetes and Iron
Overland and Gestational Diabetes. Those related to the topic of interest were selected.
Results: 119 articles were found and only 34 were considered adequate for the purpose
of the review because they were directly related to iron metabolism, gestational
diabetes and iron as a cause of gestational diabetes. Cross-sectional studies, cases and
controls, cohorts, trials, reviews and meta-analyses were obtained.
Conclusions: The relationship between iron and gestational diabetes mellitus is
not properly established; however, it has been related to the oxidative capacity of iron
through different mechanisms that accentuate insulin resistance. It is suggested that high
iron concentrations could be a risk factor for gestational diabetes mellitus.
REFERENCES
García A, Roschel H, Ramos S, Benatti F. Suplementação de ferro e sua associação com a incidência de diabetes mellitus gestacional. Nutrire Rev Soc Bras Aliment Nutr 2012; 37 (2): 215-26. doi:10.4322/nutrire.2012.017
Bowers K, Yeung E, Williams M, Qi L, Tobias D, Hu F, et al. A prospective study of prepregnancy dietary iron intake and risk for gestational diabetes mellitus. Diabetes Care 2011; 34(7): 1557-63. doi:10.2337/dc11-0134
Mintz J, Mirza J, Young E, Bauckman K. Iron Therapeutics in Women's Health: Past, Present, and Future. Pharmaceuticals 2020; 13 (12): 449. doi:10.3390/ph13120449
Zgliczynska M, Kosinska-Kaczynska K. Micronutrients in multiple pregnancies- the knowns and unknowns: A systematic review. Nutrients 2021; 13 (2): 386. doi:10.3390/ nu13020386
Guo W, Wang H, Liu Q, Yuan Y, Jing Y, Yang X. Analysis of the correlation of gestational diabetes mellitus and peripheral ferritin with iron levels in early pregnancy. Minerva Endocrinol 2019; 44 (1): 91-96. doi:10.23736/S0391-1977.18.02734-7
Fernández-Cao JC, Aranda N, Ribot B, Tous M, Arija V. Elevated iron status and risk of gestational diabetes mellitus: A systematic review and meta-analysis. Matern Child Nutr 2017; 13 (4). doi:10.1111/mcn.12400
Mirghani A, Doupis J. Gestational diabetes from A to Z. World J Diabetes 2017; 8 (12): 489-511. doi:10.4239/wjd. v8.i12.489
American Diabetes Association. 2. Classification and diagnosis of diabetes: Standards of Medical Care in diabetes- 2021. Diabetes Care 2021; 44 (Supplement 1): S15-33. doi:10.2337/dc21-S002
Gambling L, Lang C, McArdle HJ. Fetal regulation of iron transport during pregnancy. Am J Clin Nutr 2011; 94 (6 Supplement): 1903S-1907S. doi:10.3945/ajcn.110.000885
Sangkhae V, Fisher AL, Wong S, Koenig MD, Tussing- Humphreys L, Chu A, et al. Effects of maternal iron status on placental and fetal iron homeostasis. J Clin Invest 2020; 130 (2): 625-40. doi:10.1172/JCI127341
Fisher A, Nemeth E. Iron homeostasis during pregnancy. Am J Clin Nutr. 2017; 106 (Suppl 6): 1567S-1574S. doi:10.3945/ajcn.117.155812
Bah A, Pasricha SR, Jallow MW, Sise EA, Wegmuller R, Armitage AE, et al. Serum hepcidin concentrations decline during pregnancy and may identify iron deficiency: Analysis of a longitudinal pregnancy cohort in The Gambia. J Nutr 2017; 147 (6): 1131-37. doi:10.3945/jn.116.245373
Millard KN, Frazer DM, Wilkins SJ, Anderson GJ. Changes in the expression of intestinal iron transport and hepatic regulatory molecules explain the enhanced iron absorption associated with pregnancy in the rat. Gut 2004; 53 (5): 655-60. doi:10.1136/gut.2003.031153
Van Santen S, Kroot JJ, Zijderveld G, Wiegerinck ET, Spaanderman ME, Swinkels DW. The iron regulatory hormone hepcidin is decreased in pregnancy: a prospective longitudinal study. Clin Chem Lab Med. 2013; 51 (7): 1395-401. doi:10.1515/cclm-2012-0576
WHO. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva, World Health Organization, 2011 (WHO/NMH/NHD/MNM/11.1) http://www. who.int/vmnis/indicators/haemoglobin.pdf, accessed [15/09/2021]).
Ohuma O, Young M, Martorell R, Ismail L, Peña-Rosas J, Purwar M, et al. International values for haemoglobin distributions in healthy pregnant women. EClinicalMedicine 2020; 29-30 (100660):100660. doi:10.1016/j. eclinm.2020.100660
WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO. http://www.who.int/vmnis/indicators/haemoglobin.pdf, accessed [22/09/2021]).
Akinsooto V, Ojwang PJ, Govender T, Moodley J, Connolly CA. Soluble transferrin receptors in anaemia of pregnancy. J Obstet Gynaecol 2001; 21 (3): 250-52. doi:10.1080/01443610120046341
Shah S, Fonseca V. Iron and diabetes revisited. Diabetes Care. 2011; 34 (7): 1676-77. doi:10.2337/dc11-0700
Simcox J, McClain D. Iron and diabetes risk. Cell Metab 2013; 17 (3): 329-41. doi:10.1016/j.cmet.2013.02.007
Yang A, Zhao J, Lu M, Gu Y, Zhu Y, Chen D et al. Expression of Hepcidin and Ferroportin in the Placenta, and Ferritin and Transferrin Receptor 1 Levels in Maternal and Umbilical Cord Blood in Pregnant Women with and without Gestational Diabetes. Int. J. Environ. Res. Public Health 2016; 13 (8): 766. doi:10.3390/ijerph13080766
Fu S, Li F, Zhou J, Liu Z. The relationship between body iron status, iron intake and gestational diabetes: A systematic review and meta-analysis: A systematic review and meta-analysis. Medicine (Baltimore) 2016; 95 (2): e2383. doi:10.1097/MD.0000000000002383
Gabrielsen JS, Gao Y, Simcox JA, Huang J, Thorup D, Jones D, et al. Adipocyte iron regulates adiponectin and insulin sensitivity. J Clin Invest 2012; 122 (10): 3529-40. doi:10.1172/JCI44421
Amstad G, Vogt D, Hoesli I. Serum hepcidin and iron status parameters in pregnant women and the association with adverse maternal and fetal outcomes: a study protocol for a prospective cohort study. BMJ Open 2019; 9 (11): e032280. doi:10.1136/bmjopen-2019-032280
Sun C, Wu Q, Gao S, Ma Z, Liu Y, Zhang J, et al. Association between the ferritin level and risk of gestational diabetes mellitus: A meta-analysis of observational studies. J Diabetes Investig. 2020; 11 (3): 707-18. doi:10.1111/jdi.13170
Feng Y, Feng Q, Lv Y, Song X, Qu H, Chen Y. The relationship between iron metabolism, stress hormones, and insulin resistance in gestational diabetes mellitus. Nutr Diabetes 2020; 10 (17): 1-6. doi:10.1038/s41387-020-0122-9
Amiri F, Basirat Z, Omidvar S, Sharbatdaran M, Tilaki KH, Pouramir M. Comparison of the serum iron, ferritin levels and total iron-binding capacity between pregnant women with and without gestational diabetes. J Nat Sci Biol Med 2013; 4 (2): 302-5. doi:10.4103/0976-9668.116977
Qiu C, Zhang C, Gelaye B, Enquobahrie D, Frederick I, Williams M. Gestational diabetes mellitus in relation to maternal dietary heme iron and nonheme iron intake. Diabetes Care 2011; 34 (7): 1564-69. doi:10.2337/dc11-0135
Darling A, Mitchell A, Werler M. Preconceptional iron intake and gestational diabetes mellitus. Int J Environ Res Public Health 2016; 13 (6): 525. doi:10.3390/ijerph13060525
Helin A, Kinnunen TI, Raitanen J, Ahonen S, Virtanen SM, Luoto R. Iron intake, haemoglobin and risk of gestational diabetes: a prospective cohort study. BMJ Open 2012; 2 (5): e001730. doi:10.1136/bmjopen-2012-001730
Sharifi F, Ziaee A, Feizy A, Mousavinasab N, Anjomshoaa A, Mokhtari P. Serum ferritin concentration in gestational diabetes mellitus and risk of subsequent development of early postpartum diabetes mellitus. Diabet Metab Syndr Ob 2010; 3: 413-19. doi:10.2147/dmso.s15049
Bowers KA, Olsen SF, Bao W, Halldorsson TI, Strøm M, Zhang C. Plasma concentrations of ferritin in early pregnancy are associated with risk of gestational diabetes mellitus in women in the danish national birth cohort. J Nutr 2016; 146 (9): 1756-61. doi:10.3945/jn.115.227793
Kataria Y, Wu Y, Horskjær P, Mandrup-Poulsen T, Ellervik C. Iron status and gestational diabetes. A meta-analysis. Nutrients 2018; 10 (5): 621. doi:10.3390/nu10050621
Ng S, Norwitz S, Norwitz E. The impact of iron overload and ferroptosis on reproductive disorders in humans: Implications for preeclampsia. Int J Mol Sci 2019; 20 (13): 3283. doi:10.3390/ijms20133283