Objective. To comprehensively examine the correlation between body mass index (BMI) and the risk of new-onset diabetes after kidney transplantation (NODAT). Methods. The electronic databases Pubmed, Embase, and Cochrane Library, updated in December 2016, were searched, and a literature review was conducted as well to identify relevant research studies. With the use of R 3.12 software, the association between BMI and NODAT risk was analyzed by means of a meta-analysis, with the mean differences (MDs) and their 95% confidence intervals (CIs) as effect indexes. Publication bias was assessed with the use of the Egger test. A sensitivity analysis was performed by excluding 1 study at a time. And the overall morbidity of NODAT was calculated. Results. In the meta-analysis, 55 eligible studies involving 15,458 kidney transplantation cases were included. After the heterogeneity test, the random-effects model was used to calculate the pooled results of the effect indexes. The results of the meta-analysis showed that BMI was an independent risk factor of NODAT (MD, 1.88; 95% CI, 1.48-2.27). No publication bias was found among the included studies (t = 0.3417; P = 0.7339). The sensitivity analysis revealed that the pooled MD did not reverse after ignoring 1 study at a time. In addition, the overall morbidity of NODAT was 21% (95% CI, 21%-23%). Conclusions. Our results suggest that BMI is an independent risk factor for NODAT.
基金:
Hubei Province Natural Science Foundation of China [2014CFB966]
通讯机构:[1]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Key Lab Organ Transplantat,Minist Educ,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China[2]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Key Lab Organ Transplantat,Minist Hlth,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China[3]Huazhong Univ Sci & Technol,Tongji Med Coll,Tongji Hosp,Inst Organ Transplantat,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China
推荐引用方式(GB/T 7714):
Chang S.,Jiang J..Association of Body Mass Index and the Risk of New-Onset Diabetes After Kidney Transplantation: A Meta-analysis[J].TRANSPLANTATION PROCEEDINGS.2018,50(5):1316-1325.doi:10.1016/j.transproceed.2018.02.075.
APA:
Chang, S.&Jiang, J..(2018).Association of Body Mass Index and the Risk of New-Onset Diabetes After Kidney Transplantation: A Meta-analysis.TRANSPLANTATION PROCEEDINGS,50,(5)
MLA:
Chang, S.,et al."Association of Body Mass Index and the Risk of New-Onset Diabetes After Kidney Transplantation: A Meta-analysis".TRANSPLANTATION PROCEEDINGS 50..5(2018):1316-1325