Effectiveness and acceptability of myoinositol in prevention of gestational diabetes mellitus: A protocol for systematic review and meta-analysis

Medicine (Baltimore). 2021 Apr 30;100(17):e25673. doi: 10.1097/MD.0000000000025673.

Abstract

Background:: The existing meta-analyses and randomized studies on myoinositol are of poor quality, with small sample sizes, and involve a homogeneous population. The general applicability of these findings to the National Health Service is unclear. We thus conduct this new high-quality systematic review and meta-analysis to assess the efficacy and safety of myoinositol in pregnant woman.

Methods:: The study protocol will be developed and executed in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. All of the following inclusion criteria in the PICOS order will be met by the studies included in our meta-analysis:

  1. 1.

    population: pregnant woman without gestational diabetes mellitus (GDM);

  2. 2.

    intervention: group with myoinositol;

  3. 3.

    comparison intervention: group without myoinositol;

  4. 4.

    outcome measures: at least one of the following outcome measures should to be reported: rate of GDM, offspring birthweight, fasting glucose, oral glucose tolerance test, and the side effects associated with the myoinositol; and

  5. 5.

    study design: English randomized trials.

The following electronic databases will be searched: PubMed, Scopus, EMBASE, and Cochrane Library databases. The Cochrane risk of bias tool will be used to evaluate the risk of bias of the included randomized trials by 2 independent reviewers.

Results:: We will perform a meta-analysis using standard techniques for the outcomes.

Conclusions:: It was hypothesized that myoinositol supplementation could increase the action of endogenous insulin and prevent GDM and its complications.

Trial registration:: 10.17605/OSF.IO/9W8DV.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Diabetes, Gestational / prevention & control*
  • Dietary Supplements
  • Female
  • Humans
  • Inositol / therapeutic use*
  • Meta-Analysis as Topic
  • Pregnancy
  • Systematic Reviews as Topic
  • Vitamin B Complex / therapeutic use*

Substances

  • Vitamin B Complex
  • Inositol