摘要 背景： 妊娠糖尿病（GDM）是指在怀孕期间首次出现的任何程度的糖耐量受损。大多数患有 GDM的女性在分娩后恢复正常的葡萄糖代谢；然而，她们本人及其后代会面临日后患2 型糖尿病的风险。确定一个国家的GDM患病率有助于制定关于GDM筛查和管理的政策指 导方针，并且可以突显需要研究的领域。本次系统综述对GDM在非洲的患病率进行了评 估。

1. 妊娠糖尿病在非洲：系统综述。
摘要 背景：
妊娠糖尿病（GDM）是指在怀孕期间首次出现的任何程度的糖耐量受损。大多数患有 GDM的女性在分娩后恢复正常的葡萄糖代谢；
然而，她们本人及其后代会面临日后患2 型糖尿病的风险。确定一个国家的GDM患病率有助于制定关于GDM筛查和管理的政策指 导
方针，并且可以突显需要研究的领域。本次系统综述对GDM在非洲的患病率进行了评 估。
方法和结果：
在没有语言限制的情况下搜索了三个电子数据库; PubMed，Scopus和Cochrane图书馆。 对31个检索词进行了搜索。合格的文献资料
对GDM进行了定义，阐述了所使用的GDM 筛查方法并报告了GDM患病率。对每项研究的报告质量和偏倚风险进行了评估。遵循了 适
用于系统综述的PRISMA指南。文献检索确定了466条独特的记录。审阅了60篇全文 文献，其中14篇的内容被纳入到系统综述中。综
述中还包括了一篇摘要的内容（未能获 得其全文文献）。有关GDM分类、筛查方法和患病率的信息来自于六个国家，埃塞俄比 亚（
n = 1），摩洛哥（n = 1），莫桑比克（n = 1），尼日利亚（n = 6），南非（n = 4） 和坦桑尼亚（n = 1）。患病率的数字为0％（坦桑
尼亚）到13.9％（尼日利亚），其中 一些研究侧重于有GDM风险因素的女性。大多数研究使用了两小时75g口服葡萄糖耐量 试验，并
应用了世界卫生组织的诊断标准。
结论：
本次系统综述涵盖了六个国家，相当于非洲大陆的11％。这表明在非洲对GDM知之 甚少的状况，并突显了进一步研究的必要性。考
虑到肥胖和2型糖尿病给公共保健带 来的日益增加的负担，在非洲增进对GDM的了解势在必行，从而促进有效干预计划 的实施。
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我们是医学图书馆馆员，我们正在进行一项探索非英语医学研究文章全球知名度的实验。 本摘要的翻译由经认证的翻译人员完成。
完整开放获取文章的PubMed引用和链接可在这里 找到https://www.ncbi.nlm.nih.gov/pubmed/24892280。请在下面输入您对本项 目及
译文质量的意见（如果您是母语人士）。
- 科罗拉多大学健康科学图书馆，Lilian Hoffecker 和 Dana Abbey。

2. Gestational diabetes mellitus in Africa: a systematic review
Abstract
BACKGROUND:
Gestational diabetes mellitus (GDM) is any degree of impaired glucose tolerance first recognised during pregnancy. Most women with GDM revert to
normal glucose metabolism after delivery of their babies; however, they are at risk of developing type 2 diabetes later in life as are their offspring.
Determining a country's GDM prevalence can assist with policy guidelines regarding GDM screening and management, and can highlight areas
requiring research. This systematic review assesses GDM prevalence in Africa.
METHODS AND FINDINGS:
Three electronic databases were searched without language restrictions; PubMed, Scopus and the Cochrane Library. Thirty-one search terms were
searched. Eligible articles defined GDM, stated what GDM screening approaches were employed and reported GDM prevalence. The reporting quality
and risk of bias within each study was assessed. The PRISMA guidelines for systematic reviews were followed. The literature search identified 466
unique records. Sixty full text articles were reviewed of which 14 were included in the systematic review. One abstract, for which the full text article
could not be obtained, was also included. Information regarding GDM classification, screening methods and prevalence was obtained for six African
countries; Ethiopia (n = 1), Morocco (n = 1), Mozambique (n = 1), Nigeria (n = 6), South Africa (n= 4) and Tanzania (n = 1). Prevalence figures ranged
from 0% (Tanzania) to 13.9% (Nigeria) with some studies focussing on women with GDM risk factors. Most studies utilised the two hour 75 g oral
glucose tolerance test and applied the World Health Organization's diagnostic criteria.
CONCLUSIONS:
Six countries, equating to 11% of the African continent, were represented in this systematic review. This indicates how little is known about GDM in
Africa and highlights the need for further research. Considering the increasing public health burden of obesity and type 2 diabetes, it is essential that
the extent of GDM is understood in Africa to allow for effective intervention programmes.

3. _____________
We are medical librarians conducting an experiment to understand the global visibility of non-English medical research articles. The translation for
this abstract was performed by a certified translator. The PubMed citation and link to the whole open access article can be found here
https://www.ncbi.nlm.nih.gov/pubmed/24892280. Please feel free to add your comments below on the project and, if you are a native-speaker, on
the quality of the translation.
--Lilian Hoffecker and Dana Abbey, Health Sciences Library, University of Colorado.