Is Helicobacter pylori infection associated with glycemic control in diabetics?
Identifieur interne : 000157 ( Main/Exploration ); précédent : 000156; suivant : 000158Is Helicobacter pylori infection associated with glycemic control in diabetics?
Auteurs : Yi-Ning Dai ; Wei-Lai Yu ; Hua-Tuo Zhu ; Jie-Xia Ding ; Chao-Hui Yu ; You-Ming LiSource :
- World Journal of Gastroenterology : WJG [ 1007-9327 ] ; 2015.
Abstract
AIM: To investigate whether
METHODS: The databases of PubMed, Cochrane Library, Chinese BioMedicine Web Base and Chinese Science and Technology Journals were searched from inception to June 2014. Studies examining the association between
RESULTS: A total of 21 relevant publications were identified. A meta-analysis of 11 studies with 513 patients with diabetes mellitus (DM) showed significantly lower glycosylated hemoglobin (HbA1c) levels in the
CONCLUSION:
Url:
DOI: 10.3748/wjg.v21.i17.5407
PubMed: 25954115
PubMed Central: 4419082
Affiliations:
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Le document en format XML
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infection associated with glycemic control in diabetics?</title>
<author><name sortKey="Dai, Yi Ning" sort="Dai, Yi Ning" uniqKey="Dai Y" first="Yi-Ning" last="Dai">Yi-Ning Dai</name>
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<author><name sortKey="Yu, Wei Lai" sort="Yu, Wei Lai" uniqKey="Yu W" first="Wei-Lai" last="Yu">Wei-Lai Yu</name>
</author>
<author><name sortKey="Zhu, Hua Tuo" sort="Zhu, Hua Tuo" uniqKey="Zhu H" first="Hua-Tuo" last="Zhu">Hua-Tuo Zhu</name>
</author>
<author><name sortKey="Ding, Jie Xia" sort="Ding, Jie Xia" uniqKey="Ding J" first="Jie-Xia" last="Ding">Jie-Xia Ding</name>
</author>
<author><name sortKey="Yu, Chao Hui" sort="Yu, Chao Hui" uniqKey="Yu C" first="Chao-Hui" last="Yu">Chao-Hui Yu</name>
</author>
<author><name sortKey="Li, You Ming" sort="Li, You Ming" uniqKey="Li Y" first="You-Ming" last="Li">You-Ming Li</name>
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<idno type="doi">10.3748/wjg.v21.i17.5407</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Is <italic>Helicobacter pylori</italic>
infection associated with glycemic control in diabetics?</title>
<author><name sortKey="Dai, Yi Ning" sort="Dai, Yi Ning" uniqKey="Dai Y" first="Yi-Ning" last="Dai">Yi-Ning Dai</name>
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<author><name sortKey="Yu, Wei Lai" sort="Yu, Wei Lai" uniqKey="Yu W" first="Wei-Lai" last="Yu">Wei-Lai Yu</name>
</author>
<author><name sortKey="Zhu, Hua Tuo" sort="Zhu, Hua Tuo" uniqKey="Zhu H" first="Hua-Tuo" last="Zhu">Hua-Tuo Zhu</name>
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<author><name sortKey="Ding, Jie Xia" sort="Ding, Jie Xia" uniqKey="Ding J" first="Jie-Xia" last="Ding">Jie-Xia Ding</name>
</author>
<author><name sortKey="Yu, Chao Hui" sort="Yu, Chao Hui" uniqKey="Yu C" first="Chao-Hui" last="Yu">Chao-Hui Yu</name>
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<author><name sortKey="Li, You Ming" sort="Li, You Ming" uniqKey="Li Y" first="You-Ming" last="Li">You-Ming Li</name>
</author>
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<series><title level="j">World Journal of Gastroenterology : WJG</title>
<idno type="ISSN">1007-9327</idno>
<idno type="eISSN">2219-2840</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><p>AIM: To investigate whether <italic>Helicobacter pylori</italic>
(<italic>H. pylori</italic>
) infection is associated with glycemic control and whether hyperglycemia is modified by eradication therapy.</p>
<p>METHODS: The databases of PubMed, Cochrane Library, Chinese BioMedicine Web Base and Chinese Science and Technology Journals were searched from inception to June 2014. Studies examining the association between <italic>H. pylori</italic>
infection and glycemic control and⁄or the effect of eradication treatment on glycemic control in diabetic humans were eligible for inclusion. Meta-analyses were conducted using the Review Manager software version 5.2. The outcome measures are presented as weighed mean differences (WMDs) with 95% confidence intervals (CIs). Statistical heterogeneity was assessed by the Cochran <italic>Q</italic>
test and the <italic>I</italic>
<sup>2</sup>
statistic.</p>
<p>RESULTS: A total of 21 relevant publications were identified. A meta-analysis of 11 studies with 513 patients with diabetes mellitus (DM) showed significantly lower glycosylated hemoglobin (HbA1c) levels in the <italic>H. pylori</italic>
-negative than <italic>H. pylori</italic>
-positive DM participants (WMD = 0.43, 95%CI: 0.07-0.79; <italic>P</italic>
= 0.02). In children and adolescents with type 1 DM (T1DM), there was a positive association between <italic>H. pylori</italic>
infection and HbA1c level (WMD = 0.35, 95%CI: 0.05-0.64; <italic>P</italic>
= 0.02), but there was no difference in those with type 2 DM (T2DM, WMD = 0.51, 95%CI: -0.63-1.65; <italic>P</italic>
= 0.38). A meta-analysis of six studies with 325 T2DM participants showed a significant difference in the fasting plasma glucose levels between <italic>H. pylori</italic>
-positive and <italic>H. pylori</italic>
-negative participants (WMD = 1.20, 95%CI: 0.17-2.23; <italic>P</italic>
= 0.02). Eradication of <italic>H. pylori</italic>
did not improve glycemic control in the T2DM participants in a three-month follow-up period (HbA1c decrease: WMD = -0.03, 95%CI = -0.14-0.08; <italic>P</italic>
= 0.57; fasting plasma glucose decrease: WMD = -0.06, 95%CI: -0.36-0.23; <italic>P</italic>
= 0.68). Glycemic control was significantly better in T1DM participants who were not reinfected than in those who were reinfected (HbA1c: WMD = 0.72, 95%CI: 0.32-1.13: <italic>P</italic>
= 0.00).</p>
<p>CONCLUSION: <italic>H. pylori</italic>
infection is associated with poorer glycemic control in T1DM patients, but eradication may not improve glycemic control in DM in a short-term follow-up period.</p>
</div>
</front>
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<name sortKey="Ding, Jie Xia" sort="Ding, Jie Xia" uniqKey="Ding J" first="Jie-Xia" last="Ding">Jie-Xia Ding</name>
<name sortKey="Li, You Ming" sort="Li, You Ming" uniqKey="Li Y" first="You-Ming" last="Li">You-Ming Li</name>
<name sortKey="Yu, Chao Hui" sort="Yu, Chao Hui" uniqKey="Yu C" first="Chao-Hui" last="Yu">Chao-Hui Yu</name>
<name sortKey="Yu, Wei Lai" sort="Yu, Wei Lai" uniqKey="Yu W" first="Wei-Lai" last="Yu">Wei-Lai Yu</name>
<name sortKey="Zhu, Hua Tuo" sort="Zhu, Hua Tuo" uniqKey="Zhu H" first="Hua-Tuo" last="Zhu">Hua-Tuo Zhu</name>
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