RT Journal Article T1 Significance of Serum-Plasma Leptin Profile during Pregnancy in Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis. A1 Roca-Rodriguez, Maria Del Mar A1 Ramos-Garcia, Pablo A1 Lopez-Tinoco, Cristina A1 Aguilar-Diosdado, Manuel K1 Gestational diabetes mellitus K1 Leptin K1 Materno-fetal outcomes K1 Meta-analysis K1 Plasma/serum K1 Systematic review AB Gestational diabetes mellitus (GDM) represents a stage of subclinical inflammation and a risk factor for subsequent future type 2 diabetes and cardiovascular disease development. Leptin has been related with vascular and metabolic changes in GDM with heterogeneous and contradictory results with respect to their possible involvement in maternal, perinatal, and future complications. Our objective is to evaluate current evidence on the role of leptin in maternal and perinatal complications in women with GDM. PubMed, Embase, Web of Science, and Scopus databases were searched. We evaluated the studies’ quality using the Newcastle-Ottawa scale. Meta-analyses were conducted, and heterogeneity and publication bias were examined. Thirty-nine relevant studies were finally included, recruiting 2255 GDM and 3846 control pregnant women. Leptin levels were significantly higher in GDM participants than in controls (SMD = 0.57, 95%CI = 0.19 to 0.94; p < 0.001). Subgroup meta-analysis did not evidence significant differences in leptin in the different trimesters of pregnancy. Meta-regression showed a positive significant relationship for HOMA in the GDM group (p = 0.05). According to these results, it seems that high levels of leptin can be used as predictive markers in GDM. PB MDPI SN 2077-0383 YR 2022 FD 2022-04-22 LK http://hdl.handle.net/10668/21277 UL http://hdl.handle.net/10668/21277 LA en NO Roca-Rodríguez MDM, Ramos-García P, López-Tinoco C, Aguilar-Diosdado M. Significance of Serum-Plasma Leptin Profile during Pregnancy in Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis. J Clin Med. 2022 Apr 26;11(9):2433 DS RISalud RD Apr 20, 2025