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Unveiling the impact:COVID-19's influence on bacterial resistance in the Kingdom of Bahrain

World Journal of Virology 2025年第1期14卷 83-98页

作者： Nermin K Saeed Safiya K almusawi Noor A albalooshi mohammed al-beltagi Medical Microbiology Section Department of PathologySalmaniya Medical ComplexGovernmental HospitalsManama 12Bahrain Medical Microbiology Section Department of PathologyRoyal College of Surgeons in Ireland-Medical University of BahrainBusaiteen 15503MuharraqBahrain Department of Paediatrics Faculty of MedicineTanta UniversityTanta 31511AlghrabiaEgypt Department of Pediatric University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityManama 26671AlgharbiaBahrain

BACKGROUND Antibiotic resistance is a growing global health threat,and understanding local trends in bacterial isolates and their susceptibility patterns is crucial for effective infection control and antimicrobial *** coronavirus disease 2019(COVID-19)pandemic has introduced additional complexities,potentially influencing these *** To analyze trends in bacterial isolates and their antibiotic susceptibility patterns at Salmaniya Medical Complex from 2018 to 2023,with a specific focus on the impact of the COVID-19 pandemic on these *** A retrospective analysis of microbiological data was conducted,covering the period from 2018 to *** study included key bacterial pathogens such as Escherichia coli(***),Klebsiella pneumoniae,Acinetobacter baumannii,Pseudomonas aeruginosa,and Staphylococcus aureus,among *** antibiotic susceptibility profiles of these isolates were assessed using standard laboratory *** contextualize the findings,the findings were compared with similar studies from other regions,including China,India,Romania,Saudi Arabia,the United Arab Emirates,Malaysia,and United *** The study revealed fluctuating trends in the prevalence of bacterial isolates,with notable changes during the COVID-19 *** example,a significant increase in the prevalence of Staphylococcus aureus was observed during the pandemic years,while the prevalence of *** showed a more variable *** resistance rates varied among the different pathogens,with a concerning rise in resistance to commonly used antibiotics,particularly among Klebsiella pneumoniae and ***,the study identified an alarming increase in the prevalence of multidrug-resistant(MDR)strains,especially within Klebsiella pneumoniae and *** *** impact of the COVID-19 pandemic on these trends was evident,with shifts in the frequency,resistance patterns,and the emergence of MDR bacteria among several key ***

关键词： Multidrug-resistant organisms Antibiotic susceptibility COVID-19 pandemic Antimicrobial stewardship Bacterial isolates Salmaniya Medical Complex Bahrain

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Diabetes-inducing effects of bronchial asthma

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World Journal of Diabetes 2025年第1期16卷 121-139页

作者： mohammed al-beltagi Adel Salah Bediwy Nermin Kamal Saeed Hosameldin A Bediwy Reem Elbeltagi Department of Pediatric Faculty of MedicineTanta UniversityTanta 31511AlghrabiaEgypt Department of Pediatric University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityManama 26671ManamaBahrain Department of Pulmonology Faculty of MedicineTanta UniversityTanta 31527AlghrabiaEgypt Department of Pulmonology University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityManama 26671ManamaBahrain Medical Microbiology Section Department of PathologySalmaniya Medical ComplexMinistry of HealthKingdom of BahrainManama 26671ManamaBahrain Medical Microbiology Section Department of PathologyIrish Royal College of SurgeonBusaiteen 15503MuharraqBahrain Faculty of Medicine Tanta UniversityTanta 31527AlgharbiaEgypt Department of Medicine The Royal College of Surgeons in Ireland-BahrainBusiateen 15503MuharraqBahrain

BACKGROUND The relationship between diabetes mellitus(DM)and asthma is complex and can impact disease *** To explore the bidirectional influences between the two conditions on clinical outcomes and disease *** We systematically reviewed the literature on the relationship between DM and asthma,focusing on their impacts,mechanisms,and therapeutic *** studies were assessed,which investigated the effect of glycemic control on asthma outcomes,lung function,and *** study highlighted the role of specific diabetes medications in managing *** The results showed that poor glycemic control in diabetes can exacerbate asthma,increase hospitalizations,and reduce lung ***,severe asthma,especially in obese individuals,can complicate diabetes management and make glycemic control more *** diabetes-associated mechanisms,such as inflammation,microangiopathy,and oxidative stress,can exacerbate asthma and decrease lung *** diabetes medications exhibit anti-inflammatory effects that show promise in mitigating asthma *** The complex interrelationship between diabetes and asthma suggests bidirectional influences that affect disease course and *** and microvascular complications associated with diabetes may worsen asthma outcomes,while asthma severity,especially in obese individuals,complicates diabetes ***,the current research has limitations,and more diverse longitudinal studies are required to establish causal relationships and identify effective treatment strategies for individuals with both conditions.

关键词： Diabetes mellitus Bronchial asthma Glycemic control Lung function Asthma exacerbation Disease interaction Microangiopathy

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Diet fortification for mild and moderate picky eating in typically developed children:Opinion review of Middle East consensus

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World Journal of Clinical Pediatrics 2025年第1期14卷 139-148页

作者： mohammed al-beltagi Elie Choueiry Najat alahmadi Zeinab Demerdash Wafaa Helmi Ayesh Khoula al-Said Fatima al-Haddad Sanaa Y Shaaban Eslam Tawfik Department of Pediatric Faculty of MedicineTanta UniversityTanta 31511Egypt Department of Pediatric University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityManama 26671ManamaBahrain Paediatric Intensive and Critical Care Unit Hospital Hôtel Dieu de FranceBeirut 166830BeyrouthLebanon Department of Pediatric Gastroenterology Hepatology and NutritionMadina Maternity and Children HospitalKing Salman Medical CityAlmadina Almonawarh 41412Almadina AlmonawarhSaudi Arabia Department of Gastroenterology Hepatology and NutritionAl Amiri HospitalKuwait City 999044Kuwait Department of Nutrition Altadawi Speciality HospitalDubai 1853DubayyUnited Arab Emirates Department of Paediatric Gastroenterology Royal HospitalMuscat 1331MuscatOman Department of Dietetic Salmaniya Medical ComplexGovernment HospitalsAl Salmaniya 12ManamaBahrain Department of Pediatrics Faculty of MedicineAin Shams UniversityCairo 11591Egypt Department of Paediatric Faculty of MedicineSuez UniversitySuez 41522Egypt Department of Paediatric Sheikh Khalifa Medical CityAbu Dhabi 00000Abu DhabiUnited Arab Emirates

BACKGROUND Picky eating is a commonly observed behavior among children globally,negatively impacting their physical and mental *** common characteristics distinguish peaky eaters,including food selectivity,food neophobia,and food avoidance,there is no clear definition to assess this *** to the unavailability of data regarding picky eating,it wasn’t easy to estimate its *** To develop a regional protocol to help healthcare professionals identify and manage mild and moderate picky eating *** A virtual roundtable discussion was held in April 2021 to gather the opinions of seven pediatricians and two pediatric dietitians from eight Middle Eastern countries who had great experience in the management of picky *** discussion covered different topics,including clearly defining mild and moderate picky eating,identifying the role of diet fortification in these cases,and the possibility of developing a systematic approach to diet *** The panel identified picky eating as consuming an inadequate amount and variety of foods by rejecting familiar and unfamiliar *** of the time,moderate picky eating cases had micronutrient deficiencies with over-or undernutrition;the mild cases only showed inadequate food consumption and/or poor diet *** attention to the organic red flags like growth faltering and development delay and behavioral red flags,including food fixation and anticipatory gagging,will help healthcare professionals evaluate the picky eaters and the caregivers to care for their *** dietary supplementation and commercial food fortification play an important role in picky eating,they were no benefit in the Middle *** The panel agreed that food fortification through a food-first approach and oral nutritional supplements would be the best for Middle Eastern *** recommendations would facilitate identifying and managing picky-eating children in the Middle East.

关键词： Picky eating Diet fortification Children Protocol Roundtable discussion Middle East

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Autism medical comorbidities

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World Journal of Clinical Pediatrics 2021年第3期10卷 15-28页

作者： mohammed al-beltagi Department of Pediatrics University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityManama P.O.Box 26671BahrainBahrain Department of Pediatrics Faculty of MedicineTanta UniversityTanta 0000000Al GharbiaEgypt

Medical comorbidities are more common in children with autism spectrum disorders(ASD)than in the general *** genetic disorders are more common in children with ASD such as Fragile X syndrome,Down syndrome,Duchenne muscular dystrophy,neurofibromatosis type I,and tuberous sclerosis *** with autism are also more prone to a variety of neurological disorders,including epilepsy,macrocephaly,hydrocephalus,cerebral palsy,migraine/headaches,and congenital abnormalities of the nervous ***,sleep disorders are a significant problem in individuals with autism,occurring in about 80%of ***(GI)disorders are significantly more common in children with ASD;they occur in 46%to 84%of *** most common GI problems observed in children with ASD are chronic constipation,chronic diarrhoea,gastroesophageal reflux and/or disease,nausea and/or vomiting,flatulence,chronic bloating,abdominal discomfort,ulcers,colitis,inflammatory bowel disease,food intolerance,and/or failure to *** categories of inborn-errors of metabolism have been observed in some patients with autism including mitochondrial disorders,disorders of creatine metabolism,selected amino acid disorders,disorders of folate or B12 metabolism,and selected lysosomal storage disorders.A significant proportion of children with ASD have evidence of persistent neuroinflammation,altered inflammatory responses,and immune ***-brain antibodies may play an important pathoplastic mechanism in *** disorders are significantly more common in individuals with ASD from all age *** influence the development and severity of *** could cause problematic behaviours in at least a significant subset of affected ***,it is important to consider the child with autism as a whole and not overlook possible symptoms as part of *** physician should rule out the presence of a medical condition before moving on to other interventions o

关键词： Autism Children Medical comorbidity Epilepsy Sleep disorders allergy Gastrointestinal diseases

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Pre-autism:What a paediatrician should know about early diagnosis of autism

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World Journal of Clinical Pediatrics 2023年第5期12卷 273-294页

作者： mohammed al-beltagi Department of Pediatric Faculty of MedicineTanta UniversityTanta 31511AlgahrbiaEgypt Department of Pediatric University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityDr.Sulaiman Al Habib Medical GroupManama 26671ManamaBahrain

Autism,also known as an autism spectrum disorder,is a complex neurodevelopmental disorder usually diagnosed in the first three years of a child's life.A range of symptoms characterizes it and can be diagnosed at any age,including adolescence and ***,early diagnosis is crucial for effective management,prognosis,and ***,there are no established fetal,prenatal,or newborn screening programs for autism,making early detection *** review aims to shed light on the early detection of autism prenatally,natally,and early in life,during a stage we call as“pre-autism”when typical symptoms are not yet *** fetal,neonatal,and infant biomarkers may predict an increased risk of autism in the coming *** developing a biomarker array,we can create an objective diagnostic tool to diagnose and rank the severity of autism for each *** biomarkers could be genetic,immunological,hormonal,metabolic,amino acids,acute phase reactants,neonatal brainstem function biophysical activity,behavioral profile,body measurements,or radiological ***,every biomarker has its accuracy and *** factors can make early detection of autism a real *** improve early detection,we need to overcome various challenges,such as raising community awareness of early signs of autism,improving access to diagnostic tools,reducing the stigma attached to the diagnosis of autism,and addressing various culturally sensitive concepts related to the disorder.

关键词： Autism Pre-autism Biomarkers Autism spectrum disorder Biophysical profile Neurodevelopment Antenatal Neonatal

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Nutritional management and autism spectrum disorder:A systematic review

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World Journal of Clinical Pediatrics 2024年第4期13卷 65-101页

作者： mohammed al-beltagi Department of Pediatric Faculty of MedicineTanta UniversityTanta 31511AlghrabiaEgypt Department of Pediatric University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityManama 26671Bahrain

BACKGROUND Autism spectrum disorder(ASD)presents unique challenges related to feeding and nutritional *** with ASD often experience feeding difficulties,including food selectivity,refusal,and gastrointestinal *** interventions have been explored to address these challenges,including dietary modifications,vitamin supplementation,feeding therapy,and behavioral *** To provide a comprehensive overview of the current evidence on nutritional management in *** examine the effectiveness of dietary interventions,vitamin supplements,feeding therapy,behavioral interventions,and mealtime practices in addressing the feeding challenges and nutritional needs of children with *** We systematically searched relevant literature up to June 2024,using databases such as PubMed,PsycINFO,and *** were included if they investigated dietary interventions,nutritional supplements,or behavioral strategies to improve feeding behaviors in children with *** assessed the quality of the studies and synthesized findings on the impact of various interventions on feeding difficulties and nutritional *** extraction focused on intervention types,study designs,participant characteristics,outcomes measured,and intervention *** The review identified 316 studies that met the inclusion *** evidence indicates that while dietary interventions and nutritional supplements may offer benefits in managing specific symptoms or deficiencies,the effectiveness of these approaches *** therapy and behavioral interventions,including gradual exposure and positive reinforcement,promise to improve food acceptance and mealtime *** findings also highlight the importance of creating supportive mealtime environments tailored to the sensory and behavioral needs of children with *** Nutritional management for children with ASD requires a multifaceted approach that includes dietary modifications,supp

关键词： Feeding therapy Behavioral interventions Mealtime practices Autism spectrum disorder Children High-dose methyl cobalamine

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Insulin-resistance in paediatric age:Its magnitude and implications

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World Journal of Diabetes 2022年第4期13卷 282-307页

作者： mohammed al-beltagi Adel Salah Bediwy Nermin Kamal Saeed Department of Pediatrics Faculty of MedicineTanta UniversityTanta 31511Egypt Department of Pediatrics University Medical CenterArabian Gulf UniversityDr.Sulaiman Al Habib Medical GroupManama 26671Bahrain Department of Chest Disease Faculty of MedicineTanta UniversityTanta 31527Egypt Department of Pulmonology University Medical CenterArabian Gulf UniversityDr.Sulaiman Al Habib Medical GroupManama 26671Bahrain Medical Microbiology Section Department of PathologySalmaniya Medical ComplexMinistry of HealthManama 12Bahrain Microbiology Section Department of PathologyIrish Royal College of SurgeonBusaiteen 15503Bahrain

Insulin resistance(IR)is insulin failure in normal plasma levels to adequately stimulate glucose uptake by the peripheral *** is becoming more common in children and adolescents than *** is a strong association between obesity in children and adolescents,IR,and the metabolic syndrome *** shows marked variation among different races,crucial to understanding the possible cardiovascular risk,specifically in high-risk races or ethnic *** causes of IR include insulin receptor mutations,mutations that stimulate autoantibody production against insulin receptors,or mutations that induce the formation of abnormal glucose transporter 4 molecules or plasma cell membrane glycoprotein-1 molecules;all induce abnormal energy pathways and end with the development of *** parallel increase of IR syndrome with the dramatic increase in the rate of obesity among children in the last few decades indicates the importance of environmental factors in increasing the rate of *** patients with IR do not develop diabetes mellitus(DM)***,IR is a crucial risk factor to develop DM type-II in *** standards for IR in children are not yet established due to various *** measures of insulin sensitivity include the hyperinsulinemia euglycemic glucose clamp and the insulin-suppression *** model analysis of frequently sampled intravenous glucose tolerance test and oral glucose tolerance test provide an indirect estimate of metabolic insulin sensitivity/*** main aim of the treatment of IR in children is to prevent the progression of compensated IR to decompensated IR,enhance insulin sensitivity,and treat possible *** are three main lines for treatment:Lifestyle and behavior modification,pharmacotherapy,and *** review will discuss the magnitude,implications,diagnosis,and treatment of IR in children。

关键词： Insulin resistance Children Diabetes mellitus Obesity Genetic Acquired

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Paediatric gastrointestinal disorders in SARS-CoV-2 infection:Epidemiological and clinical implications

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World Journal of Gastroenterology 2021年第16期27卷 1716-1727页

作者： mohammed al-beltagi Nermin Kamal Saeed Adel Salah Bediwy Yasser El-Sawaf Department of Pediatric Faculty of MedicineTanta UniversityTanta 31527AlgharbiaEgypt Department of Pediatrics University Medical CenterArabian Gulf UniversityManama 26671Bahrain Microbiology Section Pathology DepartmentSalmaniya Medical ComplexManama 12Bahrain Department of Microbiology Royal College of Surgeons in Ireland-BahrainBahrainBusaiteen 15503MuharraqBahrain Department of Chest Diseases Tanta UniversityTanta 31527AlgharbiaEgypt Department of Pulmonology University Medical CenterArabian Gulf UniversityManama 26671Bahrain Department of Tropical Medicine Tanta UniversityTanta 31527AlgharbiaEgypt Department of Gastroenterology University Medical CenterArabian Gulf UniversityManama 26671Bahrain

The coronavirus disease 2019(COVID-19)pandemic is a threat worldwide for individuals of all ages,including *** manifestations could be the initial presenting manifestation in many patients,especially in *** symptoms are more common in patients with severe disease than in patients with non-severe *** 48.1%of patients had a stool sample that was positive for severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)viral *** typically form 1%-8%of all laboratoryconfirmed cases of *** manifestations of COVID-19 in children are not rare,with a prevalence between 0 and 88%,and a wide variety of presentations,including diarrhoea,vomiting,and abdominal pain,can develop before,with or after the development of respiratory *** manifestations such as appendicitis or liver injury could also appear,especially in the presence of multisystem inflammatory *** this review,we discussed the epidemiology of COVID-19 gastrointestinal diseases in children as well as their implications on the diagnosis,misdiagnosis,prognosis,and faecal-oral transmission route of COVID-19 and the impact of gastrointestinal diseases on the gut microbiome,child nutrition,and disease management.

关键词： COVID-19 SARS-CoV-2 Gastrointestinal diseases Children Dysbiosis Faecal-oral transmission

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COVID-19-induced gastrointestinal autonomic dysfunction:A systematic review

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World Journal of Clinical Cases 2023年第22期11卷 5252-5272页

作者： Reem Elbeltagi mohammed al-beltagi Nermin Kamal Saeed Adel Salah Bediwy Department of Medicine The Royal College of Surgeons in Ireland-Medical University of BahrainBusiateen 15503MuharraqBahrain Department of Paediatrics Faculty of MedicineTanta UniversityTanta 31511AlgharbiaEgypt Department of Paediatrics University Medical CenterArabian Gulf UniversityManama 26671ManamaBahrain Department of Paediatrics University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityDr Sulaiman Al Habib Medical GroupManama 26671ManamaBahrain Medical Microbiology Section Pathology DepartmentSalmaniya Medical ComplexMinistry of HealthKingdom of BahrainManama 12ManamaBahrain Microbiology Section Pathology DepartmentThe Royal College of Surgeons in Ireland-Medical University of BahrainBusaiteen 15503MuharraqBahrain Department of Chest Disease Faculty of MedicineTanta UniversityTanta 31527AlgharbiaEgypt Department of Pulmonology University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityDr Sulaiman Al Habib Medical GroupManama 26671ManamaBahrain

BACKGROUND It is common for severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection to occur in the gastrointestinal tract,which can present itself as an initial *** severity of coronavirus disease 2019(COVID-19)is often reflected in the prevalence of gastrointestinal ***-19 can damage the nerve supply to the digestive system,leading to gastrointestinal autonomic *** is still much to learn about how COVID-19 affects the autonomic nervous system and the gastrointestinal *** To thoroughly explore the epidemiology and clinical aspects of COVID-19-induced gastrointestinal autonomic dysfunction,including its manifestations,potential mechanisms,diagnosis,differential diagnosis,impact on quality of life,prognosis,and management and prevention *** We conducted a thorough systematic search across various databases and performed an extensive literature *** review encompassed 113 studies published in English from January 2000 to April 18,*** According to most of the literature,gastrointestinal autonomic dysfunction can seriously affect a patient's quality of life and ultimate *** factors can influence gastrointestinal autonomic nervous *** have shown that SARS-CoV-2 has a well-documented affinity for both neural and gastrointestinal tissues,and the virus can produce various gastrointestinal symptoms by reaching neural tissues through different *** symptoms include anorexia,dysgeusia,heartburn,belching,chest pain,regurgitation,vomiting,epigastric burn,diarrhea,abdominal pain,bloating,irregular bowel movements,and *** is the most prevalent symptom,followed by anorexia,nausea,vomiting,and abdominal *** COVID-19 vaccination may rarely induce autonomic dysfunction and gastrointestinal symptoms,COVID-19-induced autonomic effects significantly impact the patient's condition,general health,prognosis,and quality of *** diagnosis a

关键词： COVID-19 SARS-CoV-2 Gastrointestinal autonomic dysfunction Long COVID Post-COVID Autonomic nervous system

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Cardiometabolic effects of breastfeeding on infants of diabetic mothers

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World Journal of Diabetes 2023年第5期14卷 617-631页

作者： Reem Elbeltagi mohammed al-beltagi Nermin Kamal Saeed Adel Salah Bediwy Department of Medicine Irish Royal College of SurgeonBusaiteen 15503Bahrain Department of Pediatrics Faculty of MedicineTanta UniversityTanta 31511Egypt Department of Pediatrics University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityManama 26671Bahrain Medical Microbiology Section Department of PathologySalmaniya Medical ComplexMinistry of HealthKingdom of BahrainManama 12Bahrain Department of Microbiology Irish Royal College of SurgeonBahrainBusaiteen 15503Bahrain Department of Chest Diseases Faculty of MedicineTanta UniversityTanta 31527Egypt Department of Pulmonology University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityManama 26671Bahrain

BACKGROUND Breast milk is the best and principal nutritional source for neonates and *** may protect infants against many metabolic diseases,predominantly obesity and type 2 *** mellitus(DM)is a chronic metabolic and microvascular disease that affects all the body systems and all ages from intrauterine life to late *** protects against infant mortality and diseases,such as necrotizing enterocolitis,diarrhoea,respiratory infections,viral and bacterial infection,eczema,allergic rhinitis,asthma,food allergies,malocclusion,dental caries,Crohn's disease,and ulcerative *** also protects against obesity and insulin resistance and increases intelligence and mental *** diabetes has short and long-term impacts on infants of diabetic mothers(IDM).Breast milk composition changes in mothers with gestational *** To investigate the beneficial or detrimental effects of breastfeeding on the cardiometabolic health of IDM and their *** We performed a database search on different engines and a thorough literature review and included 121 research published in English between January 2000 and December 15,2022,in this *** Most of the literature agreed on the beneficial effects of breast milk for both the mother and the infant in the short and long *** protects mothers with gestational diabetes against obesity and type 2 *** some evidence of the protective effects of breastfeeding on IDM in the short and long term,the evidence is not strong enough due to the presence of many confounding factors and a lack of sufficient *** We need more comprehensive research to prove these *** many obstacles that may enface mothers with gestational diabetes to start and maintain breastfeeding,every effort should be made to encourage them to breastfeed.

关键词： Breast milk Breastfeeding Gestational diabetes mellitus Cardiometabolic effects Infants of diabetic mothers Obesity

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