Association between quality and quantity of dietary carbohydrate and pregnancy-induced hypertension: A case–control study

Sanjarimoghaddam, Fereshteh; Bahadori, Fatemeh; Bakhshimoghaddam, Farnush; Alizadeh, Mohammad

doi:10.1016/j.clnesp.2019.06.001

Cited by 13 publications

(15 citation statements)

References 30 publications

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“…Interestingly, increased carbohydrate intake, often a target of nutritional modifications, in the maternal diet was not significantly associated with any of the cardiometabolic biomarkers measured in this study. While studies have shown relationships between increased carbohydrate intake and resulting risk of GDM and HDP, our study did not show such results [ 29 , 49 ]. This is likely because the daily carbohydrate intake of women enrolled in our study, which averaged at 272 ± 102 g/day and 50% of daily caloric intake, is not considered high carbohydrate intake, which most sources define as greater than approximately 60% of daily caloric intake [ 50 ].…”

Section: Discussioncontrasting

confidence: 96%

“…One observational study documented lower risks of HDP in those following a Mediterranean diet (characterized by increased intake of vegetables, legumes, fish, and healthy fats) but reported no effect on HDP rates among women on diets high in meat, fats, sugar, or dairy [ 28 ]. Higher-than-median carbohydrate intake also showed an increased HDP prevalence compared to women who had lower-than-median carbohydrate intake [ 29 ]. Thus, it appears that both pre- and mid-pregnancy diets may modulate risks of developing GDM and HDP and should be further studied.…”

Section: Introductionmentioning

confidence: 99%

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Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications

Jaworsky

Ebersole

Planinic

et al. 2021

IJERPH

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Dietary intakes play an important role in the development of metabolic complications during pregnancy. While reported observational studies reveal an inverse association of healthy diets with weight gain, gestational diabetes, and hypertensive complications during pregnancy, there is a paucity of studies conducted among women of specific ethnicities vulnerable to higher risks of pregnancy complications. This is a secondary cross sectional analysis using baseline data from a previously reported clinical trial. We aim to identify associations of maternal habitual dietary intakes with cardiometabolic risks and inflammatory profiles in primarily African American (AA) and Hispanic women in the first half of pregnancy. Fifty-two women met the study criteria and anthropometric, clinical, and dietary data were obtained at baseline. Linear regression analysis was used to determine associations after covariate adjustments. Among the maternal dietary nutrient intakes, total fats were positively associated with maternal body weight, BMI, and serum CRP (β ± SE: 0.25 ± 0.13, 0.28 ± 0.18, and 0.29 ± 0.14, respectively, all p < 0.05), and saturated fats were positively associated with glycated hemoglobin (0.32 ± 0.12). Dietary fiber intake showed a consistent inverse association with body weight (−0.26 ± 0.13), BMI (−0.19 ± 0.15), glycated hemoglobin (−0.22 ± 0.16), as well as serum CRP (−0.19 ± 0.14). Among the maternal food group intakes, dairy intake was inversely associated with systolic blood pressure (−0.18 ± 0.15) and serum IL-6 (−0.22 ± 0.17), and vegetable intake showed an inverse association with serum CRP (−0.17 ± 0.12) all in adjusted analyses (all p < 0.05). Thus, maternal diet modifications, especially decreasing fats and increasing fiber and dairy may help address obesity and inflammation leading to pregnancy complications in AA and Hispanic women.

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Section: Discussioncontrasting

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications

Jaworsky

Ebersole

Planinic

et al. 2021

IJERPH

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“…As pressões sistólica e diastólica encontraram-se aumentadas no grupo de pacientes obesas e com sobrepeso, no entanto, sem diferenças estatisticamente relevantes. Tais resultados foram condizentes aos descritos na literatura, reforçando a importância constante da prevenção dos diversos fatores que desencadeiam as doenças hipertensivas gestacionais 13 e reafirmando que os hábitos dietéticos e a ingestão de alimentos específicos associadas às mudanças metabólicas do processo gestacional alteram significativamente os valores de pressão arterial sistólica e diastólica 14 .…”

Section: Discussionunclassified

Estado nutricional de gestantes de alto risco em uma maternidade pública e sua relação com desfechos materno-fetais

Costa¹,

Branco²,

Andrade³

et al. 2021

PRMJ

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“…Only two studies examined the effects of carbohydrate quality on the risk of gestational hypertension and preeclampsia. A case–control study in Iran among 202 pregnant women showed a lower incidence of gestational hypertension when women consumed a below average daily glycemic load, but no associations were found for the glycemic index [ 21 ]. Within this Iranian study, recall and observer bias could be an issue as dietary intake of the previous year was assessed by a dietitian after the 20th week of pregnancy once gestational hypertension was already diagnosed and only prepregnancy BMI, age and education were considered as confounding factors [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, not much is known about the effects of low-glycemic index and load diets on gestational hemodynamic adaptations and the risk of gestational hypertensive disorders. A case–control study in Iran among 202 pregnant women, showed that a daily dietary glycemic load above the median was associated with an increased risk of gestational hypertension [ 21 ]. Likewise, an intervention study in Italy among 370 overweight pregnant women found a lower incidence of gestational hypertension among women who were prescribed a low-glycemic index diet [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Associations of dietary glycemic index and load during pregnancy with blood pressure, placental hemodynamic parameters and the risk of gestational hypertensive disorders

et al. 2021

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Purpose The aim of this study was to examine the associations of dietary glycemic index and load with gestational blood pressure, placental hemodynamic parameters and the risk of gestational hypertensive disorders. Methods In a population-based cohort among 3378 pregnant Dutch women, dietary glycemic index and load were assessed from food frequency questionnaires at median 13.4 (95% range 9.9–22.9) weeks gestation. Blood pressure was measured in early-, mid- and late-pregnancy. Placental hemodynamic parameters were measured in mid- and late-pregnancy by ultrasound. Data on gestational hypertensive disorders was acquired from medical records. Results Mean dietary glycemic index (SD) was 58 (3) and mean dietary glycemic load (SD) was 155 (47). Dietary glycemic index was not associated with blood pressure, placental hemodynamic parameters and the risk of gestational hypertensive disorders. Higher dietary glycemic load SDS was associated with a higher diastolic blood pressure in early-pregnancy, remaining after adjustment for socio-demographic and lifestyle factors ((0.98 (95% CI 0.35–1.61) mmHg per SDS increase in glycemic load). No other associations of glycemic load with blood pressure or placental hemodynamic parameters and the risk of gestational hypertensive disorders were present. No significant associations of dietary glycemic index and load quartiles with longitudinal blood pressure patterns from early to late-pregnancy were present. Conclusion Within this low-risk pregnant population, we did not find consistent associations of dietary glycemic index and load with blood pressure, placental hemodynamic parameters and the risk of gestational hypertensive disorders. Further studies need to assess whether the effects on gestational hemodynamic adaptations are more pronounced among high-risk women with an impaired glucose metabolism.

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Association between quality and quantity of dietary carbohydrate and pregnancy-induced hypertension: A case–control study

Cited by 13 publications

References 30 publications

Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications

Associations of Diet with Cardiometabolic and Inflammatory Profiles in Pregnant Women at Risk for Metabolic Complications

Estado nutricional de gestantes de alto risco em uma maternidade pública e sua relação com desfechos materno-fetais

Associations of dietary glycemic index and load during pregnancy with blood pressure, placental hemodynamic parameters and the risk of gestational hypertensive disorders

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