Effects of the Dietary Approaches to Stop Hypertension (DASH) on Pregnancy/Neonatal Outcomes and Maternal Glycemic Control: A Systematic Review and Meta-analysis of Randomized Clinical Trials

Li, Suhua; Gan, Yanqiong; Chen, Min; Wang, Min; Wang, Xiaojuan; Santos, Heitor O.; Okunade, Kehinde Sharafadeen; Kathirgamathamby, Vaani

doi:10.1016/j.ctim.2020.102551

Cited by 21 publications

(11 citation statements)

References 75 publications

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“…12 A trend towards a lower neonatal body fat percent among women receiving a DASH dietary intervention is consistent with results from the recent systematic review and meta-analysis. 46 Among six studies providing a DASH dietary intervention to pregnant women, the DASH diet was associated with a decreased risk of pre-eclampsia, macrosomia, large-for-gestational-age infants and overall lower ponderal index. Although the DASH diet was found to have a significant lowering effect on maternal fasting plasma glucose, the maternal homeostasis model assessment of insulin resistance was unaffected.…”

Section: -H Diet Recall At 32-36 Weeksmentioning

confidence: 99%

The role of maternal diet on offspring hyperinsulinaemia and adiposity after birth: a systematic review of randomised controlled trials

North

Crofts

Thoma

et al. 2021

J Dev Orig Health Dis

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In utero diet may be directly related to the risk of fetal hyperinsulinaemia and offspring metabolic health. This review examines the relationship between maternal dietary exposures and sub-clinical fetal hyperinsulinaemia and neonatal adiposity. Articles were identified in MEDLINE, Web of Science, Cochrane Controlled Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, SCOPUS, and SPORTDiscus (September 2019–March 2021) using the preferred reporting items for systematic reviews and meta-analyses guidelines. PROSPERO registration ID CRD42020146453. Studies were selected by two independent reviewers. Randomised controlled trials (RCT) involving a dietary intervention with pregnant women (healthy pregnancy, gestational diabetes mellitus and obesity) and reporting fetal cord-blood insulin, c-peptide, glucose or adiposity estimates were included. One author extracted all information on main study characteristics and outcomes. Risk of bias was assessed using the Cochrane Collaboration’s bias risk assessment tool. A total of 733 articles were identified. Fourteen articles from 11 RCTs (3614 participants) were included. Studies reviewed showed no specific effect of maternal diet on neonatal cord blood insulin, c-peptide or glucose levels. Infants born to mothers who followed a low glycaemic load (GL) had lower skin fold thickness compared to controls. Interventions that provided individualised nutrition counselling to women with obesity or previous infant born > 4 kg were also associated with lower adiposity. The studies reviewed suggest that lifestyle-based dietary interventions to improve glycaemia (low GL) have a protective effect against excess adiposity. Future studies should incorporate multi-modal interventions with dietary counselling to support lifestyle changes throughout gestation and include assessments of maternal insulin resistance at recruitment.

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Section: -H Diet Recall At 32-36 Weeksmentioning

confidence: 99%

The role of maternal diet on offspring hyperinsulinaemia and adiposity after birth: a systematic review of randomised controlled trials

North

Crofts

Thoma

et al. 2021

J Dev Orig Health Dis

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“…A systematic review and meta-analysis of RCTs provides evidence that the DASH diet could play a role in glycaemic control and improve gestational outcomes in women with cardiometabolic disorders such as GDM, hypertension or obesity [ 107 ]. Among the studies included, one revealed that adherence to the DASH diet for 4 weeks among pregnant women with GDM was associated with improved fasting glucose profile and reduce the use of insulin therapy.…”

Section: Maternal Dietary Metrics and Offspring Birth Outcomesmentioning

confidence: 99%

“…Differences between studies regarding the diagnosis of GDM, hypertension or obesity might explain fundamental physiological differences between the included women [ 110 ]. Future studies including more generalisable populations are needed to ascertain the effect of the DASH diet [ 107 ]. A recent meta-analysis of the ALPHABET European project, conducted in a general population of pregnant women, has shown that a higher pregnancy DASH score was associated with higher birth weight [β (95% CI) = 18.5 (5.7, 31.3) g per 1-SD higher DASH score] and head circumference [0.03 (0.01, 0.06) cm], as well as longer birth length [0.05(0.01, 0.10) cm], and lower risk of delivering SGA [0.87(0.82, 0.94)] infants [ 87 ].…”

Section: Maternal Dietary Metrics and Offspring Birth Outcomesmentioning

confidence: 99%

Maternal Dietary Quality and Dietary Inflammation Associations with Offspring Growth, Placental Development, and DNA Methylation

2021

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The ‘Developmental Origins of Health and Diseases’ hypothesis posits that prenatal maternal diet influences offspring growth and later life health outcomes. Dietary assessment has focused on selected nutrients. However, this approach does not consider the complex interactions between foods and nutrients. To provide a more comprehensive approach to public health, dietary indices have been developed to assess dietary quality, dietary inflammation and risk factors for non-communicable diseases. Thus far, their use in the context of placental development is limited and associations with offspring outcomes have been inconsistent. Although epidemiological studies have focused on the role of maternal diet on foetal programming, the underlying mechanisms are still poorly understood. Some evidence suggests these associations may be driven by placental and epigenetic changes. In this narrative review, we examine the current literature regarding relationships between key validated diet quality scores (Dietary Inflammatory Index [DII], Mediterranean diet [MD], Healthy Eating Index [HEI], Alternative Healthy Eating Index [AHEI], Dietary Approaches to Stop Hypertension [DASH], Glycaemic Index [GI] and Glycaemic Load [GL]) in pregnancy and birth and long-term offspring outcomes. We summarise findings, discuss potential underlying placental and epigenetic mechanisms, in particular DNA methylation, and highlight the need for further research and public health strategies that incorporate diet quality and epigenetics.

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“…The evidence of cardiometabolic beneficial effects is not only among diabetes patients but also people without diabetes [96]. It has been demonstrated that DASH can control glucose level, infant birth weight and decrease gestational preeclampsia risk among pregnant women [97,98]. DASH approach is also associated with lower mortality from different cancer types [99,100].…”

Section: Dietary Approaches To Stop Hypertension (Dash)mentioning

confidence: 99%

Dietary Patterns for Immunity Support and Systemic Inflammation against Infections: A Narrative Review

Setiawan¹,

Masfufatun²

2021

Functional Foods - Phytochemicals and Health Promoting Potential

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Nutrition has been recognized to play a regulatory role in human immune response and inflammation which may affect the pathogenesis of diseases. Current evidence suggests that the habitual dietary pattern therapeutical approach provides more synergistic beneficial action than the intervention of a single nutrient constituent. Several healthy dietary patterns are essential for the human immunity support against infectious diseases through alleviation of systemic inflammation. Long-term dietary patterns may affect the diversity of intestinal microbiota composition and lead to the decrease of pro-inflammatory cytokines from immune-related cells. Protease that may cause gut barrier breakdown (leaky gut) can be reduced either thus lessen translocation of endogenous bacterial endotoxin such as lipopolysaccharides (LPS) from the gut lumen to the bloodstream. In this review, we discuss the relationship between common healthy food-based dietary patterns with the protection of infectious diseases as a result of improvement in immune function and low-grade inflammatory indices. In contrary to the deleterious impact of the western diet, healthy eating habits (Mediterranean diet, dietary approaches to stop hypertension, plant-based diet, ketogenic diet) are associated with reduced susceptibility to infectious disease by the improvement of certain underlying metabolic comorbidities. Further studies are needed to determine suitable strategic implications of healthy dietary patterns on infectious disease mitigation in a particular context.

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Effects of the Dietary Approaches to Stop Hypertension (DASH) on Pregnancy/Neonatal Outcomes and Maternal Glycemic Control: A Systematic Review and Meta-analysis of Randomized Clinical Trials

Cited by 21 publications

References 75 publications

The role of maternal diet on offspring hyperinsulinaemia and adiposity after birth: a systematic review of randomised controlled trials

The role of maternal diet on offspring hyperinsulinaemia and adiposity after birth: a systematic review of randomised controlled trials

Maternal Dietary Quality and Dietary Inflammation Associations with Offspring Growth, Placental Development, and DNA Methylation

Dietary Patterns for Immunity Support and Systemic Inflammation against Infections: A Narrative Review

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