Improving nutrition for the prevention of gestational diabetes: Current status and perspectives

Popova, Polina; Pustozerov, Evgenii; Tkachuk, Aleksandra; Grineva, Elena

doi:10.4239/wjd.v12.i9.1494

Cited by 4 publications

(4 citation statements)

References 68 publications

(79 reference statements)

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“…Однак у різних популяціях неоднакові гени можуть відіграва ти домінуючу роль у патогенезі цього захворю вання [22]. Існує гіпотеза, і нові дослідження її підтримують, що розвиток ГД є наслідком взаємодії генів і способу життя [11,23,29].…”

Section: профілактика гестаційного діабету під час вагітностіunclassified

“…Відносно режимів харчування перед вагітні стю дослідники дійшли висновку, що, імовірно, більш важливими факторами виникнення ГД, ніж дієта, є її наслідки, відображені в ІМТ [23].…”

Section: профілактика гестаційного діабету під час вагітностіunclassified

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Gestational diabetes: prevention during pregnancy, screening and diagnosis of the disease

Avramenko¹,

Govsieiev²,

Yavir³

et al. 2021

UJHW

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Gestational diabetes mellitus (GD) is a widespread disease, the level of which continues to overgrow. Gestational diabetes mellitus significantly increases the risk of developing severe chronic pathology in both mother and child in the future. This publication is devoted to the prevention of GD during pregnancy, screening and diagnosis. Improve the course of pregnancy, childbirth, life for mother and child in women with GD, possibly with the earliest possible detection of disorders and complete correction of carbohydrate metabolism. To prevent GD development during pregnancy, it is necessary to identify risk factors, eliminate some of them, and prevent new ones. The risk factors for the disease include: overweight and obesity, pathological weight gain in the I–II trimester of pregnancy, burdened heredity, hypodynamics, old age, smoking, stress, polycystic ovarian syndrome, hypertension, hypothyroidism shortly before and/or during pregnancy, use of glucocorticosteroids, ethnicity, genetic factors. To prevent the development of GD in all women from early pregnancy, recommend nutrition; weight gain control; regular moderate physical activity; therapeutic exercise (in the absence of the threat of miscarriage, placenta previa and some other complications); limiting stressful situations; enough night's sleep; rational regime mode; abandonment of bad habits. This study has established the importance of early diagnosis and screening of pregnant women for GD. Diabetes mellitus is associated with increasing frequency of unfavourable pregnancy outcomes, perinatal morbidity and mortality. No conflict of interest was declared by the authors. Key words: diabetes mellitus, gestational diabetes, manifest, glucose.

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Section: профілактика гестаційного діабету під час вагітностіunclassified

Gestational diabetes: prevention during pregnancy, screening and diagnosis of the disease

Avramenko¹,

Govsieiev²,

Yavir³

et al. 2021

UJHW

View full text Add to dashboard Cite

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“…It increased almost 3.5-fold from 1999 to 2012 according to the data of universal screening for GDM in Tianjin, China [ 11 – 13 ]. Genetic and environmental factors jointly promote its onset [ 14 , 15 ]. Previous studies have helped to identify a multitude of potential risk factors for GDM.…”

Section: Introductionmentioning

confidence: 99%

Relationship between gestational body mass index change and the risk of gestational diabetes mellitus: a community-based retrospective study of 41,845 pregnant women

Zhang

Liu

et al. 2022

BMC Pregnancy Childbirth

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Background Gestational diabetes mellitus (GDM) is associated with adverse health consequences for women and their offspring. It is associated with maternal body mass index (BMI) and may be associated with gestational weight gain (GWG). But due to the heterogeneity of diagnosis and treatment and the potential effect of GDM treatment on GWG, the association between the two has not been thoroughly clarified. Compared to body weight, BMI has the advantage that it considers height during the whole course of pregnancy. Understanding BMI changes during pregnancy may provide new evidence for the prevention of GDM. Methods This study investigated the BMI change of pregnant women based on a retrospective study covering all communities in Tianjin, China. According to the results of GDM screening at 24–28 weeks of gestation, pregnancies were divided into the GDM group and the non-GDM group. We compared gestational BMI change and GWG in the two groups from early pregnancy to GDM screening. GWG was evaluated according to the IOM guidelines. Logistic regression was applied to determine the significance of variables with GDM. Results A total of 41,845 pregnant women were included in the final analysis (GDM group, n = 4257 vs. non-GDM group, n = 37,588). BMI gain has no significant differences between the GDM and non-GDM groups at any early pregnancy BMI categories (each of 2 kg/m2), as well as weight gain (P > 0.05). Early pregnancy BMI was a risk factor for GDM (OR 1.131, 95% CI 1.122–1.139). And BMI gain was associated with a decreased risk of GDM in unadjusted univariate analysis (OR 0.895, 95% CI 0.869–0.922). After adjusting on early pregnancy BMI and other confounding factors, the effect of BMI gain was no longer significant (AOR 1.029, 95% CI 0.999–1.061), as well as weight gain (AOR 1.006, 95% CI 0.995–1.018) and GWG categories (insufficient: AOR 1.016, 95% CI 0.911–1.133; excessive: AOR 1.044, 95% CI 0.957–1.138). Conclusions BMI in early pregnancy was a risk factor for GDM, while BMI gain before GDM screening was not associated with the risk of GDM. Therefore, the optimal BMI in early pregnancy is the key to preventing GDM.

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“…Diet has also been postulated as a modifiable risk factor for GDM (24) . Previous articles have reported preventive association between healthful dietary patterns, in particular the Mediterranean diet, and GDM risk (25)(26)(27)(28)(29) .…”

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confidence: 99%

Association between pre-conceptional carbohydrate quality index and the incidence of gestational diabetes: the SUN cohort study

et al. 2022

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The aim of the study was to investigate the association between pre-gestational carbohydrate quality index (CQI) and the incidence of Gestational Diabetes Mellitus (GDM). Data from the “Seguimiento Universidad de Navarra” (SUN) cohort were used, which includes 3,827 women who notified at least one pregnancy between December 1999 and December 2019. We used a validated semi-quantitative 136-item food frequency questionnaire (FFQ) to evaluate dietary exposures at baseline and at 10-year follow-up. The CQI was defined by four criteria: glycaemic index, whole-grain/ total-grain carbohydrate, dietary fibre intake and solid/total carbohydrate ratio. We fitted generalized estimating equations with repeated measurements of the CQI to assess its relationship with incident GDM. A total of 6,869 pregnancies and 202 new cases of incident GDM were identified. The inverse association between the global quality of carbohydrate and the development of GDM was not statistically significant: Odds Ratio (OR) the highest vs. the lowest CQI category: 0.67, 95% confidence interval (CI) 0.40-1.10, p for trend = 0.10. Participants at the highest CQI category and with daily carbohydrate amounts ≥50% of total energy intake had the lowest incidence of GDM (OR= 0.29 (95% CI 0.09-0.89)) compared to those with the lowest quality (lowest CQI) and quantity (≤40%). Pre-conceptional quality of carbohydrate was not significantly associated with GDM. Further studies are needed to overcome the limitations of our study. Those studies should jointly consider the quality and the quantity of dietary carbohydrates, as the quality might be of importance, especially in women with a higher intake of carbohydrates.

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Improving nutrition for the prevention of gestational diabetes: Current status and perspectives

Cited by 4 publications

References 68 publications

Gestational diabetes: prevention during pregnancy, screening and diagnosis of the disease

Gestational diabetes: prevention during pregnancy, screening and diagnosis of the disease

Relationship between gestational body mass index change and the risk of gestational diabetes mellitus: a community-based retrospective study of 41,845 pregnant women

Association between pre-conceptional carbohydrate quality index and the incidence of gestational diabetes: the SUN cohort study

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