The effect of DASH diet on pregnancy outcomes in gestational diabetes: a randomized controlled clinical trial

Asemi, Zatollah; Samimi, Mansooreh; Tabassi, Zohreh; Esmaillzadeh, Ahmad

doi:10.1038/ejcn.2013.296

Cited by 100 publications

(101 citation statements)

References 49 publications

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“…In a small trial, the DASH diet adopted for 4 weeks during pregnancy was able to reduce insulin use, cesarean rates, and birth weight in patients with GDM. We did not include that study in our systematic review because the dietary intervention was not continued until delivery (46). However it is important to note that the DASH diet can be considered a low GI dietary approach.…”

Section: Discussionmentioning

confidence: 99%

Dietary Intervention in Patients With Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Clinical Trials on Maternal and Newborn Outcomes

2014

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OBJECTIVEDiet is the cornerstone treatment of patients with gestational diabetes mellitus (GDM), but its role in maternal and newborn outcomes has been scarcely studied. The purpose of this study was to analyze the efficacy of dietary interventions on maternal or newborn outcomes in patients with GDM. RESEARCH DESIGN AND METHODSA systematic review and meta-analysis of randomized clinical trials (RCTs) of dietary intervention in GDM or pregnancy with hyperglycemia was performed. MEDLINE, Embase, ClinicalTrials.gov, Cochrane, and Scopus were searched through to March 2014. The main evaluated maternal outcomes were proportion of patients using insulin and proportion of cesarean delivery; the newborn outcomes were proportion of macrosomia and hypoglycemia and newborn weight. RESULTSFrom 1,170 studies, nine RCTs, including 884 women aged 31.5 years (28.7-33.2) with 27.4 weeks (24.1-30.3) of gestation, were eligible. We divided the RCTs according to the type of dietary intervention: low glycemic index (GI) (n = 4; 257 patients), total energy restriction (n = 2; 425 patients), low carbohydrates (n = 2; 182 patients), and others (n = 1; 20 patients). Diet with low GI reduced the proportion of patients who used insulin (relative risk 0.767 [95% CI 0.597, 0.986]; P = 0.039) and the newborn birth weight (weight mean differences 2161.9 g [95% CI 2246.4, 277.4]; P = 0.000) as compared with control diet. Total restriction and low carbohydrate diets did not change either maternal or newborn outcomes. CONCLUSIONSA low GI diet was associated with less frequent insulin use and lower birth weight than control diets, suggesting that it is the most appropriate dietary intervention to be prescribed to patients with GDM.

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Section: Discussionmentioning

confidence: 99%

Dietary Intervention in Patients With Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Clinical Trials on Maternal and Newborn Outcomes

2014

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“…'Other' diet and exercise trials Nine trials 204,206,208,209,212,[215][216][217]219 were too methodologically diverse to allow pooling of data. Six trials 206,209,212,215,217,219 compared two different types of diets, one trial 204 compared exercise to insulin use, one trial compared diet and insulin to diet alone, and one compared exercise with diet 216 ( Table 28).…”

Section: Treatments For Gestational Diabetes: a Systematic Reviewmentioning

confidence: 99%

“…Six trials 206,209,212,215,217,219 compared two different types of diets, one trial 204 compared exercise to insulin use, one trial compared diet and insulin to diet alone, and one compared exercise with diet 216 ( Table 28).…”

Section: Treatments For Gestational Diabetes: a Systematic Reviewmentioning

confidence: 99%

The identification and treatment of women with hyperglycaemia in pregnancy: an analysis of individual participant data, systematic reviews, meta-analyses and an economic evaluation

Farrar

Simmonds

Griffin

et al. 2016

Health Technol Assess

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This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hta This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 11/99/02. The contractual start date was in June 2013. The draft report began editorial review in July 2015 and was accepted for publication in January 2016. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health. Published by the NIH...

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“…The application in a randomised study of a diet with reduced content of carbohydrates in the group of women with gestational diabetes (40% of energy from carbohydrates in the diet of the study group vs. 55% in the control group) did not result in a decrease in the number of women who needed insulin, nor affected pregnancy outcomes [17]. The subsequent reports showed that the dietary approaches to stop hypertension (DASH) diet applied by women with gestational diabetes had a favourable effect on fasting glucose level, insulin level, and the value of the homeostatic model assessment of insulin resistance (HOMA-IR) index, as well as a decrease in the body weight of newborns, compared to the control group (3,222.7 g vs. 3,818.8 g) [18,19].…”

Section: Gestational Diabetesmentioning

confidence: 99%

Eating habits and nutritional status of pregnant women and the course and outcomes of pregnancy

Suliga¹

2015

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The eating habits and nutritional status of future mothers have an important effect, not only on the course of pregnancy and the development of the foetus, but also on the health of the children during subsequent years of life. The objective of the study was the analysis of the relationship between eating habits and nutritional status of pregnant women on the course of pregnancy and pregnancy outcomes, based on a literature review. In the presented study the following are discussed: nutritional risk factors of pre-term birth, gestational diabetes, preeclampsia, low birth weight, infants born small for gestational age, as well as macrosomia and babies born large for gestational age. In the analysis, data was used concerning the consumption of individual products, groups of products, and dietary patterns, without consideration of dietary supplementation. StreszczenieSposób żywienia i stan odżywienia przyszłych matek mają istotny wpływ nie tylko na przebieg ciąży i rozwój płodu, lecz także na zdrowie ich dzieci w kolejnych latach życia. Celem pracy była analiza zależności między sposobem żywienia i stanem odżywienia kobiet ciężarnych a przebiegiem ciąży i wskaźnikami urodzeniowymi noworodków na podstawie przeglądu piśmiennictwa. W pracy omówiono żywieniowe czynniki ryzyka porodu przedwczesnego, cukrzycy ciążowej, preeklampsji, małej masy urodzeniowej i małej masy w stosunku do wieku płodowego oraz makrosomii i dużej masy w stosunku do wieku płodowego. W analizie wykorzystano dane dotyczące spożycia poszczególnych produktów, grup produktów oraz wzorów żywieniowych bez uwzględniania suplementacji.

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The effect of DASH diet on pregnancy outcomes in gestational diabetes: a randomized controlled clinical trial

Abstract: In conclusion, consumption of DASH diet for 4 weeks among pregnant women with GDM resulted in improved pregnancy outcomes.

Cited by 100 publications

References 49 publications

Dietary Intervention in Patients With Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Clinical Trials on Maternal and Newborn Outcomes

Dietary Intervention in Patients With Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Clinical Trials on Maternal and Newborn Outcomes

The identification and treatment of women with hyperglycaemia in pregnancy: an analysis of individual participant data, systematic reviews, meta-analyses and an economic evaluation

Eating habits and nutritional status of pregnant women and the course and outcomes of pregnancy

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