Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review
Background Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance with onset during pregnancy, is increasing worldwide, mostly because obesity among women of reproductive age is continuously escalating. GDM is associated with adverse maternal and fetal outcomes. The aim...
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| Format: | info:eu-repo/semantics/article |
| Language: | spa |
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Bio Med Central
2017
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| Online Access: | https://hdl.handle.net/10171/43259 |
| _version_ | 1793400154701692928 |
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| author | Bes-Rastrollo, M. (Maira) Lopez-del-Burgo, C. (Cristina) Donazar, M. (Mikel) |
| author_facet | Bes-Rastrollo, M. (Maira) Lopez-del-Burgo, C. (Cristina) Donazar, M. (Mikel) |
| author_sort | Bes-Rastrollo, M. (Maira) |
| collection | DSpace |
| description | Background
Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance with onset during pregnancy, is increasing worldwide, mostly because obesity among women of reproductive age is continuously escalating. GDM is associated with adverse maternal and fetal outcomes. The aim of this article was to systematically review literature on the effectiveness of nutritional factors before or during pregnancy to prevent GDM.
Methods
We assessed the primary prevention of GDM through nutritional factors, as diet and supplements. We searched on PubMed, Cochrane Databases and ClinicalTrials.gov from inception to June 2016. Clinical trials and adjusted prospective cohort studies were included.
Results
Eight clinical trials and twenty observational studies assessing the association between dietary factors and primary prevention of GDM were included. Furthermore, six clinical trials and two observational studies related to supplements were also added. Only two nutritional interventions were found to significantly reduce the incidence of GDM, besides the supplements. However, the observational studies showed that a higher adherence to a healthier dietary pattern can prevent the incidence of GDM, especially in high risk population before getting pregnant.
Conclusions
The results indicate that there may be some benefits of some nutritional factors to prevent GDM. However, better-designed studies are required to generate higher quality evidence. At the moment, no strong conclusions can be drawn with regard to the best intervention for the prevention of GDM. |
| format | info:eu-repo/semantics/article |
| id | oai:dadun.unav.edu:10171-43259 |
| institution | Universidad de Navarra |
| language | spa |
| publishDate | 2017 |
| publisher | Bio Med Central |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-432592020-03-04T00:24:26Z Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review Bes-Rastrollo, M. (Maira) Lopez-del-Burgo, C. (Cristina) Donazar, M. (Mikel) Diet and dietary supplements Nutritional factors Primary prevention Gestational Diabetes Mellitus Materias Investigacion::Ciencias de la Salud::Salud pública Background Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance with onset during pregnancy, is increasing worldwide, mostly because obesity among women of reproductive age is continuously escalating. GDM is associated with adverse maternal and fetal outcomes. The aim of this article was to systematically review literature on the effectiveness of nutritional factors before or during pregnancy to prevent GDM. Methods We assessed the primary prevention of GDM through nutritional factors, as diet and supplements. We searched on PubMed, Cochrane Databases and ClinicalTrials.gov from inception to June 2016. Clinical trials and adjusted prospective cohort studies were included. Results Eight clinical trials and twenty observational studies assessing the association between dietary factors and primary prevention of GDM were included. Furthermore, six clinical trials and two observational studies related to supplements were also added. Only two nutritional interventions were found to significantly reduce the incidence of GDM, besides the supplements. However, the observational studies showed that a higher adherence to a healthier dietary pattern can prevent the incidence of GDM, especially in high risk population before getting pregnant. Conclusions The results indicate that there may be some benefits of some nutritional factors to prevent GDM. However, better-designed studies are required to generate higher quality evidence. At the moment, no strong conclusions can be drawn with regard to the best intervention for the prevention of GDM. 2017-04-26T10:04:05Z 2017-04-26T10:04:05Z 2017 info:eu-repo/semantics/article https://hdl.handle.net/10171/43259 spa info:eu-repo/semantics/openAccess application/pdf Bio Med Central |
| spellingShingle | Diet and dietary supplements Nutritional factors Primary prevention Gestational Diabetes Mellitus Materias Investigacion::Ciencias de la Salud::Salud pública Bes-Rastrollo, M. (Maira) Lopez-del-Burgo, C. (Cristina) Donazar, M. (Mikel) Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review |
| title | Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review |
| title_full | Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review |
| title_fullStr | Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review |
| title_full_unstemmed | Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review |
| title_short | Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review |
| title_sort | primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review |
| topic | Diet and dietary supplements Nutritional factors Primary prevention Gestational Diabetes Mellitus Materias Investigacion::Ciencias de la Salud::Salud pública |
| url | https://hdl.handle.net/10171/43259 |
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