An evaluation of dietary intakes of a selected group of South Asian migrant women with gestational diabetes mellitus

Croxford, Sharon; Gupta, Deevya; Bandyopadhyay, Mridula; Itsiopoulos, Catherine

doi:10.1080/13557858.2018.1539217

Cited by 5 publications

(6 citation statements)

References 33 publications

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“…Studies have also confirmed that mild to moderate lifestyle intervention had a major impact in preventing diabetes among impaired glucose tolerant subjects [29][30][31][32]. Evidence suggests that clearly illustrated diet plans with portion size of meals, including low GI foods, weekly meal plans, and physical activity suggestions such as daily walks/exercise, are essential and useful tools that aid in lifestyle modifications [20,33,34]. Therefore, the importance of lifestyle intervention messages should promote 'incidental physical activity' that can be integrated into women's daily activities.…”

Section: Discussionmentioning

confidence: 91%

“…A previous [8] study informed the development of sample menus for GDM diagnosed South Asian women based on the types of foods eaten before, during, and after pregnancy to promote healthy living [20]. Some health care providers felt that 'it was a big ask' for women to immediately change their lifestyle 'so completely' when diagnosed at 28-30 weeks gestation.…”

Section: Discussionmentioning

confidence: 99%

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Gestational diabetes mellitus: a qualitative study of lived experiences of South Asian immigrant women and perspectives of their health care providers in Melbourne, Australia

Bandyopadhyay

2021

BMC Pregnancy Childbirth

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Background South Asian women are at a high risk of developing gestational diabetes mellitus than other women in Australia. Gestational diabetes affects up to 14–19% of all pregnancies among South Asian, South East Asian, and Arabic populations placing women at risk of adverse pregnancy outcomes. Although, gestational diabetes resolves after childbirth, women with gestational diabetes are up to seven times more likely to develop type 2 diabetes within five to ten years of the index pregnancy. Increasingly, South Asian women are being diagnosed with gestational diabetes in Australia. Therefore, we aimed to gain a better understanding of the lived experiences of South Asian women and their experiences of self-management and their health care providers’ perspectives of treatment strategies. Methods Using an ethnographic qualitative research methodology, semi-structured one-on-one, face-to-face interviews were conducted with 21 health care providers involved in gestational diabetes management and treatment from the three largest tertiary level maternity hospitals in Melbourne, Victoria, Australia. In-depth interviews were conducted with 23 South Asian women post diagnosis between 24–28 weeks gestation in pregnancy. Results Health care providers had challenges in providing care to South Asian women. The main challenge was to get women to self-manage their blood glucose levels with lifestyle modification. Whilst, women felt self-management information provided were inadequate and inappropriate to their needs. Women felt ‘losing control over their pregnancy’, because of being preoccupied with diet and exercise to control their blood glucose level. Conclusions The gestational diabetes clinical practice at the study hospitals were unable to meet consumer expectations. Health care providers need to be familiar of diverse patient cultures, rather than applying the current ‘one size fits all’ approach that failed to engage and meet the needs of immigrant and ethnic women. Future enabling strategies should aim to co-design and develop low Glycaemic Index diet plans of staple South Asian foods and lifestyle modification messages.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Gestational diabetes mellitus: a qualitative study of lived experiences of South Asian immigrant women and perspectives of their health care providers in Melbourne, Australia

Bandyopadhyay

2021

BMC Pregnancy Childbirth

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“…No Brasil, assim como no mundo existe uma crescente preocupação com o estado nutricional da população, devido ao aumento das taxas de doenças crônicas não transmissíveis causadas especialmente pelo sobrepeso e obesidade. As dietas vegetarianas são atualmente consideradas pelos especialistas como uma opção para diminuir os riscos dessas patologias (3,(6)(7)(8)10,17,(21)(22)(23)23,24). Assim, o número de indivíduos que optam por dietas vegetarianas tem crescido, bem como o mercado de produtos voltados para esse público.…”

Section: Discussionunclassified

“…Nesse estudo, observou-se que 89% dos entrevistados obtém informações sobre o vegetarianismo através da internet, além de que grande parte são vegetarianos há mais de um ano. Sabe-se que a mídia exerce forte influência nas camadas populares, podendo ser positiva, contribuindo para melhor propagar as ideias e movimentos, assim como para aumentar o número de adeptos, colaborando para o crescimento de ofertas de serviços de saúde, aumento de produtos alimentícios e cosméticos, podendo gerar renda para pequenos e grandes produtores de diversos setores (21,22). Contudo, também pode ser negativa, por incentivar o consumo de alimentos processados e ultraprocessados, além de propagar informações não cientificas e/ou errôneas sobre a alimentação e nutrição vegetariana, repercutindo diretamente na saúde de quem as pratica (20).…”

Section: Discussionunclassified

Conhecimento Nutricional E Perfil De Adultos Vegetarianos Residentes No Estado Do Rio De Janeiro/ Nutritional Knowledge and Profile of Vegetarian Adults Resident in the State of Rio De Janeiro

Braucks

Oliveira

et al. 2021

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RESUMODevido à expansão do número de vegetarianos e à escassez de trabalhos que busquem a caracterização dessa população, o presente estudo tem como objetivo avaliar o conhecimento nutricional e apresentar o perfil dos indivíduos vegetarianos residentes no estado do Rio de Janeiro. Trata-se de um estudo transversal, observacional, descritivo, realizado de janeiro a agosto de 2019, com vegetarianos adultos residentes no estado do Rio de Janeiro. Para a avaliação do perfil dos vegetarianos foram utilizados questionários sociodemográficos, de perfil de consumo, além da Escala de Conhecimento Nutricional do National Health Interview Survey Cancer Epidemiology. Ambos foram preenchidos no Google forms e divulgado em diferentes redes sociais. O banco de dados foi elaborado com auxílio de planilha Excel ® . A análise dos dados foi descritiva e os resultados apresentados em valor percentual. O estudo foi aprovado pelo comitê de ética sob número 2.838.962-2018 e somente participaram aqueles que assinaram o Termo de Consentimento Livre e Esclarecido (TCLE), eletrônico. Segundo os entrevistados, 88,4% utilizavam a Internet como fonte de preparações, 32,1% fazia acompanhamento nutricional e 20,65% obteve como resultado alto conhecimento nutricional. Tais dados sugerem a necessidade de ações em Educação Alimentar e Nutricional voltadas para esse público, além da capacitação dos profissionais de saúde.

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“…However, vegans should plan their diets well, as they have an increased risk of not consuming enough protein when compared to omnivores and vegetarians [ 53 ]. An Australian study compared vegetarian and non-vegetarian women with GDM from South Asia in Australia found that the vegetarian GDM group received 14 ± 3% of their energy intake from protein as compared to 17 ± 4% in non-vegetarians, but remained within the range of the non-vegetarians supporting the feasibility of a vegetarian diet [ 54 ]. Another meta-analysis found that, overall, a vegetarian diet was not associated with birth weight, but that Asian women had a higher risk of delivering babies with low birth weight when compared to Caucasian women [ 55 ].…”

Section: Proteinmentioning

confidence: 99%

Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus

et al. 2020

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Gestational diabetes mellitus (GDM) among pregnant women increases the risk of both short-term and long-term complications, such as birth complications, babies large for gestational age (LGA), and type 2 diabetes in both mother and offspring. Lifestyle changes are essential in the management of GDM. In this review, we seek to provide an overview of the lifestyle changes which can be recommended in the management of GDM. The diet recommended for women with GDM should contain sufficient macronutrients and micronutrients to support the growth of the foetus and, at the same time, limit postprandial glucose excursions and encourage appropriate maternal gestational weight gain. Blood glucose excursions and hyperglycaemic episodes depend on carbohydrate-intake. Therefore, nutritional counselling should focus on the type, amount, and distribution of carbohydrates in the diet. Further, physical activity has beneficial effects on glucose and insulin levels and it can contribute to a better glycaemic control.

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An evaluation of dietary intakes of a selected group of South Asian migrant women with gestational diabetes mellitus

Cited by 5 publications

References 33 publications

Gestational diabetes mellitus: a qualitative study of lived experiences of South Asian immigrant women and perspectives of their health care providers in Melbourne, Australia

Gestational diabetes mellitus: a qualitative study of lived experiences of South Asian immigrant women and perspectives of their health care providers in Melbourne, Australia

Conhecimento Nutricional E Perfil De Adultos Vegetarianos Residentes No Estado Do Rio De Janeiro/ Nutritional Knowledge and Profile of Vegetarian Adults Resident in the State of Rio De Janeiro

Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus

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