Association of food groups intake and physical activity with gestational diabetes mellitus in Iranian women

Lotfi, Mohammad Hasan; Fallahzadeh, Hossein; Rahmanian, Masoud; Hosseinzadeh, Mahdieh; Lashkardoost, Hossein; Doaei, Saeid; Hamedi, Andishe

doi:10.1080/14767058.2019.1579189

Cited by 9 publications

(6 citation statements)

References 30 publications

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“…Genistein, daidzein, and glycitein are the most prominent isoflavones that have been recently studied. Most biological activities of isoflavones are related to their antioxidant and anti-inflammatory properties [12][13][14][15]. At the same time, they are known as phytoestrogens, meaning that these compounds have structural similarities with estrogen.…”

Section: Introductionmentioning

confidence: 99%

The effect of genistein on insulin resistance, inflammatory factors, lipid profile, and histopathologic indices in rats with polycystic ovary syndrome

Amanat

Ashkar

Eftekhari

et al. 2021

Clin Exp Reprod Med

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Objective: Polycystic ovary syndrome (PCOS) is characterized by hyperandrogenism, irregular menstruation, ovulatory dysfunction, and insulin resistance. Recent studies have reported the possible role of phytoestrogens in PCOS. This animal study aimed to evaluate the effects of genistein on insulin resistance, inflammatory factors, lipid profile, and histopathologic indices on PCOS. Methods: PCOS was induced by 1 mg/kg of letrozole in adult Sprague-Dawley rats. The rats then received normal saline (PCOS group), 150 mg/kg of metformin, or 20 mg/kg of genistein dissolved in 1% methylcellulose solution for 42 days. Body weight, the glycemic and lipid profile, and inflammatory, antioxidative, and histopathological parameters were assessed at the end of the intervention. Results: Treatment with genistein significantly alleviated the increased level of fasting blood insulin (p=0.16) and the homeostatic model assessment of insulin resistance (p=0.012). In addition, the genistein group had significantly lower levels of serum malondialdehyde (p=0.039) and tumor necrosis factor-alpha (p=0.003), and higher superoxide dismutase enzyme activity (p<0.001). Furthermore, the histopathological analysis indicated that genistein administration led to an increase in luteinization and the development of fewer cysts (p<0.05). Conclusion: Biochemical and histopathological analyses indicated that genistein administration to rats with PCOS induced significant remission in oxidative, inflammatory, and glycemic and histopathologic parameters (all p<0.05).

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Section: Introductionmentioning

confidence: 99%

The effect of genistein on insulin resistance, inflammatory factors, lipid profile, and histopathologic indices in rats with polycystic ovary syndrome

Amanat

Ashkar

Eftekhari

et al. 2021

Clin Exp Reprod Med

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“…These articles, conducted between 1988 and 2023, originated from different countries including the USA [ 33 , 36 , 53 , 58 , 60 , 62 , 69 , 74 , 78 ], the UK [ 16 ], China [ 43 , 49 , 51 , 71 , 73 ], Brazil [ 31 , 59 , 63 , 64 , 68 , 79 ], Spain [ 39 , 40 , 42 , 55 , 57 ], Iran [ 17 , 18 , 30 , 32 , 48 , 54 , 66 , 76 , 77 ], Malaysia [ 75 ], Palestine [ 72 ], Australia [ 45 , 46 , 65 ], Singapore [ 37 , 38 ], Norway [ 35 , 44 , 47 ], Japan [ 41 , 67 ], Czech Republic [ 34 ], Iceland [ 70 ] and Denmark [ 61 ]. The study-specific, maximally adjusted RR was reported for 552,686 individuals across the included articles and was pooled for meta-analysis to assess the association between UPFs and the risk GDM [ 16 , 32 – 34 , 36 , 38 – 41 , 43 , 48 – 51 , 53 – 56 , 59 , 60 , ...…”

Section: Resultsmentioning

confidence: 99%

“…The study-specific, maximally adjusted RR was reported for 552,686 individuals across the included articles and was pooled for meta-analysis to assess the association between UPFs and the risk GDM [ 16 , 32 – 34 , 36 , 38 – 41 , 43 , 48 – 51 , 53 – 56 , 59 , 60 , 64 – 66 , 70 – 75 , 77 – 79 ], PE [ 17 , 18 , 30 , 35 , 48 , 52 , 62 , 69 , 74 , 76 ], PTB [ 31 , 37 , 44 – 46 , 48 , 52 , 58 , 61 , 67 ], LBW [ 45 , 63 , 67 ] and SGA infants [ 46 , 67 , 68 ]. The Newcastle-Ottawa grade (used for quality assessment) categorized 27 studies as high quality [ 17 , 33 , 35 – 37 , 39 – 45 , 47 , 51 , 53 , 55 , 57 , 58 , 60 , 62 , 65 , 67 , 69 , 74 , 75 , 78 ] and 27 as medium quality [ 16 ,…”

Section: Resultsmentioning

confidence: 99%

The association between ultra-processed food and common pregnancy adverse outcomes: a dose-response systematic review and meta-analysis

Talebi,

Mehrabani,

Ghoreishy

et al. 2024

BMC Pregnancy Childbirth

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Objectives Given the increasing incidence of negative outcomes during pregnancy, our research team conducted a dose-response systematic review and meta-analysis to investigate the relationship between ultra-processed foods (UPFs) consumption and common adverse pregnancy outcomes including gestational diabetes mellitus (GDM), preeclampsia (PE), preterm birth (PTB), low birth weight (LBW), and small for gestational age (SGA) infants. UPFs are described as formulations of food substances often modified by chemical processes and then assembled into ready-to-consume hyper-palatable food and drink products using flavors, colors, emulsifiers, and other cosmetic additives. Examples include savory snacks, reconstituted meat products, frozen meals that have already been made, and soft drinks. Methods A comprehensive search was performed using the Scopus, PubMed, and Web of Science databases up to December 2023. We pooled relative risk (RR) and 95% confidence intervals (CI) using a random-effects model. Results Our analysis (encompassing 54 studies with 552,686 individuals) revealed a significant association between UPFs intake and increased risks of GDM (RR = 1.19; 95% CI: 1.10, 1.27; I2 = 77.5%; p < 0.001; studies = 44; number of participants = 180,824), PE (RR = 1.28; 95% CI: 1.03, 1.59; I2 = 80.0%; p = 0.025; studies = 12; number of participants = 54,955), while no significant relationships were found for PTB, LBW and SGA infants. Importantly, a 100 g increment in UPFs intake was related to a 27% increase in GDM risk (RR = 1.27; 95% CI: 1.07, 1.51; I2 = 81.0%; p = 0.007; studies = 9; number of participants = 39,812). The non-linear dose-response analysis further indicated a positive, non-linear relationship between UPFs intake and GDM risk Pnonlinearity = 0.034, Pdose-response = 0.034), although no such relationship was observed for PE (Pnonlinearity = 0.696, Pdose-response = 0.812). Conclusion In summary, both prior to and during pregnancy, chronic and excessive intake of UPFs is associated with an increased risk of GDM and PE. However, further observational studies, particularly among diverse ethnic groups with precise UPFs consumption measurement tools, are imperative for a more comprehensive understanding.

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“…There are several factors responsible for the development of GDM. GDM is thought to arise due to insulin resistance caused by pregnancy hormones, obesity, sedentary lifestyle, faulty dietary habits, stress or metabolic syndrome, which is not sufficiently justified by the pancreatic β-cells via higher proliferation and insulin production [5]. A cross-sectional study conducted in Brazil concluded that main determinants of GDM are obesity, especially central obesity, excessive gestational weight with BMI >35kg/m2, physical inactivity, late pregnancy, multiple pregnancies, and a familial record of diabetes [6].…”

Section: Introductionmentioning

confidence: 99%

Is intermittent fasting really beneficial for women with GDM? A mini-review

Arora¹,

Patel²,

Gokhale³

2023

Ital J Gynaecol Obstet

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Objective. Intermittent fasting (IF) is a diet regime that has been widely explored for its effect on weight loss, heart health and oxidative stress, especially in Type 2 Diabetes. The number of women suffering from Gestational Diabetes Mellitus (GDM) is increasing globally. Hence, the following review aims to explore the importance of IF in women suffering from GDM concerning maternal and neonatal outcomes and dietary quality and compliance. Materials and Methods.A systematic literature search was done using PubMed, Scopus, Google Scholar and Web of Science to review the interrelationship between intermittent fasting and GDM. Results.Evidence from studies support that intermittent fasting or other types of energy restriction along with exercise helps to improve mother and fetus-related outcomes in women with GDM. Evidence suggests that IF can help reduce blood sugar levels and weight of women suffering from GDM. A mother performing IF during pregnancy, especially with GDM, poses a risk to the ideal development and growth of the child, resulting in infants with low birth weight or excessive birth weight along with other complications. Conclusions.Various dietary regimes are prescribed for women with GDM. Our review illustrates how the role of IF in women with GDM is controversial. On one side, IF has shown beneficial effects on maternal health in women suffering from GDM. On the other side, IF shows questionable results on neonatal outcomes.

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Association of food groups intake and physical activity with gestational diabetes mellitus in Iranian women

Cited by 9 publications

References 30 publications

The effect of genistein on insulin resistance, inflammatory factors, lipid profile, and histopathologic indices in rats with polycystic ovary syndrome

The effect of genistein on insulin resistance, inflammatory factors, lipid profile, and histopathologic indices in rats with polycystic ovary syndrome

The association between ultra-processed food and common pregnancy adverse outcomes: a dose-response systematic review and meta-analysis

Is intermittent fasting really beneficial for women with GDM? A mini-review

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