Effect of dietary approaches to stop hypertension diet plan on pregnancy outcome patients with gestational diabetes mellitus

Abstract

The purpose of this study is to test the effects of Dietary Approaches to Stop Hypertension (DASH) diet plan on pregnancy outcomes patients with gestational diabetes mellitus. This randomized controlled clinical trial was performed among 33 women diagnosed with gestational diabetes. These patients were randomly distributed to the control group (n = 16) or DASH diet group (n = 17) for 4 weeks. Whereas 47.1% of women in the DASH diet needed to have a cesarean section, this percentage of mean gestational age in control diet was 81.3% (p<0.01). Approximately 23.5% of women in the DASH diet and 75% of women in control diet needed to commence insulin therapy after intervention (p<0.01). In conclusion, the effect of DASH diet improved pregnancy outcomes patients with gestational diabetes. Article Info

Gestational Diabetes Mellitus and Diet: A Systematic Review and Meta-analysis of Randomized Controlled Trials Examining the Impact of Modified Dietary Interventions on Maternal Glucose Control and Neonatal Birth Weight

“…1). Eighteen studies (12)(13)(14)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) were included in the meta-analysis with a total of 1,151 pregnant women with GDM.…”

“…The most recently published Cochrane systematic review by Han et al (17) did not find any clear evidence of benefit other than a possible reduction in cesarean section associated with DASH diet. The very high-carbohydrate intake (;400 g/day) and 12 servings of fruit and vegetables in the DASH diet (22,23,36) limit its clinical applicability and generalizability to women from lower socioeconomic, inner city backgrounds in Western countries. The Cochrane review shared one of our primary outcomes, large for gestational age (17).…”

“…Most studies assessed individual dietary adherence using food diaries (13, [23][24][25][26][27][28][29][30][31][32][33][34][35][36]. Although most studies did report an overall difference in dietary composition between the intervention diet and control diet, few studies reported a detailed assessment of dietary adherence.…”

“…When baseline characteristic data were pooled, women in the intervention group were older than women in the control group (pooled mean difference 0.60 years [95% CI 0.06, 1.14]) and had higher postprandial glucose ( Pooled analysis of low-GI diets showed a larger decrease in fasting (26,29,30), postprandial, and post-breakfast glucose compared with control diets (26,30) ( Table 2). However, the pooled analysis of the DASH diet showed significant favorable modifications in several outcomes, including change in fasting (22,36) and postprandial glucose (22), HOMA-IR (35), HbA 1c (22), medication need (22,23,36), infant birth weight (23,36), and macrosomia (23,36) (Tables 2 and 3). Last, pooled analysis of the soy protein-enriched diet demonstrated a significant decrease in medication use and birth weight (14,27) ( Tables 2 and 3).…”

“…Sensitivity analysis was performed to explore reasons for heterogeneity and to assess outcomes when studies with methodological concerns were removed. We were unable to include four studies (22,23,34,36), including all the DASH diet studies, where clarification of certain aspects of the results could not be obtained, even after a direct approach to the authors. The authors of the ethnic diet study responded to queries but did not provide the required information regarding gestational age at randomization (34).…”