PMID- 20307352 OWN - NLM STAT- MEDLINE DCOM- 20100809 LR - 20100714 IS - 1475-2662 (Electronic) IS - 0007-1145 (Linking) VI - 104 IP - 2 DP - 2010 Jul TI - The influence of maternal glycaemia and dietary glycaemic index on pregnancy outcome in healthy mothers. PG - 153-9 LID - 10.1017/S0007114510000425 [doi] AB - Infant birth weight has increased in Ireland in recent years along with levels of childhood overweight and obesity. The present article reviews the current literature on maternal glycaemia and the role of the dietary glycaemic index (GI) and its impact on pregnancy outcomes. It is known that maternal weight and weight gain significantly influence infant birth weight. Fetal macrosomia (birth weight >4000 g) is associated with an increased risk of perinatal trauma to both mother and infant. Furthermore, macrosomic infants have greater risk of being obese in childhood, adolescence and adulthood compared to normal-sized infants. There is evidence that there is a direct relationship between maternal blood glucose levels during pregnancy and fetal growth and size at birth, even when maternal blood glucose levels are within their normal range. Thus, maintaining blood glucose concentrations within normal parameters during pregnancy may reduce the incidence of fetal macrosomia. Maternal diet, and particularly its carbohydrate (CHO) type and content, influences maternal blood glucose concentrations. However, different CHO foods produce different glycaemic responses. The GI was conceived by Jenkins in 1981 as a method for assessing the glycaemic responses of different CHO. Data from clinical studies in healthy pregnant women have documented that consuming a low-GI diet during pregnancy reduces peaks in postprandial glucose levels and normalises infant birth weight. Pregnancy is a physiological condition where the GI may be of particular relevance as glucose is the primary fuel for fetal growth. FAU - McGowan, Ciara A AU - McGowan CA AD - UCD Obstetrics and Gynaecology, School of Medicine and Medical Science, National Maternity Hospital, University College Dublin, Holles Street, Dublin 2, Republic of Ireland. FAU - McAuliffe, Fionnuala M AU - McAuliffe FM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20100323 PL - England TA - Br J Nutr JT - The British journal of nutrition JID - 0372547 RN - 0 (Blood Glucose) RN - 0 (Dietary Carbohydrates) SB - IM MH - *Blood Glucose MH - Diet MH - Dietary Carbohydrates/administration & dosage/classification MH - Female MH - *Glycemic Index MH - Humans MH - Infant, Newborn MH - Pregnancy/*blood MH - Pregnancy Complications/prevention & control MH - *Pregnancy Outcome RF - 66 EDAT- 2010/03/24 06:00 MHDA- 2010/08/10 06:00 CRDT- 2010/03/24 06:00 PHST- 2010/03/24 06:00 [entrez] PHST- 2010/03/24 06:00 [pubmed] PHST- 2010/08/10 06:00 [medline] AID - S0007114510000425 [pii] AID - 10.1017/S0007114510000425 [doi] PST - ppublish SO - Br J Nutr. 2010 Jul;104(2):153-9. doi: 10.1017/S0007114510000425. Epub 2010 Mar 23.