PMID- 37127452
OWN - NLM
STAT- MEDLINE
DCOM- 20230801
LR  - 20230801
IS  - 1878-0210 (Electronic)
IS  - 1878-0210 (Linking)
VI  - 17
IP  - 4
DP  - 2023 Aug
TI  - Effects of different dietary patterns during pregnancy on birth outcomes and 
      glucose parameters in women with gestational diabetes mellitus: A systematic 
      review and meta-analysis.
PG  - 287-308
LID - S1751-9918(23)00086-4 [pii]
LID - 10.1016/j.pcd.2023.04.005 [doi]
AB  - PURPOSE: Dietary interventions are the cornerstone of gestational diabetes 
      mellitus (GDM) treatment. This study aimed to evaluate the effects of dietary 
      patterns during pregnancy on birth outcomes and glucose parameters in women with 
      GDM. METHODS: PubMed, Embase, and The CoChrane Library were searched from the 
      time of database creation to November 30, 2021, along with manual searches. Data 
      analyses were performed using Stata 15.4 software. RESULTS: From 2461 studies, 27 
      RCTs involving 1923 women were eligible. The pooled results showed that dietary 
      pattern interventions during pregnancy reduced birth weight (WMD: -0.14 kg; 95% 
      CI: -0.24, -0.00), hemoglobin A(1 C) (HbA(1 C)) (WMD: -0.19, 95% CI: -0.34, 
      -0.05), and macrosomia incidence (RR 0.65 [95% CI 0.48, 0.88]). Low glycemic 
      index (GI) diet reduced macrosomia incidence (RR 0.31 [95% CI 0.11, 0.93]) and 
      fasting plasma glucose (FPG) levels (WMD: -0.10 mmol/L; 95% CI: -0.14, -0.05); a 
      low carbohydrate (CHO) diet reduced large for gestational age (LGA) incidence (RR 
      0.33 [95% CI 0.13, 0.82]) and HbA(1 C) (WMD: -0.32; 95% CI: -0.51, -0.14); 
      dietary approaches to stop hypertension (DASH) diet reduced birth weight 
      (WMD:-0.59 kg; 95% CI: -0.64, -0.55), insulin use (RR 0.31 [95% CI 0.18, 0.56), 
      macrosomia incidence (RR 0.12 [95% CI 0.03, 0.50]), and cesarean sections 
      incidence (RR 0.57 [95% CI 0.40, 0.82]). CONCLUSION: Dietary patterns during 
      pregnancy can improve certain birth outcomes and glycemic parameters. Due to 
      limitations in the quality and number of included studies, the above findings 
      still need to be validated by further randomized controlled trials with high 
      quality and large samples.
CI  - Copyright (c) 2023 Primary Care Diabetes Europe. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Lin, Qiulin
AU  - Lin Q
AD  - Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical 
      University, Hefei, China.
FAU - Zhang, Zhiqiang
AU  - Zhang Z
AD  - Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical 
      University, Hefei, China.
FAU - Meng, Qingchong
AU  - Meng Q
AD  - Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical 
      University, Hefei, China.
FAU - Xie, Yali
AU  - Xie Y
AD  - Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical 
      University, Hefei, China.
FAU - Liu, Zhengxiang
AU  - Liu Z
AD  - Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical 
      University, Hefei, China.
FAU - Hu, Chunqiu
AU  - Hu C
AD  - Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical 
      University, Hefei, China.
FAU - Wang, Guoxiu
AU  - Wang G
AD  - Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical 
      University, Hefei, China.
FAU - Qin, Panzhu
AU  - Qin P
AD  - Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical 
      University, Hefei, China.
FAU - Bo, Qingli
AU  - Bo Q
AD  - Department of Nutrition and Food Hygiene, School of Public Health, Anhui Medical 
      University, Hefei, China. Electronic address: lqb051@126.com.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
DEP - 20230429
PL  - England
TA  - Prim Care Diabetes
JT  - Primary care diabetes
JID - 101463825
RN  - IY9XDZ35W2 (Glucose)
SB  - IM
MH  - Pregnancy
MH  - Female
MH  - Humans
MH  - *Diabetes, Gestational/diagnosis/epidemiology/therapy
MH  - Fetal Macrosomia/diagnosis/epidemiology/prevention & control
MH  - Birth Weight
MH  - Glucose
MH  - Diet/adverse effects
OTO - NOTNLM
OT  - Dietary pattern
OT  - Gestational diabetes mellitus
OT  - Meta-analysis
OT  - Pregnancy
COIS- Declaration of Competing Interest The authors declare that they have no conflict 
      of interest.
EDAT- 2023/05/02 00:42
MHDA- 2023/08/01 06:45
CRDT- 2023/05/01 21:56
PHST- 2022/08/30 00:00 [received]
PHST- 2023/03/13 00:00 [revised]
PHST- 2023/04/21 00:00 [accepted]
PHST- 2023/08/01 06:45 [medline]
PHST- 2023/05/02 00:42 [pubmed]
PHST- 2023/05/01 21:56 [entrez]
AID - S1751-9918(23)00086-4 [pii]
AID - 10.1016/j.pcd.2023.04.005 [doi]
PST - ppublish
SO  - Prim Care Diabetes. 2023 Aug;17(4):287-308. doi: 10.1016/j.pcd.2023.04.005. Epub 
      2023 Apr 29.