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:: Volume 20, Issue 6 (Iranian South Medical Journal 2018) ::
Iran South Med J 2018, 20(6): 573-583 Back to browse issues page
The Effect of Diet Based on Body Mass Index on Pregnancy Outcomes in 20 – 35 Year Old Pregnant Mothers with Gestational Diabetes Mellitus (GDM) Referred to Arash Hospital
Abotaleb Beigi 1, Farzaneh Nazari *2, Rehaneh Hoseini 3, Nooshin Shirzad 4, Farideh Nazari 5, Akram Ansari far 6
1- Department of Obstetrics and Gynecology, School of Medicine,Tehran University of Medical Sciences, Tehran, Iran
2- Department of Obstetrics and Gynecology, School of Medicine,BushehrUniversity of Medical Sciences, Bushehr, Iran , nazarif78@yahoo.com
3- Department of Obstetrics and Gynecology, School of Medicine,BushehrUniversity of Medical Sciences, Bushehr, Iran
4- Endocrinology & Metabolism Research Center,Tehran University of Medical Sciences, Tehran, Iran
5- Department of community nutrition improvement, health deputy, Bushehr University of Medical Sciences, Bushehr, Iran
6- Department of prevention uncomunicable disease, health deputy, Bushehr University of Medical Sciences, Bushehr, Iran
Abstract:   (314 Views)
Background: Gestational diabetes can leads to macrosomy, fetal abnormalities, increase prevalence of hypertension, increasing unreasonable morality. Diet plays a very important role in the consequences of pregnancy in these patients. The purpose of this study was to assess the effect of diet based on body mass index (BMI) on pregnancy outcomes in diabetic pregnant 20-35 year old women referring to Arash hospital.
Materials and Methods: In this randomized double-blind clinical trial, 70 diabetic pregnant women 20-35 year old were divided in two groups as case and control. Control group was on diet with 30 kilo calorie per kilogram energy without consideration BMI. In this way, The case group, with BMI 19-24.9 got 30 kilo calorie per kilogram energy and with BMI 25-29.9 got 25 kilo calorie per kilogram energy. SPSS version 23 software was used for analyzing and (P<0.05) was considered significant.
Results: There was no significant difference between case and control group about mean of increasing weight end of pregnancy (p=0.3), The birth weight (p=0.05), Insulin requirement (p=0.7), macrosomia (p=0.2), hypertension (p=0.1), intra uterine growth retardation (p=0.3), gestational age in delivery (p=0.3), infant blood calcium (p=0.3) but infant blood sugar in case group was less than control group significantly (p=0.01).
Conclusion: Calorie restriction based on BMI in case group compared to control group was not effective about more pregnancy outcomes such as average weight gain at the end of pregnancy, Insulin requirement, weight of newborns at birth, macrosomia baby birth, Having high blood pressure, intra uterine growth retardation, gestational age in delivery, infant blood calcium. but infant blood sugar in case group was less than control group significantly.
Keywords: Gestational diabetes mellitus (GDM), Diet, Body mass index, Weight gain in pregnancy, Macrosomia, Hypertension
Full-Text [PDF 703 kb]   (114 Downloads)    
Type of Study: Original | Subject: Endocrine System
Received: 2018/01/7 | Accepted: 2018/01/7 | Published: 2018/01/7
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Beigi A, Nazari F, Hoseini R, Shirzad N, Nazari F, Ansari far A. The Effect of Diet Based on Body Mass Index on Pregnancy Outcomes in 20 – 35 Year Old Pregnant Mothers with Gestational Diabetes Mellitus (GDM) Referred to Arash Hospital. Iran South Med J. 2018; 20 (6) :573-583
URL: http://ismj.bpums.ac.ir/article-1-908-en.html


Volume 20, Issue 6 (Iranian South Medical Journal 2018) Back to browse issues page
دانشگاه علوم پزشکی بوشهر، طب جنوب ISMJ

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