Volume 20, Issue 6 (Iranian South Medical Journal 2018)
Iran South Med J 2018, 20(6): 573-583 |
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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
URL: http://ismj.bpums.ac.ir/article-1-908-en.html
Abotaleb Beigi1 
, Farzaneh Nazari * 2, Rehaneh Hoseini3 , Nooshin Shirzad4 , Farideh Nazari5 , Akram Ansari far6
, Farzaneh Nazari * 2, Rehaneh Hoseini3 , Nooshin Shirzad4 , Farideh Nazari5 , Akram Ansari far6
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
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: (5455 Views)
Background: Gestational diabetes can cause macrosomia, fetal abnormalities, and increased prevalence of hypertension, which unreasonably increases fetal mortality rate. Nutrition plays a crucial role in the complications of pregnancy in these patients. The purpose of this study was to investigate the effect of a BMI (Body Mass Index) based diet on pregnancy outcomes in diabetic pregnant women aged between 20-35 years referred to Arash Hospital.
Materials and Methods: In this randomized, double-blind clinical trial, 70 diabetic pregnant women aged between 20-35 years were divided into two groups as case and control. The control group received a diet including 30 kilocalories per kilogram energy regardless of their BMI. The first group, including participants with the BMI ranged between 19-24.9 received 30 kilocalories per kilogram energy diet, and the second group including participants with the BMI between 25-29.9 received 25 kilocalories per kilogram diet. The SPSS software version 23 was used for analyzing the data and P-value<0.05 was considered as significant.
Results: There was no significant difference between the cases and control group in the mean of gaining weight at the end of pregnancy (p=0.3). There was also no significant difference between the mean birth weight (p=0.05), Insulin requirement (p=0.7), macrosomia (p=0.2), hypertension (p=0.1), intrauterine growth retardation (p=0.3), gestational age in delivery (p=0.3), and infant blood calcium (p=0.3) between the groups.However, the mean newborn blood sugar level in case group was significantly lower than the control group (p=0.01).
Conclusion: BMI based calorie intake restriction in diet during pregnancy did not affect the main pregnancy outcomes such as average weight gain at the end of pregnancy, insulin requirement, newborns birth weight risk of fetal macrosomia r, maternal high blood pressure, intrauterine growth retardation, gestational age in delivery, infant blood calcium. However, newborn blood sugar was significantly lower in the case group compared to control group.
Materials and Methods: In this randomized, double-blind clinical trial, 70 diabetic pregnant women aged between 20-35 years were divided into two groups as case and control. The control group received a diet including 30 kilocalories per kilogram energy regardless of their BMI. The first group, including participants with the BMI ranged between 19-24.9 received 30 kilocalories per kilogram energy diet, and the second group including participants with the BMI between 25-29.9 received 25 kilocalories per kilogram diet. The SPSS software version 23 was used for analyzing the data and P-value<0.05 was considered as significant.
Results: There was no significant difference between the cases and control group in the mean of gaining weight at the end of pregnancy (p=0.3). There was also no significant difference between the mean birth weight (p=0.05), Insulin requirement (p=0.7), macrosomia (p=0.2), hypertension (p=0.1), intrauterine growth retardation (p=0.3), gestational age in delivery (p=0.3), and infant blood calcium (p=0.3) between the groups.However, the mean newborn blood sugar level in case group was significantly lower than the control group (p=0.01).
Conclusion: BMI based calorie intake restriction in diet during pregnancy did not affect the main pregnancy outcomes such as average weight gain at the end of pregnancy, insulin requirement, newborns birth weight risk of fetal macrosomia r, maternal high blood pressure, intrauterine growth retardation, gestational age in delivery, infant blood calcium. However, newborn blood sugar was significantly lower in the case group compared to control group.
Keywords: Gestational diabetes mellitus (GDM), Diet, Body mass index, Weight gain in pregnancy, Macrosomia, Hypertension
Type of Study: Original |
Subject:
Endocrine System
Received: 2016/12/26 | Accepted: 2017/08/6 | Published: 2018/01/7
Received: 2016/12/26 | Accepted: 2017/08/6 | Published: 2018/01/7
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