[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: 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:   (537 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]   (141 Downloads)    
Type of Study: Original | Subject: Endocrine System
Received: 2018/01/7 | Accepted: 2018/01/7 | Published: 2018/01/7
1. CanadianDiabetes Association. Diabetes and Pregnancy. Can J Diabetes. 2013; 37: S168-S183.
2. Gunningham F, Leveno K, Bloom S, et al. Williams obstetrics. 24nd Ed. New York: McGraw Hill, 2014.
3. American Diabetes Association. Gestational diabetes mellitus. Diabetes Care. 2004; 27(1):88-90.
4. Khoshnniat Nikoo M, Abbaszadeh Ahranjani S, Larijani B. A review on the prevalence of gestational diabetes mellitus (GDM) in different regions of Iran.J Diabetes Metab Disord. 2009; 47-56(Persian) [Google Scholar]
5. Jafari Shobeiri M, Ghojazadeh M, Azami-Aghdash S, et al. Prevalence and Risk Factors of Gestational Diabetes in Iran: A Systematic Review and Meta-Analysis. Iran J Public Health. 2015; 44(8):1036-44. [PubMed] [Google Scholar]
6. Hajifaraji M, Dolatkhah N. gestational diabetes mellitus and associated challenges from the perspective of nutrition sciences: A Review article. J Mazandaran Univ Med Sci. 2017; 27 (149) 202-224. (Persian) [Google Scholar]
7. Mahan LK, Escott-Stump. Krause’s Food, Nutrition & the Nutrition care process.13th ed. Philadelphia , Pennsylvania: WB Saunders;2012: 665 - 699.
8. Langer O, Levy J, Brustman L. et al. Glycemic control in gestational diabetes mellitus-How tight is tight enough: Small for gestational age versus large for gestational age? Am J Obstet Gynecol. 1989; 161(3): 646-653. [PubMed] [Google Scholar]
9. Viana LV, Gross JL, Azevedo MJ. Dietary Intervention in Patients With Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Clinical Trials on Maternal and Newborn Outcomes. Diabetes Care. 2014; 37(12):3345–3355. [PubMed] [Google Scholar]
10. Poomalar GK. Changing trends in management of gestational diabetes mellitus. World J Diabetes 2015; 15: 6(2): 284-295 [PubMed] [Google Scholar]
11. Liu S, Manson JE, Buring JE, et al. Relation between a diet with a high glycemic load and plasma concentrations of high-sensitivity C-reactive protein in middle-aged women. Am J ClinNutr 2002; 75(3):492–498. [PubMed] [Google Scholar]
12. Chen X, Zhao D, Mao X, et al. Maternal Dietary Patterns and Pregnancy Outcome. Nutrients 2016; 8(6) : 2-26. [PubMed] [Google Scholar]
13. Tabatabaei M, Gestational weight gain, prepregnancy body mass index related to pregnancy outcomesin KAZERUN, FARS, IRAN. Journal of Prenatal Medicine 2011; 5 (2): 35-40. [PubMed] [Google Scholar]
14. Wolff S, Legarth J, Vangsgaard K, et al. A randomized trial of the effects of dietary counseling on gestational weight gain and glucose metabolism in obese pregnant women. International Journal of Obesity 2008; 32: 495–501. [PubMed] [Google Scholar]
15. Streuling I, Beyerlein A, vonKries R: Can gestational weight gain be modified by increasing physical activity and diet counseling? Ameta-analysis of interventional trials. Am J ClinNutr 2010, 92(4):678-87. [PubMed] [Google Scholar]
16. Fadakar Soogheh K, Ghavi A, Niknami M, et al. Relationship between Mothers’ Nutritional Status and Weight Gain during Pregnancy with Low Birth Weight. Journal of Guilan University of Medical Sciences. 2012; 21(83): 27-35. (Persian) [Google Scholar]
17. Crowther CA, Hiller JE, Moss JR, et al. Australian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) Trial Group. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med. 2005; 352(24):2477–2486. [PubMed] [Google Scholar]
18. Moses RG, Luebcke M, Davis WS, et al. Effect of a low-glycemic-indexdiet during pregnancy on obstetric outcomes. Am J ClinNutr. 2006; 84(4):807–812. [PubMed] [Google Scholar]
19. Goshtasebi A, Banaem L, Âlizadeh Rodbary M, et al. The Association Between Preconception Body Mass Index and Pregnancy Weight gain on Birth Weight. J Mazandaran Univ Med Sci. 2011, 21(84): 81-85. (Persian) [Google Scholar]
20. Fiscella K. Race, genes and preterm delivery. J Natl Med Assoc 2005;97(11):1516-1526. [PubMed] [Google Scholar]
21. Perichart-Perera O, Balas-Nakash M, Rodrguez-Cano A, et al. Low Glycemic Index Carbohydrates versus All Types of Carbohydrates for Treating Diabetes in Pregnancy: A Randomized Clinical Trial to Evaluate the Effect of Glycemic Control.Int J Endocrinol. 2012; (2012)1-10. [PubMed] [Google Scholar]
22. Ehrenberg HM, Mercer BM, Catalano PM. The influence of obesity and diabetes on the prevalence of macrosomia. Am J Obstet Gynecol 2004; 191(3): 964–968. [PubMed] [Google Scholar]
23. KC K, Shakya S, Zhang H. Gestational Diabetes Mellitus and Macrosomia: A Literature Review. Ann Nutr Metab. 2015;66(2):14–20. [PubMed] [Google Scholar]
24. Jolly MC, Sebire NJ, Harris JP, et al. Risk factors for macrosomia and its clinical consequences: a study of 350,311 pregnancies. Eur J Obstet Gynecol Reprod Biol. 2003; 111(1):9–14. [PubMed] [Google Scholar]
25. Heude B, Thiebaugeorges O, Goua V, et al. Pre-pregnancy body mass index and weight gain during pregnancy: relations with gestational diabetes and hypertension, and birth outcomes. Matern Child Health J. 2012; 16(2): 355–363. [PubMed] [Google Scholar]
26. Landon MB, Spong CY, Thom E, et al. A multicenter, randomized trial of treatment for mild gestational diabetes. N Engl J Med. 2009; 361:1339–1348. [PubMed] [Google Scholar]
27. Bryson CL, Ioannou GN, Rulyak SJ. Association between Gestational Diabetes and Pregnancy-induced Hypertension. Am J Epidemiol 2003;158(12):1148–1153 [PubMed] [Google Scholar]
28. Parikh RM, Joshi SR, Menon PS, et al. Intensive glycemic control in diabetic pregnancy with intrauterine growth restriction is detrimental to fetus. Med Hypotheses. 2007;69(1):203-205. [PubMed] [Google Scholar]
29. Jahanian Sadatmahale SH, Ziaei S, Kazemnejad A. Effect of Some Risk Factors Associated with Intrauterine Growth Retardation (IUGR). Journal of Guilan University of medical Sciences. 2011; 19 (76) :22-28. (Persian) [Google Scholar]
30. List S. Effects of Prenatal Gestational Diabetes Nutrition Education Class and Individual Follow-Up on Maternal and Infant Outcomes. Theses & Dissertations. 2016; 5(7) :7-33 [Google Scholar]
31. Scholl TO, Chen X, Khoo CS, et al. The dietary glycemic index during pregnancy: influence on infant birth weight, fetal growth, and biomarkers of carbohydrate metabolism.Am J Epidemiol.2004;159(5):467-474 [PubMed] [Google Scholar]
Send email to the article author

Add your comments about this article
Your username or Email:

Write the security code in the box >

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

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

Iranian South Medical Journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License which allows users to read,
copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly

Copyright © 2017, Iranian South Medical Journal| All Rights Reserved

Persian site map - English site map - Created in 0.054 seconds with 848 queries by yektaweb 3619