Impact of nutrients and Mediterranean diet on the occurrence of gestational diabetes
Autor: | Fatma Ben Sabeh, Henda Jamoussi, Houda Ben Jemaa, Faten Mahjoub, A. Gamoudi, Nadia Ben Amor |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Mediterranean diet
Nutritional Status Physiology Diet Mediterranean 03 medical and health sciences 0302 clinical medicine Nutrient Pregnancy nutrients Humans Medicine 030212 general & internal medicine business.industry Incidence (epidemiology) Confounding Gestational diabetes mediterranean diet General Medicine Dietary pattern medicine.disease Diabetes Gestational Dietary history Female Original Article gestational diabetes business 030217 neurology & neurosurgery Research Article |
Zdroj: | Libyan Journal of Medicine; Vol. 16 No. 1 (2021) Libyan Journal of Medicine, Vol 16, Iss 1 (2021) The Libyan Journal of Medicine article-version (VoR) Version of Record |
ISSN: | 1993-2820 1819-6357 |
Popis: | Background: The Mediterranean diet (MedDiet) is a dietary pattern effective in terms of prevention of many diseases such as gestational diabetes mellitus (GDM). Recently, many studies have paid attention to nutritional factors during pregnancy as a modifiable contributor to GDM risk. Objective: to investigate associations of nutrients intakes and MedDiet pattern of eating with risk of GDM. Subjects/Methods: This study conducted on N = 120; Pregnant women with GDM (n = 60) and without controls (n = 60). The dietary habits were assessed by a dietary history method and a validated food frequency questionnaire. We calculated a MedDiet score which mea- sures the degree of adherence to a Med Diet. Result: A low Med Diet score was found in pregnant women with and without gestational diabetes in 46.7% and 38.8% of cases, respectively, with no significant difference. Our data showed that the higher the adherence score to the MedDiet, the lower the fasting blood glucose level and the plasma glucose 2 h post load. These findings concerned the two groups studied (P < 10−3). We also noted that controls had a significantly higher intake of legumes, vegetables and fish. Monounsaturated fatty acids and saturated fatty acids consumption was significantly higher in the control group (2.3 ± 0.8 vs 1.7 ± 0.7, P < 10−3). GDM subjects consumed significantly more dairy products and cereals (P < 10−3). After adjustment for confounders, no nutrient was associated with the risk of developing gestational diabetes except vitamin D intake (OR 0.29 [0.15−0.54], P < 10−3) which had a protective effect. Conclusion: Our study underlines the importance of adequate vitamin D intake during pregnancy and suggests that the MedDiet may reduce the incidence of gestational diabetes. |
Databáze: | OpenAIRE |
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