The effect of DASH diet on pregnancy outcomes in gestational diabetes: A randomized controlled clinical trial

Asemi, Z. and Samimi, M. and Tabassi, Z. and Esmaillzadeh, A. (2014) The effect of DASH diet on pregnancy outcomes in gestational diabetes: A randomized controlled clinical trial. European Journal of Clinical Nutrition, 68 (4). pp. 490-495.

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Abstract

Background/Objectives:The current study was performed to investigate the effects of the Dietary Approaches to Stop Hypertension (DASH) eating plan on pregnancy outcomes in pregnant women with gestational diabetes mellitus (GDM).Subjects/Methods:This randomized controlled clinical trial was performed among 52 women diagnosed with GDM. Participants were randomly assigned to consume either the control (n=26) or the DASH diet (n=26) for 4 weeks. The control diet was designed to contain 45-55 carbohydrates, 15-20 protein and 25-30 total fat. The DASH diet was rich in fruits, vegetables, whole grains and low-fat dairy products, and contained lower amounts of saturated fats, cholesterol and refined grains with a total of 2400 mg/day sodium. The numbers of women who commenced insulin therapy after dietary intervention, the mode of delivery and prevalence of polyhydramnios were assessed. The length, weight and head circumference of infants were measured during the first 24 h after birth.Results:Whereas 46.2 of women in the DASH diet needed to have a cesarean section, this percentage for the control group was 80.8 (P=0.01). The percentage of those who needed to commence insulin therapy after intervention was also significantly different between the two groups (23 for DASH vs 73 for control group, P<0.0001). Infants born to mothers on the DASH diet had significantly lower weight (3222.7 vs 3818.8 g, P<0.0001), head circumference (34.2 vs 35.1 cm, P=0.01) and ponderal index (2.50 vs 2.87 kg/m 3, P<0.0001) compared with those born to mothers on the control diet.Conclusions:In conclusion, consumption of DASH diet for 4 weeks among pregnant women with GDM resulted in improved pregnancy outcomes. © 2014 Macmillan Publishers Limited.

Item Type: Article
Additional Information: cited By 16
Uncontrolled Keywords: glucose; glucose oxidase; insulin; peroxidase; glucose blood level, adult; Apgar score; article; bed rest; birth weight; body weight; controlled study; diet; Dietary Approaches to Stop Hypertension eating plan; dietary intake; feeding behavior; female; food composition; food intake; glucose blood level; human; major clinical study; physical activity; preeclampsia; pregnancy diabetes mellitus; pregnancy outcome; randomized controlled trial; solutio placentae; young adult; adolescent; analysis; cereal; dairy product; diet therapy; feeding behavior; fruit; hypertension; infant; intervention study; medical record; metabolism; nutritional assessment; pregnancy; pregnancy diabetes mellitus; vegetable, Adolescent; Adult; Birth Weight; Blood Glucose; Cereals; Dairy Products; Diabetes, Gestational; Diet; Diet Records; Female; Food Habits; Fruit; Humans; Hypertension; Infant; Insulin; Intervention Studies; Nutrition Assessment; Pregnancy; Pregnancy Outcome; Vegetables; Young Adult
Subjects: Nutrition
Divisions: Faculty of Medicine > Basic Sciences > Department of Nutrition
Depositing User: editor . 2
Date Deposited: 04 Mar 2017 07:31
Last Modified: 04 Mar 2017 07:31
URI: http://eprints.kaums.ac.ir/id/eprint/516

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