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Dietary intervention strategies for ethnic Chinese women with gestational diabetes mellitus : A systematic review and meta-analysis
Wan, Ching S. Nankervis, Alison Teede, Helena Aroni, Rosalie
Wan, Ching S.
Nankervis, Alison
Teede, Helena
Aroni, Rosalie
Abstract
Aim
Ethnic Chinese women are one of the populations at high risk of gestational diabetes mellitus (GDM) internationally. This systematic review aimed to determine which dietary intervention strategies were found to be effective in improving glycaemic control and pregnancy outcomes among ethnic Chinese women with GDM.
Methods
The review protocol was registered with PROSPERO (CRD42016043585). Eight English and four Chinese language databases were searched for randomised controlled trials and cohort studies of dietary intervention among ethnic Chinese women with GDM. Review Manager 5.3 and GRADE criteria were used in meta-analysis and assessment of quality of evidence.
Results
Included studies comprised 3944 women in 29 eligible studies. Compared to standard treatment, low glycaemic index (GI) diets, low glycaemic load (GL) diets and fibre-enriched diets were associated with a reduction in fasting plasma glucose, 2-hour plasma glucose and HbA1c, and improved neonatal outcomes. Low GL diets were associated with reduced caesarean section risk.
Conclusions
In ethnic Chinese women with GDM, low GI diets, low GL diets and fibre-enriched diets were associated with improved glycaemic control and pregnancy outcomes. Given the lack of direct comparison of these three diets, future direct comparison trials are necessary to determine optimal dietary intervention strategies.
Keywords
diabetes, diet, gestational, glycaemic load, pregnancy outcome, self-management
Date
2019
Type
Journal article
Journal
Nutrition and Dietetics
Book
Volume
76
Issue
2
Page Range
211-232
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC-ND 4.0
File Access
Open