Beigi, Abotaleb and Nazari, Farzaneh and Hoseini, Rehaneh and Shirzad, Nooshin and Nazari, Farideh and Ansari far, Akram (2018) 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. Iranian South Medical Journal, 20 (6). pp. 573-583. ISSN 1735-4374
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Abstract
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.
| Item Type: | Article |
|---|---|
| Subjects: | WP Gynecology |
| Divisions: | Faculty of Medicin > Department of Womankind |
| Depositing User: | محسن زارعی |
| Date Deposited: | 02 Jul 2018 06:49 |
| Last Modified: | 02 Jul 2018 06:49 |
| URI: | http://eprints.bpums.ac.ir/id/eprint/6920 |
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