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Journal of Diabetes & Metabolic Disorders
Erschienen in:

13.01.2022 | Review article

The role of nutrition in the development and management of gestational diabetes among Iranian women: a systematic review and meta-analysis

verfasst von: Nazanin Moslehi, Fatemeh Rahimi Sakak, Farshad Teymoori, Fahimeh Ramezani Tehrani, Parvin Mirmiran, Fereidoun Azizi

Erschienen in: Journal of Diabetes & Metabolic Disorders | Ausgabe 1/2022

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Abstract

Purpose

We aimed to review existing evidence on nutrition associations with gestational diabetes mellitus (GDM) development and management among Iranian women.

Methods

Web of Science, PubMed, Scopus, SID, and Magiran were searched up to August 2020. Observational studies on associations between circulatory markers of vitamins and minerals, dietary intakes, and GDM and clinical trials of the effects of nutritional supplementations or dietary modifications on management or prevention of GDM among Iranian women were selected.

Results

We reviewed 49 publications. Pooled analyses revealed that GDM women had lower serum vitamin D (-8.31 nmol/l (95% CIs= -14.4, -2.19), higher serum iron (26.2 μg/dl (95% CIs= 2.52, 49.8), ferritin (24.1 ng/ml (95% CIs= 15.0, 33.4), and haemoglobin (1.14 g/dl (95% CIs: 0.32, 1.96) levels than non-GDM women. Single studies found the inverse associations of the Mediterranean diet, dietary approaches to stop hypertension diet, plant-based dietary index, and the direct associations of dietary acid load and dietary inflammatory index with the odds of GDM. Vitamin D supplementation early in pregnancy prevented GDM in two clinical trials. In two studies, iron supplementation’s effect on GDM in non-anemic women was inconsistent. Pooled analyses of probiotic supplementation in women with GDM showed no significant impact on maternal glycemia.

Conclusions

Vitamin D supplementation early in pregnancy may reduce the incidence of GDM. There is no compelling evidence that vitamin D or probiotics can help with GDM management. There is currently inadequate data to recommend a specific dietary pattern to prevent GDM in Iranian women.
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Metadaten
Titel
The role of nutrition in the development and management of gestational diabetes among Iranian women: a systematic review and meta-analysis
verfasst von
Nazanin Moslehi
Fatemeh Rahimi Sakak
Farshad Teymoori
Fahimeh Ramezani Tehrani
Parvin Mirmiran
Fereidoun Azizi
Publikationsdatum
13.01.2022
Verlag
Springer International Publishing
Erschienen in
Journal of Diabetes & Metabolic Disorders / Ausgabe 1/2022
Elektronische ISSN: 2251-6581
DOI
https://doi.org/10.1007/s40200-021-00944-7

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