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Nutrition and Gestational Diabetes

Ana Carolina Momentti, Débora Estadella, Luciana Pellegrini Pisani
There is a growing concern about the impacts of hypovitaminosis D on the health of pregnant woman, fetal development, childhood, and adult life. Variations in maternal nutrition during gestation and/or lactation play a critical role in the physiological and metabolic development of the fetus and neonate, which can induce phenotypic changes and trigger important consequences throughout life, such as type 2 diabetes, cardiovascular disease, obesity, and hypertension. Vitamin D plays a role in regulating cell proliferation and differentiation and in modulating the innate and adaptive immune response...
July 29, 2018: Steroids
Elizabeth A Symington, Jeannine Baumgartner, Linda Malan, Lizelle Zandberg, Cristian Ricci, Cornelius M Smuts
BACKGROUND: Adequate nutrition during pregnancy is important to ensure optimal birth outcomes, maternal health and offspring development. However, little is known about the dietary intake and nutritional status of pregnant women residing in urban South Africa. Therefore, the Nutrition during Pregnancy and Early Development (NuPED) cohort study was initiated to assess early nutrition-related exposures predictive of early childhood development in urban South Africa. METHODS: The aims of this prospective cohort study are: 1) to assess dietary intake and nutritional status of urban pregnant women in Johannesburg, South Africa, and 2) to determine associations with birth outcomes, measures of maternal health, as well as measures of offspring health and development...
July 24, 2018: BMC Pregnancy and Childbirth
Yun-Su Kim, Hee-Seung Kim, Yoo-Lee Kim
BACKGROUND: Women diagnosed with gestational diabetes mellitus suffer from anxiety and depression, which make controlling blood glucose levels difficult. INTRODUCTION: This quasi-experimental study uses a nonequivalent control group pretest-posttest design to investigate the effects of a web-based self-care program on self-care behaviors, anxiety, depression, and blood glucose in patients with gestational diabetes mellitus. METHODS: The subjects of the study were outpatients being treated in the Department of Endocrinology at Hospital G, located in Seoul near University C, from July 15, 2015, to December 31, 2016...
July 23, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Pedro C Marques, Gustavo Rocha, Filipa Flor-De-Lima, Hercília Guimarães
BACKGROUND: Extrauterine growth restriction (EUGR) remains a serious problem among very low birth weight (VLBW) infants and is a marker of severe nutritional deficit during the first weeks of life. It can lead to a higher risk of growth impairment during childhood and long-term medical problems. The aim of this study is to determine the prevalence and risk factors of EUGR in preterm infants below 1500 grams. METHODS: Descriptive retrospective study of all preterm infants with birth weight below 1500 grams who were born at and discharged from our center, from January 1, 2012 to December 31, 2016...
July 23, 2018: Minerva Pediatrica
Carina Andriatta Blume, Brenda Moretto Machado, Raíssa Ramos da Rosa, Maisa Dos Santos Rigoni, Daniela Schaan Casagrande, Cláudio Corá Mottin, Beatriz D Schaan
PURPOSE: The purpose of the study is to assess whether Roux-en-Y gastric bypass (RYGB) prior to pregnancy is associated with fluid intelligence in offspring. Additionally, perinatal and obstetric outcomes, and children nutritional status were evaluated. MATERIAL AND METHODS: Singleton births of women who underwent RYGB between 2000 and 2010 (BS) were matched to two control births by maternal age, delivery year, and gender. Control group 1 (CG1) and control group 2 (CG2) included women with a pre-pregnancy body mass index (BMI) < 35 kg/m2 and ≥ 35 kg/m2 , respectively, who had never undergone bariatric surgery...
July 20, 2018: Obesity Surgery
Mitra Kolivand, Mehr Ali Rahimi, Afsaneh Keramat, Mohammad Shariati, Mohammad Hassan Emamian
BACKGROUND: To determine the effect of the new self-care guide package on gestational diabetes mellitus (GDM). METHODS: This randomized clinical trial study was conducted on 152 women with GDM. The intervention group exposed to a self-care guide package and three face to face educational sessions. Control group received routine clinical services including visits by physician and short training about nutrition, blood glucose control, and insulin injections. The primary outcomes were fasting and two hours postprandial blood glucose and self-efficacy measured at the beginning of the study and one month after the end of the intervention...
July 18, 2018: Journal of Diabetes
Megan Jarman, Nonsikelelo Mathe, Fatemeh Ramazani, Mohammadreza Pakseresht, Paula J Robson, Steven T Johnson, Rhonda C Bell
Few studies have explored pre-pregnancy diet and its relationship with pregnancy outcomes. The objectives of this study were to: (1) derive pre-pregnancy dietary patterns for women enrolled in a prospective cohort in the province of Alberta, Canada; (2) describe associations between dietary patterns and socio-demographic characteristics; and (3) describe associations between dietary patterns and pregnancy complications. Upon enrolment into the Alberta Pregnancy Outcomes and Nutrition (APrON) study (median age of gestation, 17 weeks), women ( n = 1545) completed a validated 142-item food frequency questionnaire recording food and beverages consumed "in the 12 months prior to pregnancy"...
July 17, 2018: Nutrients
Frank H Bloomfield, Jane E Harding, Michael P Meyer, Jane M Alsweiler, Yannan Jiang, Clare R Wall, Tanith Alexander
BACKGROUND: Babies born at moderate-late preterm gestations account for > 80% of all preterm births. Although survival is excellent, these babies are at increased risk of adverse neurodevelopmental outcomes. They also are at increased risk of adverse long-term health outcomes, such as cardiovascular disease, obesity and diabetes. There is little evidence guiding optimal nutritional practices in these babies; practice, therefore, varies widely. This factorial design clinical trial will address the role of parenteral nutrition, milk supplementation and exposure of the preterm infant to taste and smell with each feed on time to tolerance of full feeds, adiposity, and neurodevelopment at 2 years...
July 7, 2018: BMC Pediatrics
Jürgen Harreiter, Karin Schindler, Dagmar Bancher-Todesca, Christian Göbl, Felix Langer, Gerhard Prager, Alois Gessl, Michael Leutner, Bernhard Ludvik, Anton Luger, Alexandra Kautzky-Willer, Michael Krebs
The prevalence of obesity is growing worldwide, and strategies to overcome this epidemic need to be developed urgently. Bariatric surgery is a very effective treatment option to reduce excess weight and often performed in women of reproductive age. Weight loss influences fertility positively and can resolve hormonal imbalance. So far, guidelines suggest conceiving after losing maximum weight and thus recommend conception at least 12-24 months after surgery. As limited data of these suggestions exist, further evidence is urgently needed as well for weight gain in pregnancy...
2018: Journal of Obesity
Yi-Ling Chiou, Chich-Hsiu Hung, Hsiu-Yun Liao
BACKGROUND: Gestational diabetes mellitus (GDM), an obstetric disease that affects the health of pregnant women, is one of the key factors associated with perinatal mortality or disease. AIMS: To explore the impact of prepregnancy body mass index (BMI) and gestational weight gain (GWG) on perinatal outcomes for women with GDM. METHODS: With a retrospective study design, women were recruited who received prenatal checkups, gave birth at two teaching hospitals in southern Taiwan from 1995 to 2011, and received a diagnosis of GDM by an obstetrician...
July 1, 2018: Worldviews on Evidence-based Nursing
Jennifer M Yamamoto, Joanne E Kellett, Montserrat Balsells, Apolonia García-Patterson, Eran Hadar, Ivan Solà, Ignasi Gich, Eline M van der Beek, Eurídice Castañeda-Gutiérrez, Seppo Heinonen, Moshe Hod, Kirsi Laitinen, Sjurdur F Olsen, Lucilla Poston, Ricardo Rueda, Petra Rust, Lilou van Lieshout, Bettina Schelkle, Helen R Murphy, Rosa Corcoy
OBJECTIVE: Medical nutrition therapy is a mainstay of gestational diabetes mellitus (GDM) treatment. However, data are limited regarding the optimal diet for achieving euglycemia and improved perinatal outcomes. This study aims to investigate whether modified dietary interventions are associated with improved glycemia and/or improved birth weight outcomes in women with GDM when compared with control dietary interventions. RESEARCH DESIGN AND METHODS: Data from published randomized controlled trials that reported on dietary components, maternal glycemia, and birth weight were gathered from 12 databases...
July 2018: Diabetes Care
Teri L Hernandez, Jennie C Brand-Miller
No abstract text is available yet for this article.
July 2018: Diabetes Care
Flavien Delhaes, Stephanie A Giza, Tianna Koreman, Genevieve Eastabrook, Charles A McKenzie, Samantha Bedell, Timothy R H Regnault, Barbra de Vrijer
Abnormal maternal lipid profiles, a hallmark of increased maternal adiposity, are associated with pregnancy complications such as preeclampsia and gestational diabetes, and offspring long-term metabolic health is impacted as the consequence of altered fetal growth, physiology and often iatrogenic prematurity. The metabolic changes associated with maternal obesity and/or the consumption of a high-fat diet effecting maternal lipid profiles and metabolism have also been documented to specifically affect placental function and may underlie changes in fetal development and life course disease risk...
May 26, 2018: Placenta
Amir Aviram, Biana Shtaif, Galia Gat-Yablonski, Yariv Yogev
OBJECTIVE: To evaluate the relationship between adipocytokines and glycemic control. STUDY DESIGN: Prospective observational trial of gestations with gestational diabetes mellitus (GDM). Fasting glucose (FG), insulin, adiponectin, leptin, chemerin, retinol-binding protein 4 (RBP-4), osteocalcin, and resistin were measured. HomeOstasis model assessment of insulin resistance (HOMA-IR) and QUantitative insulin sensitivity ChecK Index (QUICKI) were calculated. Women who required medications for glycemic control were compared to women using nutritional therapy only...
July 22, 2018: Journal of Maternal-fetal & Neonatal Medicine
Maria O Duarte-Gardea, Diana M Gonzales-Pacheco, Diane Marie Reader, Alyce M Thomas, Susan R Wang, Rebecca P Gregory, Tami A Piemonte, Kyle L Thompson, Lisa Moloney
No abstract text is available yet for this article.
May 30, 2018: Journal of the Academy of Nutrition and Dietetics
Hadia Radwan, Mona Hashim, Reyad Shaker Obaid, Hayder Hasan, Farah Naja, Hessa Al Ghazal, Hamid Jan Jan Mohamed, Rana Rizk, Marwa Al Hilali, Rana Rayess, Ghamra Izzaldin
BACKGROUND: The United Arab Emirates (UAE) exhibits alarming high prevalence of Non-Communicable Diseases (NCDs) and their risk factors. Emerging evidence highlighted the role of maternal and early child nutrition in preventing later-onset NCDs. The objectives of this article are to describe the design and methodology of the first Mother and Infant Study Cohort (MISC) in UAE; present the baseline demographic characteristics of the study participants; and discuss the challenges of the cohort and their respective responding strategies...
2018: PloS One
Musarrat Riaz, Fareeha Shaikh, Asher Fawwad, Rubina Hakeem, A Samad Shera, Graham A Hitman, Bishwajit Bhowmik, Nayla Christina do Vale Moreira, Abdul Basit, Akhtar Hussain
Objective: To explore the impact of maternal body weight on maternal nutrition and micronutrient status in early pregnancy and potential impact on metabolic status in newborns. Methodology: The EU FP7 project GIFTS was conducted from Jan 2012 to May 2014. Demographic details and anthropometric measurements of women in the first trimester of pregnancy were obtained. Blood samples were collected for OGTT, insulin, lipid profile, serum folate, ferritin, vitamin D, vitamin B12, and red cell folate...
2018: Journal of Diabetes Research
Ping Yang, Wenpin Lo, Zong-Lin He, Xiao-Min Xiao
AIM: To explore whether WeChat platform-based treatment of women with gestational diabetes mellitus (GDM) reduces the risk of perinatal complications and explore factors affecting gestational age at delivery. METHODS: Pregnant women with GDM (n = 107) and normal glucose tolerance (n =50, group C) according to oral glucose tolerance test (OGTT) results during gestational weeks 24-28 were included. Women with GDM were divided into groups A (n =57) and B (n =50) according to informed consent...
July 2018: Journal of Obstetrics and Gynaecology Research
Sandra Ana Czarnobay, Caroline Kroll, Lidiane F Schultz, Juliana Malinovski, Silmara Salete de Barros Silva Mastroeni, Marco Fabio Mastroeni
OBJECTIVE: To describe the main predictors for excess birth weight in Brazilian children. DATA SOURCES: Systematic review carried out in the bibliographic databases: PubMed/MEDLINE, Cochrane, Scopus, Web of Science, and LILACS. The research in the gray literature was performed using the Google Scholar database. The bias risk analysis was adapted from the Downs and Black scale, used to evaluate the methodology of the included studies. DATA SYNTHESIS: Using the classifications of fetal macrosomia (>4000g or ≥4000g) and large for gestational age (above the 90th percentile), 64 risk factors for excess birth weight were found in 33 scientific articles in the five regions of the country...
May 19, 2018: Jornal de Pediatria
María Luisa Garmendia, Camila Corvalán, Paola Casanello, Marcela Araya, Marcela Flores, Alfredo Bravo, Juan Pedro Kusanovic, Pablo Olmos, Ricardo Uauy
BACKGROUND: Lifestyle interventions are the primary prevention strategy for gestational diabetes (GDM) in obese/overweight women; however, these interventions have shown limited effectiveness. Omega-3 polyunsaturated fatty acids (PUFAs) intake has shown beneficial effects on glucose metabolism, lipid fractions and inflammatory factors in women who already have GDM. Combining PUFAs supplementation with a lifestyle intervention could achieve lower increase of glucose levels by improving insulin sensitivity...
July 2018: Contemporary Clinical Trials
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