Effect of diet on gestational diabetes mellitus in pregnant women of district Lahore, Pakistan

Paper Details

Research Paper 01/04/2020
Views (623) Download (24)
current_issue_feature_image
publication_file

Effect of diet on gestational diabetes mellitus in pregnant women of district Lahore, Pakistan

Iqra Shoukat, Shahnai Basharat, Tahira Asif, Ayesha Basharat, Tabussam Tufail, Muhammad Zia Shahid
Int. J. Biosci.16( 4), 12-18, April 2020.
Certificate: IJB 2020 [Generate Certificate]

Abstract

To find out the diet association with gestational diabetes mellitus among pregnant women visiting services Hospital Lahore. A total of 100 pregnant women age range of 20-35 years were selected for the nine-month case control study. In case group female with gestational diabetes mellitus had been included while in control group female with normal blood sugar were added. Comparison of dietary intake measured among both groups. The sample was selected from services hospital Lahore. A questionnaire was used for data collection. A 24-hour dietary recall method was used to compute the nutrient intake among participants. The anthropometric measurements, body mass index and blood sugar levels were evaluated among participants of study. The study hypothesis was accepted or rejected by data analysis. The results showed that among 100 participants, a total of 42 % were moderately active, 26 % had sedentary lifestyle, 26% were lightly active and 3 % were highly active. A significant association was observed between fasting blood sugar and case control group p=0.000, and and physical activity and case control group p=0.000. Association between diet and blood sugar level was observed and results showed that null hypothesis was rejected which means both the attributes were dependent as there was association between diet and blood sugar level p=0.000.The study concluded that the comparison of both case and control group showed that high carbohydrate diet low calcium and vitamin D diet low intake of polyphenol rich fruit such as dry fruit and green leafy vegetables increased the risk of gestational diabetes mellitus.

VIEWS 29

Dodd JM, Crowther CA, Antoniou G, Baghurst P, Robinson JS. 2007. Screening for gestational diabetes: the effect of varying blood glucose definitions in the prediction of adverse maternal and infant health outcomes. Australian and New Zealand Journal of Obstetrics and Gynecology 4, 307-312. https://doi.org/10.1111/j.1479-828X.2007.00743.x

Zaman N, Taj N, Nazir S, Ullah E, Fatima N. 2013. Gestational Diabetes Mellitus and Obesity: An experience at a teaching hospital in Bahawalpur, Pakistan. Rawal Medical Journal RMJ. 38(2), 165-168.

Dornhorst A, Frost G. 2002. The principles of dietary management of gestational diabetes: reflection on current evidence. Journal of Human Nutrition and Dietetics 2, 145-156. https://doi.org/10.1046/j.1365-277X.2002.00344.x

Al-Saleh E, Nandakumaran M, Al-Shammari M, Al-Harouny A. 2004 Maternal–fetal status of copper, iron, molybdenum, selenium and zinc in patients with gestational diabetes. The Journal of Maternal-Fetal &Neonatal Medicine.1, 15-21.

Langer O, Brustman L, Anyaegbunam A, Mazze R. 1987. The significance of one abnormal glucose tolerance test value on adverse outcome in pregnancy. American journal of obstetrics and gynecology 3, 758-763. https://doi.org/10.1016/S0002-9378 (87)80045-5

Much D, Jaschinski H, Lack N, Hummel S, Füchtenbusch M, Hummel M, Beyerlein A. 2016. Risk stratification in women with gestational diabetes according to and beyond current WHO criteria. Hormone and Metabolic Research 1, 16-19. https://doi.org/10.1055/s-0035-1565084

Lao TT, Chan PL, Tam KF. 2001. Gestational diabetes mellitus in the last trimester–a feature of maternal iron excess. Diabetic medicine 3, 218-223. https://doi.org/10.1046/j.1464-5491.2001.00453.x

Bo S, Menato G, Villois P, Gambino R, Cassader M, Cotrino I, Cavallo-Perin P. 2009. Iron supplementation and gestational diabetes in midpregnancy. American journal of obstetrics and gynecology 2, 158. https://doi.org/10.1016/j.ajog.2009.04.049

Bain E, Crane M, Tieu J, Han S, Crowther CA, Middleton P. 2015. Diet and exercise interventions for preventing gestational diabetes mellitus. Cochrane database of systematic reviews 4. https://doi.org/10.1002/14651858.CD010443.pub2

Major CA, Henry MJ. De Veciana M, Morgan MA. 1998. The effects of carbohydrate restriction in patients with diet-controlled gestational diabetes. Obstetrics & Gynecology 4, 600-604. https://doi.org/10.1016/S0029-7844 (98)00003-9

Han S, Middleton P, Shepherd E, Van Ryswyk E, Crowther CA. 2017. Different types of dietary advice for women with gestational diabetes mellitus. Cochrane Database of Systematic Reviews 2. https://doi.org/10.1002/14651858.CD009275.pub3

Baker AM, Haeri S, Camargo Jr CA, Stuebe AM, Boggess KA. 2012. First‐trimester maternal vitamin D status and risk for gestational diabetes (GDM) a nested case‐control study. Diabetes/metabolism research and reviews 2, 164-168. https://doi.org/10.1002/dmrr.1282

Reader D, Splett P, Gunderson EP, Care D, Group EDP. 2006. Impact of gestational diabetes mellitus nutrition practice guidelines implemented by registered dietitians on pregnancy outcomes. Journal of the American Dietetic Association 9, 1426-1433. https://doi.org/10.1016/j.jada.2006.06.009

Green JR, Pawson IG, Schumacher LB, Perry J, Kretchmer N. 1990. Glucose tolerance in pregnancy: ethnic variation and influence of body habitus. American journal of obstetrics and gynecology 1, 86-92. https://doi.org/10.1016/S0002-9378 (11)90675-9

McMahon MJ, Ananth CV, Liston RM. 1998. Gestational diabetes mellitus. Risk factors, obstetric complications and infant outcomes. The Journal of reproductive medicine 4, 372-378.

Cypryk K, Szymczak W, Czupryniak L, Sobczak M, Lewiński A. 2008. Gestational diabetes mellitus-an analysis of risk factors. Endokrynologia Polska 5, 393-397.

Seshiah V, Balaji V, Balaji MS, Paneerselvam A, Arthi T, Thamizharasi M, Datta M. 2007. Gestational diabetes mellitus manifests in all trimesters of pregnancy. Diabetes research and clinical practice 3, 482-484. https://doi.org/10.1016/j.diabres.2007.01.001

Dempsey FC, Butler FL, Williams FA. 2005. No need for a pregnant pause: physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsia. Exercise and sport sciences reviews 3, 141-149.

Evenson KR, Savitz A, Huston SL. 2004. Leisure‐time physical activity among pregnant women in the US. Paediatric and perinatal epidemiology 6, 400-407. https://doi.org/10.1111/j.1365-3016.2004.00595.x

Landon MB. Spong CY. Thom E, Carpenter M W, Ramin SM, Casey B, Sciscione A. 2009. A multicenter, randomized trial of treatment for mild gestational diabetes. New England Journal of Medicine 14, 1339-1348. https://doi.org/10.1056/NEJMoa0902430

Turok DK, Ratcliffe SD, Baxley EG. 2003. Management of gestational diabetes mellitus. American family physician 9, 1767-72.

Landon MB, Mele L, Spong CY, Carpenter MW, Ramin SM, Casey B, Sciscione A. 2011. The relationship between maternal glycemia and perinatal outcome. Obstetrics and gynecology 201, 218.

Perucchini D, Fischer U, Spinas GA, Huch R, Huch A, Lehmann R. 1999. Using fasting plasma glucose concentrations to screen for gestational diabetes mellitus: prospective population based study. Bmj, 25, 812-815.

Schaefer-Graf UM, Kjos SL, Fauzan OH, Bühling KJ, Siebert G, Bührer C, Ladendorf B, Dudenhausen JW, Vetter K. 2004. A randomized trial evaluating a predominately fetal growth–based strategy to guide management of gestational diabetes in Caucasian women. Diabetes care 27(2), 297-302.

Fatima, Zargar AH, Sheikh MI, Bashir MI, Masoodi SR, Laway BA, Wani AI, Bhat MH, Dar FA. 2004. Prevalence of gestational diabetes mellitus in Kashmiri women from the Indian subcontinent. Diabetes research and clinical practice. 66(2), 139-45.

Pamela, Jensen DM, Sørensen B, Feilberg‐Jørgensen N, Westergaard JG, Beck‐Nielsen H. 2000. Maternal and perinatal outcomes in 143 Danish women with gestational diabetes mellitus and 143 controls with a similar risk profile. Diabetic medicine 17(4), 281-6.

Maryland lacorist Heude B, Thiébaugeorges O, Goua V, Forhan A, Kaminski M, Foliguet B, Schweitzer M, Magnin G, Charles MA. 2012. EDEN Mother–Child Cohort Study Group. Pre-pregnancy body mass index and weight gain during pregnancy: relations with gestational diabetes and hypertension, and birth outcomes. Maternal and child health journal 16(2), 355-63.

Pham NM, Herring SJ, Oken E, Rifas-Shiman SL, Rich-Edwards JW, Stuebe AM, Kleinman KP, Gillman MW. 2009. Weight gain in pregnancy and risk of maternal hyperglycemia. American journal of obstetrics and gynecology 201(1), 61-1.