The Effect of DASH Diet on Pregnancy Outcomes in Gestational Diabetes: a Randomized Controlled Clinical Trial

Overview

Journal Eur J Clin Nutr

Specialty Nutritional Sciences

Date 2014 Jan 16

PMID 24424076

Citations 45

Authors

Z Asemi

M Samimi

Z Tabassi

A Esmaillzadeh

Affiliations

Soon will be listed here.

Abstract

Background/objectives: The current study was performed to investigate the effects of the Dietary Approaches to Stop Hypertension (DASH) eating plan on pregnancy outcomes in pregnant women with gestational diabetes mellitus (GDM).

Subjects/methods: This randomized controlled clinical trial was performed among 52 women diagnosed with GDM. Participants were randomly assigned to consume either the control (n=26) or the DASH diet (n=26) for 4 weeks. The control diet was designed to contain 45-55% carbohydrates, 15-20% protein and 25-30% total fat. The DASH diet was rich in fruits, vegetables, whole grains and low-fat dairy products, and contained lower amounts of saturated fats, cholesterol and refined grains with a total of 2400 mg/day sodium. The numbers of women who commenced insulin therapy after dietary intervention, the mode of delivery and prevalence of polyhydramnios were assessed. The length, weight and head circumference of infants were measured during the first 24 h after birth.

Results: Whereas 46.2% of women in the DASH diet needed to have a cesarean section, this percentage for the control group was 80.8% (P=0.01). The percentage of those who needed to commence insulin therapy after intervention was also significantly different between the two groups (23% for DASH vs 73% for control group, P<0.0001). Infants born to mothers on the DASH diet had significantly lower weight (3222.7 vs 3818.8 g, P<0.0001), head circumference (34.2 vs 35.1 cm, P=0.01) and ponderal index (2.50 vs 2.87 kg/m(3), P<0.0001) compared with those born to mothers on the control diet.

Conclusions: In conclusion, consumption of DASH diet for 4 weeks among pregnant women with GDM resulted in improved pregnancy outcomes.

Citing Articles

Greater adherence to the Dietary Approaches to Stop Hypertension (DASH) diet during pregnancy reduces the likelihood of having a large-for-gestational-age newborn.

Fogaca A, Chaves A, de Lima M, Carreira N, Sartorelli D Eur J Clin Nutr. 2024; .

PMID: 39739118 DOI: 10.1038/s41430-024-01561-2.

The effect of high-fibre diets on glycaemic control in women with diabetes in pregnancy: A systematic review and meta-analysis.

Jones D, Kyriakidou A, Cooper L, Atta N, Tobolska P, Smith S Diabet Med. 2024; 42(1):e15435.

PMID: 39473074 PMC: 11635591. DOI: 10.1111/dme.15435.

Perinatal Outcomes of Diet Therapy in Gestational Diabetes Mellitus Diagnosed before 24 Gestational Weeks.

Kasuga Y, Takahashi M, Kajikawa K, Akita K, Otani T, Ikenoue S Nutrients. 2024; 16(11).

PMID: 38892487 PMC: 11174494. DOI: 10.3390/nu16111553.

Effect of Prenatal Care on Perinatal Outcomes of Pregnant Women with Diabetes Mellitus: A Systematic Review.

da Silva L, Zajdenverg L, Keating E, Silvestre M, Dos Santos B, Saunders C Yale J Biol Med. 2024; 97(1):49-65.

PMID: 38559460 PMC: 10964819. DOI: 10.59249/WPTY4075.

Cellular and molecular overview of gestational diabetes mellitus: Is it predictable and preventable?.

Lim P, Lai Y, Ling P, Chen K World J Diabetes. 2023; 14(11):1693-1709.

PMID: 38077798 PMC: 10704206. DOI: 10.4239/wjd.v14.i11.1693.

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