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Systematic review; Nutritional therapy in gestational diabetes mellitus.

Abstract

INTRODUCTION

Several methods of dietetic counseling can be used in the nutritional therapy in gestational diabetes mellitus (GDM). The main methods are the traditional method (TM) and the carbohydrate counting (CCM).

OBJECTIVE

Presenting a systematic review of the literature on the impact of nutritional therapy in GDM, through TM and CCM, evaluating the results for maternal and child health.

METHODS

We searched databases PubMed, Scopus, Web of Science, Lilacs and CAPES Digital Bank of Thesis. The methodological quality of all the studies included was made using the Jadad score.

RESULTS AND CONCLUSION

We have found five studies that evaluated the effects of nutritional therapy, through the TM, on the maternal and child health. None study evaluating the CCM was detected in pregnant women with GDM Nutritional therapy given during antenatal care was effective in reducing pregnancy complications (preeclampsia, excessive gestational weight gain, necessity for cesarean delivery, for insulin therapy and for shoulder dystocia), perinatal complications (macrosomia, neonatal hypoglycemia, and birth weight) and also in better glycemic control. The use of nutritional therapy should be highlighted within the antenatal care for pregnant women with GDM, giving the satisfactory results on metabolic control and on pregnancy outcomes. Studies examining the CCM to GDM patients should be conducted to show its effects on maternal and child health.

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  • Authors+Show Affiliations

    ,

    Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ).. claudiasaunders@nutricao.ufrj.br.

    ,

    Instituto de Nutrição Josué de Castro/UFRJ..

    ,

    Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ)..

    ,

    Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ). Maternidade Escola/UFRJ. GPSMI. Instituto de Nutrição Josué de Castro/UFRJ. Brazil..

    ,

    Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ). Maternidade Escola/UFRJ. GPSMI. Instituto de Nutrição Josué de Castro/UFRJ. Brazil..

    Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ).. claudiasaunders@nutricao.ufrj.br.

    Source

    Nutricion hospitalaria 28:6 2013 Nov 01 pg 1806-14

    MeSH

    Adult
    Diabetes, Gestational
    Dietary Carbohydrates
    Female
    Humans
    Nutrition Therapy
    Pregnancy

    Pub Type(s)

    Journal Article
    Meta-Analysis
    Review
    Systematic Review

    Language

    eng

    PubMed ID

    24506355

    Citation

    Thomaz de Lima, Helaine, et al. "Systematic Review; Nutritional Therapy in Gestational Diabetes Mellitus." Nutricion Hospitalaria, vol. 28, no. 6, 2013, pp. 1806-14.
    Thomaz de Lima H, Lopes Rosado E, Ribeiro Neves PA, et al. Systematic review; Nutritional therapy in gestational diabetes mellitus. Nutr Hosp. 2013;28(6):1806-14.
    Thomaz de Lima, H., Lopes Rosado, E., Ribeiro Neves, P. A., Corrêa Monteiro Machado, R., Mello de Oliveira, L., & Saunders, C. (2013). Systematic review; Nutritional therapy in gestational diabetes mellitus. Nutricion Hospitalaria, 28(6), pp. 1806-14. doi:10.3305/nutr hosp.v28in06.6892.
    Thomaz de Lima H, et al. Systematic Review; Nutritional Therapy in Gestational Diabetes Mellitus. Nutr Hosp. 2013 Nov 1;28(6):1806-14. PubMed PMID: 24506355.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Systematic review; Nutritional therapy in gestational diabetes mellitus. AU - Thomaz de Lima,Helaine, AU - Lopes Rosado,Eliane, AU - Ribeiro Neves,Paulo Augusto, AU - Corrêa Monteiro Machado,Raphaela, AU - Mello de Oliveira,Larissa, AU - Saunders,Cláudia, Y1 - 2013/11/01/ PY - 2014/2/11/entrez PY - 2014/2/11/pubmed PY - 2015/4/7/medline SP - 1806 EP - 14 JF - Nutricion hospitalaria JO - Nutr Hosp VL - 28 IS - 6 N2 - INTRODUCTION: Several methods of dietetic counseling can be used in the nutritional therapy in gestational diabetes mellitus (GDM). The main methods are the traditional method (TM) and the carbohydrate counting (CCM). OBJECTIVE: Presenting a systematic review of the literature on the impact of nutritional therapy in GDM, through TM and CCM, evaluating the results for maternal and child health. METHODS: We searched databases PubMed, Scopus, Web of Science, Lilacs and CAPES Digital Bank of Thesis. The methodological quality of all the studies included was made using the Jadad score. RESULTS AND CONCLUSION: We have found five studies that evaluated the effects of nutritional therapy, through the TM, on the maternal and child health. None study evaluating the CCM was detected in pregnant women with GDM Nutritional therapy given during antenatal care was effective in reducing pregnancy complications (preeclampsia, excessive gestational weight gain, necessity for cesarean delivery, for insulin therapy and for shoulder dystocia), perinatal complications (macrosomia, neonatal hypoglycemia, and birth weight) and also in better glycemic control. The use of nutritional therapy should be highlighted within the antenatal care for pregnant women with GDM, giving the satisfactory results on metabolic control and on pregnancy outcomes. Studies examining the CCM to GDM patients should be conducted to show its effects on maternal and child health. SN - 1699-5198 UR - https://www.unboundmedicine.com/medline/citation/24506355/full_citation L2 - http://www.nutricionhospitalaria.com/pdf/6892.pdf DB - PRIME DP - Unbound Medicine ER -