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Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus.
Malays J Nutr 2013; 19(1):9-23MJ

Abstract

INTRODUCTION

Gestational diabetes mellitus (GDM) increases risks for type 2 diabetes and cardiovascular diseases. Low glycaemic index (GI) diets improve cardio-metabolic outcomes in insulin-resistant individuals. We examined the feasibility of lowering GI through GI-based-education among Asian post-GDM women.

METHODS

A 3-month investigation was carried out on 60 Malaysian women with a mean age of 31.0 +/- 4.5 years and a history of GDM. Subjects were randomised into two groups: LGIE and CHDR. The CHDR group received conventional healthy dietary recommendations only. The LGIE group received GI based-education in addition to conventional healthy dietary recommendations. At baseline and after 3-months, dietary intake of energy and macronutrient intakes including GI diet and glycaemic load was assessed using 3-day food records. Diabetes-Diet and GI-concept scores and physical activity levels were assessed using a questionnaire. Adherence to dietary instructions was measured at the end of 3 months.

RESULTS

At the end of 3 months, the LGIE group had significant reductions in energy intake (241.7 +/- 522.4Kcal, P = 0.037, ES=0.463), total carbohydrate (48.7 +/- 83.5g, P = 0.010, ES = 0.583), GI (3.9 +/- 7.1, P = 0.017, ES = 0.549) and GL (39.0 +/- 55.3, P = 0.003, ES = 0.705) and significant increases in protein (3.7 +/- 5.4g, 0.003, ES = 0.685) and diet fibre (4.6 +/- 7.3g, P = 0.06). The CHDR group had a significant reduction in fat only (5.7 +/- 9.4g, P = 0.006, ES = 0.606). There was a 30% increase in GI-concept scores in the LGIE group (p < 0.001). Changes in GI-concept scores correlated significantly to the reduction in dietary GI (r = -0.642, P = 0.045). Dietary adherence was comparable in both groups.

CONCLUSION

GI-education improves GI-concept knowledge and helps lower dietary glycaemic index among women with a history of GDM.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24800381

Citation

Sangeetha-Shyam, , et al. "Lowering Dietary Glycaemic Index Through Nutrition Education Among Malaysian Women With a History of Gestational Diabetes Mellitus." Malaysian Journal of Nutrition, vol. 19, no. 1, 2013, pp. 9-23.
Sangeetha-Shyam , Fatimah A, Rohana AG, et al. Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus. Malays J Nutr. 2013;19(1):9-23.
Sangeetha-Shyam, ., Fatimah, A., Rohana, A. G., Norasyikin, A. W., Karuthan, C., Nik, S. S., ... Nor, A. K. (2013). Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus. Malaysian Journal of Nutrition, 19(1), pp. 9-23.
Sangeetha-Shyam , et al. Lowering Dietary Glycaemic Index Through Nutrition Education Among Malaysian Women With a History of Gestational Diabetes Mellitus. Malays J Nutr. 2013;19(1):9-23. PubMed PMID: 24800381.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus. AU - Sangeetha-Shyam,, AU - Fatimah,A, AU - Rohana,A G, AU - Norasyikin,A W, AU - Karuthan,C, AU - Nik,Shanita S, AU - Mohd,Yusof B N, AU - Nor,Azmi K, PY - 2014/5/8/entrez PY - 2014/5/8/pubmed PY - 2014/5/30/medline SP - 9 EP - 23 JF - Malaysian journal of nutrition JO - Malays J Nutr VL - 19 IS - 1 N2 - INTRODUCTION: Gestational diabetes mellitus (GDM) increases risks for type 2 diabetes and cardiovascular diseases. Low glycaemic index (GI) diets improve cardio-metabolic outcomes in insulin-resistant individuals. We examined the feasibility of lowering GI through GI-based-education among Asian post-GDM women. METHODS: A 3-month investigation was carried out on 60 Malaysian women with a mean age of 31.0 +/- 4.5 years and a history of GDM. Subjects were randomised into two groups: LGIE and CHDR. The CHDR group received conventional healthy dietary recommendations only. The LGIE group received GI based-education in addition to conventional healthy dietary recommendations. At baseline and after 3-months, dietary intake of energy and macronutrient intakes including GI diet and glycaemic load was assessed using 3-day food records. Diabetes-Diet and GI-concept scores and physical activity levels were assessed using a questionnaire. Adherence to dietary instructions was measured at the end of 3 months. RESULTS: At the end of 3 months, the LGIE group had significant reductions in energy intake (241.7 +/- 522.4Kcal, P = 0.037, ES=0.463), total carbohydrate (48.7 +/- 83.5g, P = 0.010, ES = 0.583), GI (3.9 +/- 7.1, P = 0.017, ES = 0.549) and GL (39.0 +/- 55.3, P = 0.003, ES = 0.705) and significant increases in protein (3.7 +/- 5.4g, 0.003, ES = 0.685) and diet fibre (4.6 +/- 7.3g, P = 0.06). The CHDR group had a significant reduction in fat only (5.7 +/- 9.4g, P = 0.006, ES = 0.606). There was a 30% increase in GI-concept scores in the LGIE group (p < 0.001). Changes in GI-concept scores correlated significantly to the reduction in dietary GI (r = -0.642, P = 0.045). Dietary adherence was comparable in both groups. CONCLUSION: GI-education improves GI-concept knowledge and helps lower dietary glycaemic index among women with a history of GDM. SN - 1394-035X UR - https://www.unboundmedicine.com/medline/citation/24800381/Lowering_dietary_glycaemic_index_through_nutrition_education_among_Malaysian_women_with_a_history_of_gestational_diabetes_mellitus_ L2 - http://www.diseaseinfosearch.org/result/2236 DB - PRIME DP - Unbound Medicine ER -