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Dietary patterns and risk of gestational diabetes mellitus: A systematic review and meta-analysis of cohort studies.
Clin Nutr ESPEN. 2020 Apr; 36:1-9.CN

Abstract

BACKGROUND & AIMS

The association between dietary patterns and Gestational Diabetes Mellitus (GDM) risk was investigated in many studies, but the findings were inconclusive.

METHODS

We conducted a systematic review and meta-analysis of cohort studies. To find the relevant articles several databases were searched. We found that 13 studies met our inclusion criteria. So, the relevant dietary patterns were selected and the random-effect model was used to compute the summary risk estimates and 95 percent confidence intervals.

RESULTS

This meta-analysis revealed that "prudent" (RR = 0.78, CI = 0.63-0.96), "vegetable" (RR = 0.86, CI = 0.76-0.98), and "Mediterranean" (RR = 0.71, CI = 0.56-0.91) dietary patterns with high levels of whole grain, fruits, vegetables, and low fat dairy intake decreased the risk of GDM. However, the western dietary pattern, determined by high intakes of red meat, process meat, fried food, and refined grain could increase the risk of GDM (RR = 1.27, CI = 1.03-1.56).

CONCLUSIONS

Western dietary pattern could increase the risk of GDM; while the healthy dietary patterns including "Mediterranean", "prudent", and "vegetable" dietary patterns could decrease the risk of GDM.

Authors+Show Affiliations

Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Electronic address: hoseinzade.mahdie@gmail.com.

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review

Language

eng

PubMed ID

32220350

Citation

Hassani Zadeh, Shirin, et al. "Dietary Patterns and Risk of Gestational Diabetes Mellitus: a Systematic Review and Meta-analysis of Cohort Studies." Clinical Nutrition ESPEN, vol. 36, 2020, pp. 1-9.
Hassani Zadeh S, Boffetta P, Hosseinzadeh M. Dietary patterns and risk of gestational diabetes mellitus: A systematic review and meta-analysis of cohort studies. Clin Nutr ESPEN. 2020;36:1-9.
Hassani Zadeh, S., Boffetta, P., & Hosseinzadeh, M. (2020). Dietary patterns and risk of gestational diabetes mellitus: A systematic review and meta-analysis of cohort studies. Clinical Nutrition ESPEN, 36, 1-9. https://doi.org/10.1016/j.clnesp.2020.02.009
Hassani Zadeh S, Boffetta P, Hosseinzadeh M. Dietary Patterns and Risk of Gestational Diabetes Mellitus: a Systematic Review and Meta-analysis of Cohort Studies. Clin Nutr ESPEN. 2020;36:1-9. PubMed PMID: 32220350.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns and risk of gestational diabetes mellitus: A systematic review and meta-analysis of cohort studies. AU - Hassani Zadeh,Shirin, AU - Boffetta,Paolo, AU - Hosseinzadeh,Mahdieh, Y1 - 2020/03/05/ PY - 2019/10/26/received PY - 2020/01/19/revised PY - 2020/02/15/accepted PY - 2020/3/30/entrez PY - 2020/3/30/pubmed PY - 2021/6/29/medline KW - Dietary pattern KW - Gestational diabetes mellitus KW - Meta-analysis KW - Systematic review SP - 1 EP - 9 JF - Clinical nutrition ESPEN JO - Clin Nutr ESPEN VL - 36 N2 - BACKGROUND & AIMS: The association between dietary patterns and Gestational Diabetes Mellitus (GDM) risk was investigated in many studies, but the findings were inconclusive. METHODS: We conducted a systematic review and meta-analysis of cohort studies. To find the relevant articles several databases were searched. We found that 13 studies met our inclusion criteria. So, the relevant dietary patterns were selected and the random-effect model was used to compute the summary risk estimates and 95 percent confidence intervals. RESULTS: This meta-analysis revealed that "prudent" (RR = 0.78, CI = 0.63-0.96), "vegetable" (RR = 0.86, CI = 0.76-0.98), and "Mediterranean" (RR = 0.71, CI = 0.56-0.91) dietary patterns with high levels of whole grain, fruits, vegetables, and low fat dairy intake decreased the risk of GDM. However, the western dietary pattern, determined by high intakes of red meat, process meat, fried food, and refined grain could increase the risk of GDM (RR = 1.27, CI = 1.03-1.56). CONCLUSIONS: Western dietary pattern could increase the risk of GDM; while the healthy dietary patterns including "Mediterranean", "prudent", and "vegetable" dietary patterns could decrease the risk of GDM. SN - 2405-4577 UR - https://www.unboundmedicine.com/medline/citation/32220350/full_citation DB - PRIME DP - Unbound Medicine ER -