Research paper
Favourable effects of the Dietary Approaches to Stop Hypertension diet on glucose tolerance and lipid profiles in gestational diabetes: a randomised clinical trial
Study answer
What this study found
The DASH eating pattern produced favorable short-term effects on glucose tolerance and lipid profiles versus the control diet. Plasma glucose was lower at 60 min (21•86 v. 20•45 mmol/l, P group = 0•02), 120 min (2 2•3 v. 0•2 mmol/l, P group = 0•001), and 180 min (2 1•7 v. 0•22 mmol/l, P group = 0•002), and HbA1c decreased (20•2 v. 0•05 %, P group = 0•001). Mean changes also favored DASH for total cholesterol (−20•42 v. 0•31 mmol/l, P group = 0•01), LDL-cholesterol (−20•47 v. 0•22 mmol/l, P group = 0•005), TAG (−20•17 v. 0•34 mmol/l, P group = 0•01), total:HDL-cholesterol ratio (2 0•6 [SD…
- Study & population
- This was a randomized clinical trial in pregnant women with gestational diabetes mellitus in mid-pregnancy conducted in Kashan, Iran, at Kashan University of Medical Sciences.
- Intervention
- The active intervention was a DASH eating pattern for 4 weeks, emphasizing fruits, vegetables, whole grains, and low-fat dairy while limiting saturated fat, cholesterol, refined grains, sweets, and sodium to 2400 mg/day.
- Key limitation
- The trial was short at 4 weeks and single-center, which limits longer-term and broader generalizability.
Original abstract
Although gestational diabetes mellitus (GDM) is associated with an increased risk of maternal and neonatal morbidity, there is no consensus as to the optimal approach of nutritional management in these patients. The present study was designed to asse…