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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

British Journal of Nutrition
Q1
Nov 2012
Citations: 188
Influential: 11
Interventional (Human) Studies
87

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.
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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…