Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain
Gestational diabetes mellitus (GDM) is the most frequent morbidity found in pregnancy, and it increases the risk for several maternal-fetal complications. Hispanic women are considered at high risk. The St. Carlos GDM prevention study is a randomized controlled trial (RCT) conducted from 2016–2017....
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Format: | Article |
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MDPI AG
2020-11-01
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Series: | Nutrients |
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Online Access: | https://www.mdpi.com/2072-6643/12/11/3505 |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Verónica Melero Nuria García de la Torre Carla Assaf-Balut Inés Jiménez Laura del Valle Alejandra Durán Elena Bordiú Johanna J. Valerio Miguel A Herraiz Nuria Izquierdo Maria José Torrejón Isabelle Runkle Ana Barabash Miguel A Rubio Alfonso L Calle-Pascual |
spellingShingle |
Verónica Melero Nuria García de la Torre Carla Assaf-Balut Inés Jiménez Laura del Valle Alejandra Durán Elena Bordiú Johanna J. Valerio Miguel A Herraiz Nuria Izquierdo Maria José Torrejón Isabelle Runkle Ana Barabash Miguel A Rubio Alfonso L Calle-Pascual Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain Nutrients gestational diabetes mellitus Hispanic ethnicity Mediterranean diet nutritional intervention pregnancy |
author_facet |
Verónica Melero Nuria García de la Torre Carla Assaf-Balut Inés Jiménez Laura del Valle Alejandra Durán Elena Bordiú Johanna J. Valerio Miguel A Herraiz Nuria Izquierdo Maria José Torrejón Isabelle Runkle Ana Barabash Miguel A Rubio Alfonso L Calle-Pascual |
author_sort |
Verónica Melero |
title |
Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain |
title_short |
Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain |
title_full |
Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain |
title_fullStr |
Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain |
title_full_unstemmed |
Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain |
title_sort |
effect of a mediterranean diet-based nutritional intervention on the risk of developing gestational diabetes mellitus and other maternal-fetal adverse events in hispanic women residents in spain |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2020-11-01 |
description |
Gestational diabetes mellitus (GDM) is the most frequent morbidity found in pregnancy, and it increases the risk for several maternal-fetal complications. Hispanic women are considered at high risk. The St. Carlos GDM prevention study is a randomized controlled trial (RCT) conducted from 2016–2017. Normoglycemic women were randomized at 12–14 Gestation week (WG) to an intervention group (IG) receiving recommendations based on the MedDiet (supplemented with ExtraVirgin Olive Oil/pistachios), or to a control group (CG), recommended to limit fat intake. After RCT conclusion, IG recommendations were applied to a real-world group (RW) in routine clinical practice. The primary endpoint of the current study is an assessment of the GDM rate in Hispanic participants of the aforementioned studies: 132 RCT, 128 CT, 284 RW participants. The GDM rate was lower in IG: 19/128(14.8%), <i>p</i> = 0.021, and RW: 38/284(13.4%), <i>p</i> = 0.029) than in CG: 34/132(25.8%). Adjusted RR (95%CI) for GDM: 0.72 (0.50–0.97), <i>p</i> = 0.037 in IG and 0.77 (0.61–0.97), <i>p</i> = 0.008 in RW. Rates of urinary tract infections, emergency caesarean-sections and perineal trauma were also lower in IG and RW. Other adverse outcomes were lower in IG vs. CG. In conclusion, a MedDiet-based intervention reduces the rate of GDM and several adverse maternal-fetal outcomes in Hispanic women residing in Spain. |
topic |
gestational diabetes mellitus Hispanic ethnicity Mediterranean diet nutritional intervention pregnancy |
url |
https://www.mdpi.com/2072-6643/12/11/3505 |
work_keys_str_mv |
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doaj-7261321f7d564523b0369ff323e3108c2020-11-25T04:09:44ZengMDPI AGNutrients2072-66432020-11-01123505350510.3390/nu12113505Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in SpainVerónica Melero0Nuria García de la Torre1Carla Assaf-Balut2Inés Jiménez3Laura del Valle4Alejandra Durán5Elena Bordiú6Johanna J. Valerio7Miguel A Herraiz8Nuria Izquierdo9Maria José Torrejón10Isabelle Runkle11Ana Barabash12Miguel A Rubio13Alfonso L Calle-Pascual14Endocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainMedicina 2 Department, Facultad de Medicina, Universidad Complutense de Madrid, E 28040 Madrid, SpainMedicina 2 Department, Facultad de Medicina, Universidad Complutense de Madrid, E 28040 Madrid, SpainClinical Laboratory Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainEndocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, SpainGestational diabetes mellitus (GDM) is the most frequent morbidity found in pregnancy, and it increases the risk for several maternal-fetal complications. Hispanic women are considered at high risk. The St. Carlos GDM prevention study is a randomized controlled trial (RCT) conducted from 2016–2017. Normoglycemic women were randomized at 12–14 Gestation week (WG) to an intervention group (IG) receiving recommendations based on the MedDiet (supplemented with ExtraVirgin Olive Oil/pistachios), or to a control group (CG), recommended to limit fat intake. After RCT conclusion, IG recommendations were applied to a real-world group (RW) in routine clinical practice. The primary endpoint of the current study is an assessment of the GDM rate in Hispanic participants of the aforementioned studies: 132 RCT, 128 CT, 284 RW participants. The GDM rate was lower in IG: 19/128(14.8%), <i>p</i> = 0.021, and RW: 38/284(13.4%), <i>p</i> = 0.029) than in CG: 34/132(25.8%). Adjusted RR (95%CI) for GDM: 0.72 (0.50–0.97), <i>p</i> = 0.037 in IG and 0.77 (0.61–0.97), <i>p</i> = 0.008 in RW. Rates of urinary tract infections, emergency caesarean-sections and perineal trauma were also lower in IG and RW. Other adverse outcomes were lower in IG vs. CG. In conclusion, a MedDiet-based intervention reduces the rate of GDM and several adverse maternal-fetal outcomes in Hispanic women residing in Spain.https://www.mdpi.com/2072-6643/12/11/3505gestational diabetes mellitusHispanic ethnicityMediterranean dietnutritional interventionpregnancy |