(01-12-11) Effect of intensive counselling on the quality of dietary fats in pregnant women at high risk of gestational diabetes mellitus.

Korpi-Hy?v?lti E, Schwab U, Laaksonen DE, Linjama H, Heinonen S, Niskanen L.
Source
Department of Internal Medicine, Sein?joki Central Hospital, 60220 Sein?joki,
Finland.
Abstract
As part of a feasibility study to prevent gestational diabetes mellitus (GDM),
we evaluated the effect of an intensive dietary therapy on quality of diet,
weight gain and birth weight in women at high risk of GDM. Women with risk
factors for GDM (n 54) were randomly assigned from April 2005 to May 2006 to a
lifestyle intervention group (n 27) including dietary advice six times during
pregnancy or to a close follow-up group (n 27) in a community-based setting in
Finland. Dietary intake was recorded three times during pregnancy using 4 d
food records. The main outcome was the incidence of GDM. The secondary outcomes
were the changes in nutrient intake, weight gain and birth weight. Overall,
seventeen (65 %) women in the intervention group and eighteen (69 %) women in
the close follow-up group returned all three food records. PUFA intake
increased (P = 0?008) during pregnancy in the intervention as compared to the
close follow-up group. There were no clear differences in the changes of
saturated fat or fibre intake between the groups. Intensive dietary education
resulted in a somewhat lower weight gain during pregnancy (P = 0?062) and
higher birth weights of the infants (P = 0?047) without an effect on macrosomia
as compared to the close follow-up group. Individualised counselling by a
clinical nutritionist as part of a lifestyle intervention improved the quality
of dietary fat intake in pregnant women at high risk of GDM.


Source: Br J Nutr. 2011 Nov 18:1-8. [Epub ahead of print]

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