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富含特级初榨橄榄油和开心果的 MediDiet 是否可以降低妊娠期糖尿病的发病率?

Does a MediDiet With Additional Extra Virgin Olive Oil and Pistachios Reduce the Incidence of Gestational Diabetes?

机构信息

Department of Obstetrics, No.3 ward, People's Hospital of Zhengzhou University (Henan Provincial People's Hospital), Zhengzhou, Henan, China.

Department of Periodontology and Oral Implantology, Regional Dental College, Guwahati, Assam, India.

出版信息

Endocr Pract. 2022 Feb;28(2):135-141. doi: 10.1016/j.eprac.2021.08.010. Epub 2021 Sep 2.

Abstract

OBJECTIVE

The present study aimed to evaluate gestational diabetes mellitus (GDM) incidence in pregnant women following the Mediterranean diet (MedDiet) with the addition of extra virgin olive oil (EVOO) and pistachios.

METHODS

A total of 560 pregnant patients were enrolled in the present study. The MedDiet was introduced in both the interventional group (IG) and the control group. The women in the IG received 40 mL of EVOO every day along with 25 to 30 g of roasted pistachios. The incidence of GDM was recorded along with specific maternal and neonatal outcomes.

RESULTS

The nutritional scores and MedDiet adherence screener scores were not statistically different between the groups at baseline, but the difference was statistically significant and higher in the IG at 24 to 28 weeks (P = .001) and at 36 to 38 weeks (P = .001). GDM was diagnosed in 51 (20.4%) women in the control group and 34 (13.6%) women in the IG. The MedDiet significantly reduced GDM incidence (P = .02) after adjusting for confounding factors.

CONCLUSION

The present study shows that dietary intervention in pregnant women, including a MedDiet and increased consumption of EVOO and pistachios, decreases the incidence of GDM.

摘要

目的

本研究旨在评估在摄入地中海饮食(MedDiet)并额外添加特级初榨橄榄油(EVOO)和开心果的情况下,孕妇中妊娠糖尿病(GDM)的发病率。

方法

本研究共纳入 560 名孕妇。MedDiet 被引入干预组(IG)和对照组。IG 中的女性每天接受 40 毫升 EVOO 以及 25 至 30 克烤开心果。记录 GDM 的发病率以及特定的母婴结局。

结果

两组在基线时的营养评分和 MedDiet 依从性筛查器评分没有统计学差异,但在 24 至 28 周(P=0.001)和 36 至 38 周(P=0.001)时,IG 的差异具有统计学意义且更高。对照组中有 51 名(20.4%)女性被诊断为 GDM,IG 中有 34 名(13.6%)女性被诊断为 GDM。在调整混杂因素后,MedDiet 显著降低了 GDM 的发病率(P=0.02)。

结论

本研究表明,包括 MedDiet 以及增加 EVOO 和开心果摄入量在内的孕妇饮食干预可降低 GDM 的发病率。

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