Department of Rehabilitation and Sport Sciences, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth BH8 8GP, UK.
Centre for Midwifery, Maternal & Perinatal Health, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth BH8 8GP, UK.
Nutrients. 2021 Dec 21;14(1):10. doi: 10.3390/nu14010010.
Advice on dietary intake is an essential first line intervention for the management of gestational diabetes mellitus (GDM). Digital tools such as web-based and smartphone apps have been suggested to provide a novel way of providing information on diet for optimal glucose regulation in women with GDM. This systematic review explores the effectiveness and usability of digital tools designed to support dietary self-management of GDM. A systematic search of Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, and Scopus using key search terms identified 1476 papers reporting research studies, of which 16 met the specified inclusion criteria. The quality of the included studies was assessed using the ErasmusAGE Quality Score or the Mixed Methods Appraisal Tool (MMAT) version 2018. The findings show that the adoption of digital tools may be an effective approach to support self-management relating to healthy diet, health behaviour, and adherence to therapy in women with GDM as a usable intervention. However, there is a lack of evidence concerning the effectiveness of tools to support the dietary management of GDM. Consideration for ethnic specific dietary advice and evidence-based frameworks in the development of effective digital tools for dietary management of GDM should be considered as these aspects have been limited in the studies reviewed.
饮食摄入建议是管理妊娠期糖尿病（GDM）的基本一线干预措施。已经有人提出，数字工具，如基于网络的和智能手机应用程序，可以为 GDM 妇女提供最佳葡萄糖调节的饮食信息提供一种新的方法。本系统评价探讨了旨在支持 GDM 饮食自我管理的数字工具的有效性和可用性。使用关键搜索词在 Medline、Embase、护理和联合健康文献累积索引（CINAHL）、Cochrane 图书馆和 Scopus 中进行了系统搜索，确定了 1476 篇报告研究的论文，其中 16 篇符合规定的纳入标准。使用 ErasmusAGE 质量评分或混合方法评估工具（MMAT）版本 2018 评估了纳入研究的质量。研究结果表明，采用数字工具可能是支持 GDM 妇女健康饮食、健康行为和治疗依从性自我管理的有效方法，是一种可用的干预措施。然而，关于支持 GDM 饮食管理的工具的有效性的证据不足。在开发针对 GDM 饮食管理的有效数字工具时，应考虑针对特定民族的饮食建议和基于证据的框架，因为在审查的研究中，这些方面受到了限制。
