JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE) ›› 2021, Vol. 41 ›› Issue (3): 360-365.doi: 10.3969/j.issn.1674-8115.2021.03.013

• Public health • Previous Articles     Next Articles

Effects of individualized nutritional standard meal intervention on the prevention of gestational diabetes in overweight and obese pregnant women

Yue-hua TU1,2(), Xiao-jin WANG3, Bing-shun WANG3()   

  1. 1.School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China
    2.Department of Clinical Nutrition, Shanghai Sixth People's Hospital East Affiliated to Shanghai University of Medicine & Health Sciences, Shanghai 201306, China
    3.Department of Biostatistics, Clinical Research Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2020-01-09 Online:2021-03-28 Published:2021-04-06
  • Contact: Bing-shun WANG E-mail:tuyuehua19880105@126.com;wangbingshun@sjtu.edu.cn
  • Supported by:
    Science Research Foundation of Shanghai Sixth People's Hospital East Affiliated to Shanghai University of Medicine & Health Sciences(2015004)

Abstract: Objective

·To explore the effect of individualized nutritional standard meal intervention on weight management and prevention of gestational diabetes mellitus (GDM) in overweight and obese pregnant women.

Methods

·Overweight and obese pregnant women who had established files in Shanghai Sixth People's Hospital East Affiliated to Shanghai University of Medicine & Health Sciences from June 2017 to January 2019 with informed consent were randomly divided into intervention group and control group, with 100 cases in each group. The control group received collective health education in nutrition class during pregnancy, and the intervention group received individualized nutrition intervention such as nutritional standard meal on this basis. The weight gains at 13?16, 17?20 and 21?24 weeks of gestation and the incidence of GDM were compared between the two groups.

Results

·The weight gain of the intervention group was lower than that of the control group at 13?24 weeks of gestation (t=4.207, P=0.000). The variation of weight gain between the two groups was the greatest at 17?20 weeks of gestation (F=3.483, P=0.034). The incidence of GDM in the intervention group (16.5%) was lower than that in the control group (38.5%) (χ2=11.773, P=0.001).

Conclusion

·The intervention of individualized nutrition standard meal for overweight and obese pregnant women can help maintain appropriate gestational weight gain and reduce the incidence of GDM.

Key words: overweight, obese, standard meal, individualized nutritional intervention, gestational weight gain, gestational diabetes mellitus (GDM)

CLC Number: