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The effect of DASH diet on pregnancy outcomes in gestational diabetes: a randomized controlled clinical trial
Abstract
Background/objectives The current study was performed to investigate the effects of the Dietary Approaches to Stop Hypertension (DASH) eating plan on pregnancy outcomes in pregnant women with gestational diabetes mellitus (GDM). Subjects/methods This randomized controlled clinical trial was performed among 52 women diagnosed with GDM. Participants were randomly assigned to consume either the control (n=26) or the DASH diet (n=26) for 4 weeks. The control diet was designed to contain 45-55% carbohydrates, 15-20% protein and 25-30% total fat. The DASH diet was rich in fruits, vegetables, whole grains and low-fat dairy products, and contained lower amounts of saturated fats, cholesterol and refined grains with a total of 2400 mg/day sodium. The numbers of women who commenced insulin therapy after dietary intervention, the mode of delivery and prevalence of polyhydramnios were assessed. The length, weight and head circumference of infants were measured during the first 24 h after birth. Results Whereas 46.2% of women in the DASH diet needed to have a cesarean section, this percentage for the control group was 80.8% (P=0.01). The percentage of those who needed to commence insulin therapy after intervention was also significantly different between the two groups (23% for DASH vs 73% for control group, P<0.0001). Infants born to mothers on the DASH diet had significantly lower weight (3222.7 vs 3818.8 g, P<0.0001), head circumference (34.2 vs 35.1 cm, P=0.01) and ponderal index (2.50 vs 2.87 kg/m(3), P<0.0001) compared with those born to mothers on the control diet. Conclusions In conclusion, consumption of DASH diet for 4 weeks among pregnant women with GDM resulted in improved pregnancy outcomes.
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“In addition, the effect of the Dietary Approach to Stop Hypertension (DASH) diet on glycemic control was confirmed, and Sarathi et al. indicated that eating a high-protein diet based on soy products reduces insulin requirements in GDM patients [92,93].”
From Gestational Diabetes Mellitus—Recent Literature Review (2022) · cites this paper as [92]
In the citing paper
“In addition, the effect of the Dietary Approach to Stop Hypertension (DASH) diet on glycemic control was confirmed, and Sarathi et al. indicated that eating a high-protein diet based on soy products reduces insulin requirements in GDM patients [92,93].”
From Gestational Diabetes Mellitus—Recent Literature Review (2022) · cites this paper as [92]
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Metadata
- Authors
- Asemi, Z., Samimi, M., Tabassi, Z., & Esmaillzadeh, A.
- Affiliations
- Kashan University of Medical Sciences (IR)
- Isfahan University of Medical Sciences (IR)
- Corresponding author
- Esmaillzadeh, A
- Venue
- European Journal of Clinical Nutrition
- Published
- 2014-01-15
- Volume
- 68
- Issue
- 4
- Pages
- 490-495
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- OpenAlex
- W1968597881
- Cited by
- 119
- References
- 52
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 10 · 2023: 10 · 2022: 12 · 2021: 13 · 2020: 12 · 2019: 6 · 2018: 11 · 2017: 10 · 2016: 8 · 2015: 7 · 2014: 4
- FWCI
- 9.84
- Type
- journal article
- Language
- en
- Update notices
- expression_of_concern (2020-05-04)
- Open access
- closed
- Locations
- European Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Physiology (medical) › Diet and metabolism studies
- Keywords
- DASH diet, gestational diabetes mellitus, pregnancy outcomes, dietary intervention, cesarean section, insulin therapy, birth weight, head circumference, polyhydramnios, mode of delivery
- MeSH terms
- Adolescent, Adult, Birth Weight, Blood Glucose, Edible Grain, Dairy Products, Diet, Feeding Behavior, Female, Fruit, Humans, Hypertension, Infant, Insulin, Pregnancy, Pregnancy Outcome, Vegetables, Nutrition Assessment, Diet Records, Diabetes, Gestational, Young Adult
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