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Cited by 29Gestational Diabetes Research and ManagementDiet and metabolism studiesNutritional Studies and Diet

Dietary intervention strategies for ethnic Chinese women with gestational diabetes mellitus: A systematic review and meta‐analysis

Open access
Wan, Ching S., Nankervis, Alison, Teede, Helena, Aroni, Rosalie·2019·Nutrition & Dietetics
DOI 10.1111/1747-0080.12524PMC PMC6850048
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Abstract

Aim: Ethnic Chinese women are one of the populations at high risk of gestational diabetes mellitus (GDM) internationally. This systematic review aimed to determine which dietary intervention strategies were found to be effective in improving glycaemic control and pregnancy outcomes among ethnic Chinese women with GDM. Methods: The review protocol was registered with PROSPERO (CRD42016043585). Eight English and four Chinese language databases were searched for randomised controlled trials and cohort studies of dietary intervention among ethnic Chinese women with GDM. Review Manager 5.3 and GRADE criteria were used in meta‐analysis and assessment of quality of evidence. Results: Included studies comprised 3944 women in 29 eligible studies. Compared to standard treatment, low glycaemic index (GI) diets, low glycaemic load (GL) diets and fibre‐enriched diets were associated with a reduction in fasting plasma glucose, 2‐hour plasma glucose and HbA1c, and improved neonatal outcomes. Low GL diets were associated with reduced caesarean section risk. Conclusions: In ethnic Chinese women with GDM, low GI diets, low GL diets and fibre‐enriched diets were associated with improved glycaemic control and pregnancy outcomes. Given the lack of direct comparison of these three diets, future direct comparison trials are necessary to determine optimal dietary intervention strategies.

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  • Pooled meta-analyses suggest that a modified carbohydrate-restricted diet may reduce birth weight and improve maternal glycaemic control without increasing blood ketone levels.

    “However, pooled meta-analyses suggest that a modified carbohydrate-restricted diet may reduce birth weight and improve maternal glycaemic control without increasing blood ketone levels [79,80].”

    From Medical Nutrition Therapy for Women with Gestational Diabetes: Current Practice and Future Perspectives (2025) · cites this paper as [80]

    The Results (page unavailable) report improved maternal glycaemic control with low-glycaemic-load diets and a reduced risk of macrosomia in ethnic Chinese women with gestational diabetes. The paper does not report a reduction in birth weight itself or an effect on blood ketone levels, and a low-glycaemic-load diet is not necessarily a carbohydrate-restricted diet. (LLM, conf=0.86)

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Research works printed but not linked: 27

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Authors
Wan, C. S., Nankervis, A., Teede, H., & Aroni, R.
Affiliations
  • Monash University (AU)
  • The Royal Melbourne Hospital (AU)
  • Monash Medical Centre (AU)
  • Australian National University (AU)
Corresponding author
Wan, Ching S.
ORCID
Venue
Nutrition & Dietetics
Publisher
Wiley
Published
2019-04
Volume
76
Issue
2
Pages
211-232
ISSN
  • 1446-6368 (ISSN-L)
  • 1747-0080
DOI
10.1111/1747-0080.12524
PMC
PMC6850048
OpenAlex
W2930095998
Cited by
29
References
59
Citations by year
2025: 6 · 2024: 3 · 2023: 1 · 2022: 7 · 2021: 3 · 2020: 8 · 2019: 1
FWCI
0.75
Type
journal article
Language
en
Open access
Licence
Locations
  • Nutrition & Dietetics (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion, cc-by-nc-nd)
  • Monash University Research Portal (Monash University) (submittedVersion, cc-by-nc-nd)
  • ANU Open Research (Australian National University) (submittedVersion, cc-by-nc-nd)
Funders
Research Training Program from the Australian Government
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Physiology › Diet and metabolism studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
gestational diabetes mellitus, dietary intervention, glycemic control, HbA1c, fasting blood glucose, cesarean section, neonatal outcomes, pregnancy outcomes
MeSH terms
Adult, Blood Glucose, China, Diet, Dietary Fiber, Female, Glycated Hemoglobin, Humans, Nutritive Value, Pregnancy, Pregnancy Outcome, Risk Factors, Biomarkers, Diabetes, Gestational, Treatment Outcome, Nutritional Support, Glycemic Index, Asian People, Young Adult

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