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Maternal nutrition: opportunities in the prevention of gestational diabetes.

Gestational diabetes mellitus (GDM) is currently defined as glucose intolerance that is of variable severity with onset or first recognition during pregnancy. The Hyperglycemia and Adverse Pregnancy Outcome Study, including 25 000 nondiabetic pregnant women in 15 centers across the world, reported t... Full description

Journal Title: Nutrition reviews Vol.75, pp.32-50
Main Author: Silva-Zolezzi, Irma
Other Authors: Samuel, Tinu Mary , Spieldenner, Jörg
Format: Electronic Article Electronic Article
Language: English
Subjects:
Created: January 2017
ID: E-ISSN: 1753-4887 ; DOI: 1753-4887 ; DOI: 10.1093/nutrit/nuw033
Link: http://search.proquest.com/docview/1855334652/?pq-origsite=primo
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title: Maternal nutrition: opportunities in the prevention of gestational diabetes.
format: Article
creator:
  • Silva-Zolezzi, Irma
  • Samuel, Tinu Mary
  • Spieldenner, Jörg
subjects:
  • Blood Glucose–Metabolism
  • Diabetes Mellitus, Type 2–Blood
  • Diabetes, Gestational–Epidemiology
  • Diet–Blood
  • Exercise–Epidemiology
  • Fatty Acids, Unsaturated–Prevention & Control
  • Female–Administration & Dosage
  • Humans–Blood
  • Hyperglycemia–Blood
  • Maternal Nutritional Physiological Phenomena–Epidemiology
  • Micronutrients–Administration & Dosage
  • Obesity–Blood
  • Pregnancy–Blood
  • Pregnancy Outcome–Epidemiology
  • Prevalence–Administration & Dosage
  • Probiotics–Administration & Dosage
  • Randomized Controlled Trials As Topic–Blood
  • Risk Factors–Blood
  • Vitamin D–Blood
  • Blood Glucose
  • Fatty Acids, Unsaturated
  • Micronutrients
  • Vitamin D
  • Food Fortification
  • Gestational Diabetes Mellitus
  • Hyperglycemia
  • Micronutrient
  • Nutrition
ispartof: Nutrition reviews, Vol.75, pp.32-50
description: Gestational diabetes mellitus (GDM) is currently defined as glucose intolerance that is of variable severity with onset or first recognition during pregnancy. The Hyperglycemia and Adverse Pregnancy Outcome Study, including 25 000 nondiabetic pregnant women in 15 centers across the world, reported that an average of 17.8% of pregnancies are affected by GDM and its frequency can be as high as 25.5% in some countries, based on the International Association of Diabetes and Pregnancy Study Groups criteria. Nevertheless, true global prevalence estimates of GDM are currently lacking due to the high level of heterogeneity in screening approaches, diagnostic criteria, and differences in the characteristics of the populations that were studied. The presence of systemic high blood glucose levels in pregnancy results in an adverse intrauterine environment, which has been shown to have a negative impact on short- and long-term health outcomes for both the mother and her offspring, including increased risks for the infant to develop obesity and for both mother and child to develop type 2 diabetes mellitus later in life. Epigenetic mechanisms that are directly influenced by environmental factors, including nutrition, may play a key role in shaping these future health risks and may be part of this vicious cycle. This article reviews the burden of GDM and the current evidence that suppons maternal nutritional interventions as a promising strategy to break the cycle by addressing risk factors associated with GDM. doi: 10.1093/nutrit/nuw033
language: eng
source:
identifier: E-ISSN: 1753-4887 ; DOI: 1753-4887 ; DOI: 10.1093/nutrit/nuw033
fulltext: fulltext
issn:
  • 17534887
  • 1753-4887
url: Link


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titleMaternal nutrition: opportunities in the prevention of gestational diabetes.
creatorSilva-Zolezzi, Irma ; Samuel, Tinu Mary ; Spieldenner, Jörg
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subjectBlood Glucose–Metabolism ; Diabetes Mellitus, Type 2–Blood ; Diabetes, Gestational–Epidemiology ; Diet–Blood ; Exercise–Epidemiology ; Fatty Acids, Unsaturated–Prevention & Control ; Female–Administration & Dosage ; Humans–Blood ; Hyperglycemia–Blood ; Maternal Nutritional Physiological Phenomena–Epidemiology ; Micronutrients–Administration & Dosage ; Obesity–Blood ; Pregnancy–Blood ; Pregnancy Outcome–Epidemiology ; Prevalence–Administration & Dosage ; Probiotics–Administration & Dosage ; Randomized Controlled Trials As Topic–Blood ; Risk Factors–Blood ; Vitamin D–Blood ; Blood Glucose ; Fatty Acids, Unsaturated ; Micronutrients ; Vitamin D ; Food Fortification ; Gestational Diabetes Mellitus ; Hyperglycemia ; Micronutrient ; Nutrition
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descriptionGestational diabetes mellitus (GDM) is currently defined as glucose intolerance that is of variable severity with onset or first recognition during pregnancy. The Hyperglycemia and Adverse Pregnancy Outcome Study, including 25 000 nondiabetic pregnant women in 15 centers across the world, reported that an average of 17.8% of pregnancies are affected by GDM and its frequency can be as high as 25.5% in some countries, based on the International Association of Diabetes and Pregnancy Study Groups criteria. Nevertheless, true global prevalence estimates of GDM are currently lacking due to the high level of heterogeneity in screening approaches, diagnostic criteria, and differences in the characteristics of the populations that were studied. The presence of systemic high blood glucose levels in pregnancy results in an adverse intrauterine environment, which has been shown to have a negative impact on short- and long-term health outcomes for both the mother and her offspring, including increased risks for the infant to develop obesity and for both mother and child to develop type 2 diabetes mellitus later in life. Epigenetic mechanisms that are directly influenced by environmental factors, including nutrition, may play a key role in shaping these future health risks and may be part of this vicious cycle. This article reviews the burden of GDM and the current evidence that suppons maternal nutritional interventions as a promising strategy to break the cycle by addressing risk factors associated with GDM. doi: 10.1093/nutrit/nuw033
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