THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND GLUCOSE TOLERANCE IN PREGNANCY

Objective: Gestational diabetes mellitus (GDM) is a form of diabetes that appears during pregnancy and can cause both maternal and fetal consequences if left untreated. The aim of this study was to investigate the relationship between the nutritional characteristics of pregnancy and the development...

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Main Authors: Merve Yabacı, Cemile İdiz, Bedia Fulya Çalıkoğlu, Atıl Yüksel, Beyhan Ömer, Birsen Demirel, Emel Özer, İlhan Satman
Format: Article
Language:English
Published: Istanbul University Press 2021-07-01
Series:İstanbul Tıp Fakültesi Dergisi
Subjects:
Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CB1FBE7663C349D5A007BDAED0B08E08
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author Merve Yabacı
Cemile İdiz
Bedia Fulya Çalıkoğlu
Atıl Yüksel
Beyhan Ömer
Birsen Demirel
Emel Özer
İlhan Satman
author_facet Merve Yabacı
Cemile İdiz
Bedia Fulya Çalıkoğlu
Atıl Yüksel
Beyhan Ömer
Birsen Demirel
Emel Özer
İlhan Satman
author_sort Merve Yabacı
collection DOAJ
description Objective: Gestational diabetes mellitus (GDM) is a form of diabetes that appears during pregnancy and can cause both maternal and fetal consequences if left untreated. The aim of this study was to investigate the relationship between the nutritional characteristics of pregnancy and the development of GDM and gestational glucose intolerance (GGIT). Material and Method: Three groups of pregnant women were included in the study. They were grouped according to the results of the oral glucose tolerance test (OGTT-50 g and 100 g) as follows: normal glucose tolerance (NGT, n=60), GGIT (n=60), and GDM (n=60). The demographic characteristics, health conditions, and nutritional habits of the participants were questioned, and a 3-day food consumption record was requested from the patients. Results: Average age, body weight, daily carbohydrate and protein intakes, and the frequency of diabetes history in the family were found to be higher in the GDM and GGIT groups than in the NGT group. It was also found that the amount of fat intake was higher in the GDM group than in the NGT and GGIT groups (p<0.05). According to logistic regression models, age, daily protein, carbohydrate, and fat consumption, not being pregnant before, and having a body mass index (BMI)>25 kg/m2 before pregnancy were the factors associated with the risk of GDM. Similarly, age, daily protein consumption, having a macrosomic baby, and current smoking were positively associated with the risk of GGIT. Conclusion: The phenotypic characteristics, family history of diabetes, and previous obstetric problems in pregnant women were found to be closely related to GDM or GGIT risk. Special attention should be paid to general health and balanced nutrition, especially in high-risk pregnant women.
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spelling doaj-art-fa9440eb38d6419ea1ffa6bdb699198b2025-08-20T01:50:21ZengIstanbul University Pressİstanbul Tıp Fakültesi Dergisi1305-64412021-07-0184337638510.26650/IUITFD.2021.803339123456THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND GLUCOSE TOLERANCE IN PREGNANCYMerve Yabacı0https://orcid.org/0000-0003-4019-9256Cemile İdiz1https://orcid.org/0000-0001-6635-5996Bedia Fulya Çalıkoğlu2https://orcid.org/0000-0001-9263-3531Atıl Yüksel3https://orcid.org/0000-0002-6487-0860Beyhan Ömer4https://orcid.org/0000-0001-7938-6281Birsen Demirel5https://orcid.org/0000-0003-3897-1446Emel Özer6https://orcid.org/0000-0002-4394-8761İlhan Satman7https://orcid.org/0000-0001-8613-1797İstanbul Bilgi Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Bilgi Üniversitesi, İstanbul, TürkiyeDiyabet Diyetisyenliği Derneği, Istanbul, Turkiyeİstanbul Üniversitesi, İstanbul, TürkiyeObjective: Gestational diabetes mellitus (GDM) is a form of diabetes that appears during pregnancy and can cause both maternal and fetal consequences if left untreated. The aim of this study was to investigate the relationship between the nutritional characteristics of pregnancy and the development of GDM and gestational glucose intolerance (GGIT). Material and Method: Three groups of pregnant women were included in the study. They were grouped according to the results of the oral glucose tolerance test (OGTT-50 g and 100 g) as follows: normal glucose tolerance (NGT, n=60), GGIT (n=60), and GDM (n=60). The demographic characteristics, health conditions, and nutritional habits of the participants were questioned, and a 3-day food consumption record was requested from the patients. Results: Average age, body weight, daily carbohydrate and protein intakes, and the frequency of diabetes history in the family were found to be higher in the GDM and GGIT groups than in the NGT group. It was also found that the amount of fat intake was higher in the GDM group than in the NGT and GGIT groups (p<0.05). According to logistic regression models, age, daily protein, carbohydrate, and fat consumption, not being pregnant before, and having a body mass index (BMI)>25 kg/m2 before pregnancy were the factors associated with the risk of GDM. Similarly, age, daily protein consumption, having a macrosomic baby, and current smoking were positively associated with the risk of GGIT. Conclusion: The phenotypic characteristics, family history of diabetes, and previous obstetric problems in pregnant women were found to be closely related to GDM or GGIT risk. Special attention should be paid to general health and balanced nutrition, especially in high-risk pregnant women.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CB1FBE7663C349D5A007BDAED0B08E08gestational diabetes mellitusgestational glucose intolerancenutrition styleoral glucose tolerance test
spellingShingle Merve Yabacı
Cemile İdiz
Bedia Fulya Çalıkoğlu
Atıl Yüksel
Beyhan Ömer
Birsen Demirel
Emel Özer
İlhan Satman
THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND GLUCOSE TOLERANCE IN PREGNANCY
İstanbul Tıp Fakültesi Dergisi
gestational diabetes mellitus
gestational glucose intolerance
nutrition style
oral glucose tolerance test
title THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND GLUCOSE TOLERANCE IN PREGNANCY
title_full THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND GLUCOSE TOLERANCE IN PREGNANCY
title_fullStr THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND GLUCOSE TOLERANCE IN PREGNANCY
title_full_unstemmed THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND GLUCOSE TOLERANCE IN PREGNANCY
title_short THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND GLUCOSE TOLERANCE IN PREGNANCY
title_sort relationship between nutritional status and glucose tolerance in pregnancy
topic gestational diabetes mellitus
gestational glucose intolerance
nutrition style
oral glucose tolerance test
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CB1FBE7663C349D5A007BDAED0B08E08
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