Effect of ultra-processed foods consumption on glycemic control and gestational weight gain in pregnant with pregestational diabetes mellitus using carbohydrate counting.

ABSTRACT:

Aims

The aims were to evaluate the consumption of ultra-processed foods by pregnant women with pre-existing diabetes mellitus (DM) using the carbohydrate counting method, in addition to investigating the association with total gestational weight gain and glycemic control.

Methods

A cohort study of adult Brazilian pregnant women with pre-existing DM. Dietary intake was evaluated adopting the NOVA classification to identify the reported consumption of ultra-processed foods. Weight was measured at all consultations and laboratory tests were evaluated at each gestational trimester. Multivariate linear regression was used in the analysis.

Results

Pregnant women (n = 42) presented mean total gestational weight gain of 12.02 ± 4.8 kg, 65.8% of them with inadequate weight gain. Daily consumption of ultra-processed foods was 272.37 ± 170.55 kcal. The increase of every 1 kcal in the calorie intake from ultra-processed foods in the third trimester increased glycated hemoglobin by 0.007% (? = 0.007, p = 0.025), raised 1-h postprandial glucose by 0.14 mg/dL (? = 0.143, p = 0.011), and added 0.11 kg to total gestational weight gain (? = 0.11, p = 0.006).

Conclusion

Ultra-processed food consumption influenced glycemic control and total gestational weight gain in pregnant women with DM.

SUBMITTER: Silva CFM 

PROVIDER: S-EPMC7860109 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature