Prevention of gestational diabetes mellitus: a review of studies on weight management
Article first published online: 26 NOV 2009
Copyright © 2009 John Wiley & Sons, Ltd.
Diabetes/Metabolism Research and Reviews
Volume 26, Issue 1, pages 17–25, January 2010
How to Cite
Morisset, A.-S., St-Yves, A., Veillette, J., Weisnagel, S. J., Tchernof, A. and Robitaille, J. (2010), Prevention of gestational diabetes mellitus: a review of studies on weight management. Diabetes Metab. Res. Rev., 26: 17–25. doi: 10.1002/dmrr.1053
- Issue published online: 25 JAN 2010
- Article first published online: 26 NOV 2009
- Manuscript Accepted: 19 OCT 2009
- Manuscript Revised: 13 OCT 2009
- Manuscript Received: 15 APR 2009
- gestational diabetes mellitus;
- pre-pregnancy BMI;
- gestational weight gain
Entering pregnancy with overweight, obesity or gaining excessive gestational weight could increase the risk of gestational diabetes mellitus (GDM), which is associated with negative consequences for both the mother and the offspring. The objective of this article was to review scientific evidence regarding the association between obesity and GDM, and how weight management through nutritional prevention strategies could prove successful in reducing the risk for GDM. Studies published between January 1975 and January 2009 on the relationship between GDM, pre-pregnancy body mass index (BMI), gestational weight gain and nutritional prevention strategies were included in this review. Results from these reports suggest that maternal obesity assessed by pre-pregnancy BMI is associated with an increased risk of GDM. They also show an association between gestational weight gain and increased risk for GDM. Higher dietary fat and lower carbohydrate intakes during pregnancy appear to be associated with a higher risk for GDM, independent of pre-pregnancy BMI. Some studies showed that restricting energy and carbohydrates could minimize gestational weight gain. However, a firm conclusion on the most effective nutritional intervention for the control of gestational weight gain and glycaemic responses could not be reached based on available studies. In light of the studies reviewed, we conclude that weight management through nutritional prevention strategies could be successful in reducing the risk of GDM. Further studies are required to identify the most effective diet composition to prevent GDM and excessive gestational weight gain. Copyright © 2009 John Wiley & Sons, Ltd.