Effect of including Glycaemic Index (GI) nutrition education within the conventional healthy dietary recommendation framework on body weight and composition of women with prior Gestational Diabetes Mellitus: results from a one-year randomised Controlle

Rohana A. G., . and Fatimah A., . and Nik Shanita S., . and Chinna K., . and Shyam S., . and Mohd. Yusof B. N., . and Norasyikin A. W., . and Nor Azmi K., . Effect of including Glycaemic Index (GI) nutrition education within the conventional healthy dietary recommendation framework on body weight and composition of women with prior Gestational Diabetes Mellitus: results from a one-year randomised Controlle. pp. 269-283. ISSN 1394-035X

Introduction : Women with previous gestational diabetes mellitus (GDM) have increased risks for obesity and its metabolic consequences. Conventional diets have limited success in achieving weight loss in this population. Lowering dietary glycaemic index (GI) is known to facilitate weight loss in insulin-resistant women. This study evaluated the effects of including GI education within the conventional healthy dietary recommendation (CHDR) framework on body weight and composition of women post-GDM. Methods : Seventy-seven non-diabetic women with previous GDM (aged 20-40y mean BMI: 26.44.6kg/m) were randomised into two groups: subjects who received CHDR only (CHDR n38) and those who received low-GI education in addition (LGI n 39). The outcome of these interventions on body weight waist circumference (WC) waist‚to-hip-ratio (WHR) body fat and dietary intakes were assessed after one year. Clinically significant weight loss was defined as achieving a minimum of 5 weight loss from the baseline body weight. Results : After one year as compared to CHDR a significantly greater proportion of LGI subjects had 7 (28.2 vs. 5.3 p 0.01) and 10 (15.4 vs. 0 p 0.025) weight loss from baseline. WC significantly reduced in both groups (p 0.004); however only LGI subjects had significant WHR reduction (-0.02 0.04 p0.035). One-year mean increases in total (1.22.4kg p 0.008) and trunk fat (0.651.4kg p 0.019) were significant only within the CHDR group although the changes were not significantly different between the groups. After intervention LGI as compared to CHDR diets had lower GI (584 vs.647 p0.001) and higher dietary fibre (174 vs. 134g p 0.001). Conclusion : Including GI education within the CHDR framework for women with prior GDM increases their likelihood of achieving 7 weight loss and significant WHR reductions in one year.

Full text available from: Official URL: http://www.nutriweb.org.my/mjn/publication/21-3/a....

Abstract

Introduction : Women with previous gestational diabetes mellitus (GDM) have increased risks for obesity and its metabolic consequences. Conventional diets have limited success in achieving weight loss in this population. Lowering dietary glycaemic index (GI) is known to facilitate weight loss in insulin-resistant women. This study evaluated the effects of including GI education within the conventional healthy dietary recommendation (CHDR) framework on body weight and composition of women post-GDM. Methods : Seventy-seven non-diabetic women with previous GDM (aged 20-40y mean BMI: 26.44.6kg/m) were randomised into two groups: subjects who received CHDR only (CHDR n38) and those who received low-GI education in addition (LGI n 39). The outcome of these interventions on body weight waist circumference (WC) waist‚to-hip-ratio (WHR) body fat and dietary intakes were assessed after one year. Clinically significant weight loss was defined as achieving a minimum of 5 weight loss from the baseline body weight. Results : After one year as compared to CHDR a significantly greater proportion of LGI subjects had 7 (28.2 vs. 5.3 p 0.01) and 10 (15.4 vs. 0 p 0.025) weight loss from baseline. WC significantly reduced in both groups (p 0.004); however only LGI subjects had significant WHR reduction (-0.02 0.04 p0.035). One-year mean increases in total (1.22.4kg p 0.008) and trunk fat (0.651.4kg p 0.019) were significant only within the CHDR group although the changes were not significantly different between the groups. After intervention LGI as compared to CHDR diets had lower GI (584 vs.647 p0.001) and higher dietary fibre (174 vs. 134g p 0.001). Conclusion : Including GI education within the CHDR framework for women with prior GDM increases their likelihood of achieving 7 weight loss and significant WHR reductions in one year.

[error in script]

Item Type:	Article
AGROVOC Term:	Diabetes mellitus
AGROVOC Term:	Gestation
AGROVOC Term:	Diet
AGROVOC Term:	Women
AGROVOC Term:	Dietary guidelines
AGROVOC Term:	Anthropometry
AGROVOC Term:	Body weight
AGROVOC Term:	Body fat
AGROVOC Term:	Physical activity
AGROVOC Term:	Body mass
Depositing User:	Mr. AFANDI ABDUL MALEK
Last Modified:	24 Apr 2025 00:54
URI:	http://webagris.upm.edu.my/id/eprint/8050

Actions (login required)

View Item