GDM: Fat (2016)

GDM: Fat (2016)

  • Intervention
    In women with GDM, what impact does the type of fat (independent of the DASH dietary pattern) consumed have on fetal/neonatal and maternal outcomes?
    • Conclusion
      The evidence for the impact of the type of fat on fetal or neonatal and maternal outcomes in women with gestational diabetes mellitus (GDM) is limited. In one study of women with GDM who consumed a high monounsaturated fatty acid (MUFA) diet [1,982kcal per day with 46% CHO and 37% fat (22% MUFA)] compared to those who consumed a lower MUFA diet [1,727kcal per day with 50% CHO and 30% fat (11% MUFA)], no significant differences were found in glucose profile, blood lipids, maternal weight gain or neonatal birth weights. Both diets demonstrated positive effects: The high MUFA diet lowered diastolic blood pressure and nocturnal pulse rate and the lower MUFA diet improved insulin sensitivity in the third trimester in women with GDM. 
    • Grade: III
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    • Evidence Summary: In women with GDM, what impact does the type of fat (independent of the DASH dietary pattern) consumed have on fetal/neonatal and maternal outcomes?
    • Search Plan and Results: GDM: Dietary Fat 2015
       
    In women with GDM, what impact does the amount of fat consumed (independent of the DASH dietary pattern) have on fetal/neonatal and maternal outcomes?
    • Conclusion
      No evidence was identified to evaluate the impact of the amount of fat consumed (independent of carbohydrate or protein intake, or the DASH dietary pattern) on glycemic control, maternal weight gain, fetal growth or birth weight, and adverse fetal or neonatal and maternal outcomes in women with GDM.
    • Grade: V
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    • Search Plan and Results: GDM: Dietary Fat 2015