高碳水化合物饮食与妊娠中口服葡萄糖耐受性测试之间的关系
Elcin Islek Secen1, Raziye Desdicioglu1, Gonca Turker Ergun2
1Department of Obstetrics and Gynecology, Ankara Yildirim Beyazit Universitesi, Ankara, Turkey.
Zeitschrift fur Geburtshilfe und Neonatologie
|August 17, 2023
概括
在口服葡萄糖耐受性测试 (OGTT) 前一天的饮食碳水化合物摄入量不会影响妊娠糖尿病 (GDM) 查结果. 孕妇在GDM测试前不需要特殊的准备饮食.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 营养科学 营养科学
背景情况:
- 妊娠期糖尿病 (GDM) 的诊断依赖于口服葡萄糖耐受性测试 (OGTT).
- 饮食因素,特别是碳水化合物摄入量,可能会影响OGTT结果.
- 在孕妇群体中OGTT之前短期饮食变化的影响需要澄清.
研究的目的:
- 为了研究碳水化合物比例在75克OGTT前一天饮食中所产生的影响.
- 评估对未经选择的孕妇OGTT值和GDM诊断的影响.
- 为了确定是否需要饮食准备来准确查GDM.
主要方法:
- 研究了接受OGTT的83名孕妇.
- 收集了OGTT前24小时的饮食记录.
- 碳水化合物摄入量被归类为正常 (40-60%) 或高 (>60%).
主要成果:
- 40名女性食用高碳水化合物饮食 (HCD,平均62%) 和43名女性食用正常碳水化合物饮食 (NCD,平均49%).
- 在OGTT期间,高碳水化合物摄入量并没有显著改变禁食,1小时或2小时的葡萄糖水平.
- 在一般和高风险孕妇群体中,GDM诊断率不受HCD的影响.
结论:
- 在OGTT前一天的高碳水化合物摄入量不会显著影响查测试结果.
- 在具有典型饮食习惯的孕妇中,没有明显需要在OGTT之前进行特定的准备性饮食.
- 目前的饮食习惯足以通过OGTT对GDM进行准确的查.
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