July 7, 2025

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Nutritional education on health beliefs, metabolic profiles, and quality of life among high-risk pregnant women for gestational diabetes mellitus: a randomized controlled trial

Nutritional education on health beliefs, metabolic profiles, and quality of life among high-risk pregnant women for gestational diabetes mellitus: a randomized controlled trial

  • MRS, L. A. E. Eur. Parliamentary Res. Service (2022). 738.206.

  • McIntyre, H. D. et al. Gestational diabetes mellitus. Nat. Rev. Dis. Primers. 5, 47. (2019).

    Article 
    PubMed 

    Google Scholar 

  • Wang, H. et al. Estimation of Global and Regional Gestational Diabetes Mellitus Prevalence for 2021 by International Association of Diabetes in Pregnancy Study Group’s Criteria. Diabetes Res. Clin. Pract. 183, 109050. (2022).

    Article 
    PubMed 

    Google Scholar 

  • Sadeghi, S., Khatibi, S. R., Mahdizadeh, M., Peyman, N. & Zare Dorniani, S. Prevalence of gestational diabetes in Iran: a systematic review and Meta-analysis. Med. J. Islam Repub. Iran. 37, 83. (2023).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Yahaya, T. O., Salisu, T., Abdulrahman, Y. B. & Umar, A. K. Update on the genetic and epigenetic etiology of gestational diabetes mellitus: a review. Egypt. J. Med. Hum. Genet. 21, 1–13 (2020).

    Article 

    Google Scholar 

  • Reece, E. A. The fetal and maternal consequences of gestational diabetes mellitus. J. Matern Fetal Neonatal Med. 23, 199–203. (2010).

    Article 
    PubMed 

    Google Scholar 

  • Torloni, M. R. et al. Prepregnancy BMI and the risk of gestational diabetes: a systematic review of the literature with meta-analysis. Obes. Rev. 10, 194–203. (2009).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Takele, W. W. et al. Effective interventions in preventing gestational diabetes mellitus: a systematic review and meta-analysis. Commun. Med. (Lond) 4, 75. (2024).

    Article 
    PubMed 

    Google Scholar 

  • Sparks, J. R., Ghildayal, N., Hivert, M. F. & Redman, L. M. Lifestyle interventions in pregnancy targeting GDM prevention: looking ahead to precision medicine. Diabetologia 65, 1814–1824. (2022).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Simmons, D. et al. Effect of physical activity and/or healthy eating on GDM Risk: the DALI Lifestyle Study. J. Clin. Endocrinol. Metab. 102, 903–913. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Sara Parrettini, A. C. Elisabetta Torlone Nutrition and metabolic adaptations in physiological and complicated pregnancy: focus on obesity and gestational diabetes. Front. Endocrinol. 11, 611929 (2020).

    Article 

    Google Scholar 

  • Sweeting, A. et al. The carbohydrate threshold in pregnancy and gestational diabetes. How Low Can. We Go? Nutrients 13 (2021).

  • Vikkie, A., Mustad, D. T. T. H., José, M. & López-Pedrosa Cristina Campoy, Ricardo Rueda. The role of Dietary Carbohydrates in Gestational Diabetes. Nutrients 12 (2020).

  • Zafar, M. I. et al. Low-glycemic index diets as an intervention for diabetes: a systematic review and meta-analysis. Am. J. Clin. Nutr. 110, 891–902. (2019).

    Article 
    PubMed 

    Google Scholar 

  • Maslova, E. et al. Maternal glycemic index and glycemic load in pregnancy and offspring metabolic health in childhood and adolescence-a cohort study of 68,471 mother-offspring dyads from the Danish National Birth Cohort. Eur. J. Clin. Nutr. 73, 1049–1062. (2019).

    Article 
    PubMed 

    Google Scholar 

  • Argiana, V. et al. The effect of consumption of low-glycemic-index and low-glycemic-load desserts on anthropometric parameters and inflammatory markers in patients with type 2 diabetes mellitus. Eur. J. Nutr. 54, 1173–1180. (2015).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Górniaczyk, A., Czech-Szczapa, B., Sobkowski, M. & Chmaj-Wierzchowska, K. Maternal health-related behaviours during pregnancy: a critical public health issue. Eur. J. Contracept. Reprod. Health Care 22, 321–325. (2017).

    Article 
    PubMed 

    Google Scholar 

  • Glanz, K., Rimer, B. K. & Viswanath, K. Health behavior. Theory, research, and practice. (Fifth Edition) 99–118 (Wiley 2015).

  • Reza Sadeghi, F. B. H. Narges Khanjani. A systematic review about Educational interventions based on the Health Belief Model (HBM) aimed to prevent and control diabetes in Iran. Int. J. Ayurvedic Med. 11, 15–22 (2020).

    Article 

    Google Scholar 

  • Tesfaye, A., Tamiru, D. & Belachew, T. Effect of nutrition counseling on nutritional status and gestational weight gain of pregnant adolescents in West Arsi, Central Ethiopia: a cluster randomized controlled trial. Sci. Rep. 14, 5070. (2024).

    Article 
    ADS 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Shakerinejad, G., Navak, T., Hatemzadeh, N., Haghi, M. & Haghigizadeh, M. H. Investigating the effect of multimedia education based on the health belief model in preventing COVID-19 in pregnant women. BMC Public. Health 23, 681. (2023).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Mary Carolan, M. A. D. Mary Anne Biro, Michelle Kealy maternal age, ethnicity and gestational diabetes mellitus. Midwifery. 28, 778–783 (2012).

    Article 
    PubMed 

    Google Scholar 

  • Li, Y. et al. Maternal age and the risk of gestational diabetes mellitus: a systematic review and meta-analysis of over 120 million participants. Diabetes Res. Clin. Pract. 162, 108044. (2020).

    Article 
    PubMed 

    Google Scholar 

  • Vaajala, M. et al. Previous induced abortion or miscarriage is associated with increased odds for gestational diabetes: a nationwide register-based cohort study in Finland. Acta Diabetol. 60, 845–849. (2023).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Wang, H. et al. Association between the history of abortion and gestational diabetes mellitus: a meta-analysis. Endocrine 80, 29–39. (2023).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Asemi, Z., Samimi, M., Tabassi, Z., Sabihi, S. S. & Esmaillzadeh, A. A randomized controlled clinical trial investigating the effect of DASH diet on insulin resistance, inflammation, and oxidative stress in gestational diabetes. Nutrition 29, 619–624. (2013).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Boutron, I., Moher, D., Altman, D. G., Schulz, K. F. & Ravaud, P. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann. Intern. Med. 148, 295–309. (2008).

    Article 
    PubMed 

    Google Scholar 

  • Schäfer-Graf, U. M. et al. Gestational diabetes Mellitus (GDM) – diagnosis, treatment and Follow-Up. Guideline of the DDG and DGGG (S3 Level, AWMF Registry Number 057/008, February 2018). Geburtshilfe Frauenheilkd. 78, 1219–1231. (2018).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Classification and Diagnosis of Diabetes. Standards of Medical Care in Diabetes-2019. Diabetes Care 42, S13–s28. (2019).

    Article 

    Google Scholar 

  • Rasmussen, L. et al. Diet and healthy lifestyle in the management of gestational diabetes Mellitus. Nutrients 12 (2020).

  • Foster-Powell, K., Holt, S. H. & Brand-Miller, J. C. International table of glycemic index and glycemic load values: 2002. Am. J. Clin. Nutr. 76, 5–56. (2002).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Kazemi, F. et al. Glycemic Index (GI) values for major sources of Dietary Carbohydrates in Iran. Int. J. Endocrinol. Metab. 18, e99793. (2020).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Montazeri, A., Vahdaninia, M., Mousavi, S. J. & Omidvari, S. The Iranian version of 12-item short Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC Public. Health 9, 341. (2009).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Vasheghani-Farahani, A. et al. The Persian, last 7-day, long form of the International Physical Activity Questionnaire: translation and validation study. Asian J. Sports Med. 2, 106–116. (2011).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Ghaffarpour, M., Houshiar-Rad, A. & Kianfar, H. The manual for household measures, cooking yields factors and edible portion of foods. Tehran: Nashre Olume Keshavarzy 7, 42–58 (1999).

    Google Scholar 

  • Mohebbi, B., Tol, A., Sadeghi, R., Mohtarami, S. F. & Shamshiri, A. Self-management intervention program based on the Health Belief Model (HBM) among women with gestational diabetes Mellitus: a quazi-experimental study. Arch. Iran. Med. 22, 168–173 (2019).

    PubMed 

    Google Scholar 

  • Sasanfar, B. et al. The effect of nutrition education for cancer prevention based on health belief model on nutrition knowledge, attitude, and practice of Iranian women. BMC Womens Health. 22, 213. (2022).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Dehghan, T. et al. Educational intervention based on the extended parallel process model improves adherence to diabetic diet and glycaemic control indices: a randomised, double-blind, controlled, factorial field trial. Br. J. Nutr. 131, 2068–2079. (2024).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Staynova, R. & Stankova, E. V. T. V Yanachkova the impact of a printed educational booklet on disease awareness in women with gestational diabetes. European J. Public. Health 31 (2021).

  • Gastrich, M. D. & Janevic, S. P. T. Gloria Bachmann,Nikita Lotwala, Ameed Siyam. Gestational diabetes mellitus: an educational opportunity. J. Diabetes Nurs. 17, 220–224 (2013).

    Google Scholar 

  • Nettore, I. C. et al. Influences of age, sex and smoking habit on Flavor Recognition in Healthy Population. Int. J. Environ. Res. Public. Health 17 (2020).

  • Jones, C. L. et al. The Health Belief Model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation. Health Commun. 30, 566–576. (2015).

    Article 
    PubMed 

    Google Scholar 

  • Masoome Alidosti, G. R. S., Golshiri, P., Azadbakht, L., Hasanzadeh, A. & Hemati, Z. An investigation on the effect of gastric cancer education based on Health Belief Model on knowledge, attitude and nutritional practice of housewives. Iranian J. Nurs. Midwifery Research 17 (2012).

  • 44 Haghighatdoost, F. et al. Glycemic index, glycemic load, and common psychological disorders. Am. J. Clin. Nutr. 103, 201–209. (2016).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Rizkalla, S. W. et al. Improved plasma glucose control, whole-body glucose utilization, and lipid profile on a low-glycemic index diet in type 2 diabetic men: a randomized controlled trial. Diabetes Care 27, 1866–1872. (2004).

    Article 
    PubMed 

    Google Scholar 

  • Lv, S., Yu, S., Chi, R. & Wang, D. Effects of nutritional nursing intervention based on glycemic load for patient with gestational diabetes mellitus. Ginekol. Pol. 90, 46–49. (2019).

    Article 
    PubMed 

    Google Scholar 

  • 47 Augustin, L. S. A. et al. Glycemic index, glycemic load and glycemic response: an International Scientific Consensus Summit from the International Carbohydrate Quality Consortium (ICQC). Nutr. Metab. Cardiovasc. Dis. 25, 795–815. (2015).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Grant, S. M., Wolever, T. M., O’Connor, D. L., Nisenbaum, R. & Josse, R. G. Effect of a low glycaemic index diet on blood glucose in women with gestational hyperglycaemia. Diabetes Res. Clin. Pract. 91, 15–22. (2011).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Louie, J. C. et al. A randomized controlled trial investigating the effects of a low-glycemic index diet on pregnancy outcomes in gestational diabetes mellitus. Diabetes Care 34, 2341–2346. (2011).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Ma, W. J. et al. Intensive low-glycaemic-load dietary intervention for the management of glycaemia and serum lipids among women with gestational diabetes: a randomized control trial. Public. Health Nutr. 18, 1506–1513. (2015).

    Article 
    PubMed 

    Google Scholar 

  • Chiavaroli, L. et al. Effect of low glycaemic index or load dietary patterns on glycaemic control and cardiometabolic risk factors in diabetes: systematic review and meta-analysis of randomised controlled trials. Bmj 374, n1651. (2021).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Fatemeh Lalooha, K. E. Sania Rahimi,Farideh Movahed,Venus Chegini. Investigating the relationship between serum C-Reactive protein, ferritin levels, and gestational diabetes in pregnant women living in Qazvin City. J. Inflamm. Dis. 25, 223–230 (2022).

    Article 

    Google Scholar 

  • Catalano, P. M., Tyzbir, E. D., Roman, N. M., Amini, S. B. & Sims, E. A. Longitudinal changes in insulin release and insulin resistance in nonobese pregnant women. Am. J. Obstet. Gynecol. 165, 1667–1672. (1991).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Retnakaran, R. et al. C-reactive protein and gestational diabetes: the central role of maternal obesity. J. Clin. Endocrinol. Metab. 88, 3507–3512. (2003).

    Article 
    CAS 
    PubMed 

    Google Scholar 

  • Kumari, R. & Singh, H. The prevalence of elevated high-sensitivity C-reactive protein in normal pregnancy and gestational diabetes mellitus. J. Family Med. Prim. Care 6, 259–264. (2017).

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Hillyard, M., Sinclair, M., Murphy, M., Casson, K. & Mulligan, C. The impact of COVID-19 on the physical activity and sedentary behaviour levels of pregnant women with gestational diabetes. PLoS One 16, e0254364. (2021).

    Article 
    CAS 
    PubMed 
    PubMed Central 

    Google Scholar 

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