The University of Southampton
University of Southampton Institutional Repository

Relationship of the frequency, distribution, and content of meals/snacks to glycaemic control in gestational diabetes: The myfood24 GDM pilot study

Relationship of the frequency, distribution, and content of meals/snacks to glycaemic control in gestational diabetes: The myfood24 GDM pilot study
Relationship of the frequency, distribution, and content of meals/snacks to glycaemic control in gestational diabetes: The myfood24 GDM pilot study
This study examines nutritional intakes in Gestational diabetes mellitus piloting the myfood24 tool, to explore frequency of meals/snacks, and daily distribution of calories and carbohydrates in relation to glycaemic control. A total of 200 women aged 20–43 years were recruited into this prospective observational study between February 2015 and February 2016. Diet was assessed using myfood24, a novel online 24-h dietary recall tool. Out of 200 women 102 completed both ≥1 dietary recalls and all blood glucose measurements. Blood glucose was self-measured as part of usual care. Differences between groups meeting and exceeding glucose targets in relation to frequency of meal/snack consumption and nutrients were assessed using chi-squared and Mann–Whitney tests. Women achieving a fasting glucose target <5.3 mmol/L, compared to those exceeding it, consumed three meals (92% vs. 78%: p = 0.04) and three snacks (10% vs. 4%: p = 0.06) per day, compared with two or less; and in relation to evening snacks, consumed a higher percentage of daily energy (6% vs. 5%: p = 0.03) and carbohydrates (8% vs. 6%: p = 0.01). Achieving glycaemic control throughout the day was positively associated with snacking (p = 0.008). Achieving glucose targets was associated with having more snacks across the day, and may be associated with frequency and distribution of meals and nutrients. A larger study is required to confirm this.
2072-6643
Morris, Michelle
aa35dcac-a3b6-43a4-b051-af8b9f7cb85e
Hutchinson, Jayne
7548ea10-3c97-4f45-ba05-16645eb097e7
Gianfrancesco, Carla
f1ad1d50-b64d-48d7-982d-089b0d4e97c4
Alwan, Nisreen
0d37b320-f325-4ed3-ba51-0fe2866d5382
Carter, Michelle
4faa5b07-dfaf-49f3-9e3d-8b216400f76d
Scott, Eleanor
33b4c4f5-a8c5-4b56-8d64-110c4c5af113
Cade, Janet
00e4216f-a895-4f13-996a-593a5c597e69
Morris, Michelle
aa35dcac-a3b6-43a4-b051-af8b9f7cb85e
Hutchinson, Jayne
7548ea10-3c97-4f45-ba05-16645eb097e7
Gianfrancesco, Carla
f1ad1d50-b64d-48d7-982d-089b0d4e97c4
Alwan, Nisreen
0d37b320-f325-4ed3-ba51-0fe2866d5382
Carter, Michelle
4faa5b07-dfaf-49f3-9e3d-8b216400f76d
Scott, Eleanor
33b4c4f5-a8c5-4b56-8d64-110c4c5af113
Cade, Janet
00e4216f-a895-4f13-996a-593a5c597e69

Morris, Michelle, Hutchinson, Jayne, Gianfrancesco, Carla, Alwan, Nisreen, Carter, Michelle, Scott, Eleanor and Cade, Janet (2019) Relationship of the frequency, distribution, and content of meals/snacks to glycaemic control in gestational diabetes: The myfood24 GDM pilot study. Nutrients, 12 (1), [3].

Record type: Article

Abstract

This study examines nutritional intakes in Gestational diabetes mellitus piloting the myfood24 tool, to explore frequency of meals/snacks, and daily distribution of calories and carbohydrates in relation to glycaemic control. A total of 200 women aged 20–43 years were recruited into this prospective observational study between February 2015 and February 2016. Diet was assessed using myfood24, a novel online 24-h dietary recall tool. Out of 200 women 102 completed both ≥1 dietary recalls and all blood glucose measurements. Blood glucose was self-measured as part of usual care. Differences between groups meeting and exceeding glucose targets in relation to frequency of meal/snack consumption and nutrients were assessed using chi-squared and Mann–Whitney tests. Women achieving a fasting glucose target <5.3 mmol/L, compared to those exceeding it, consumed three meals (92% vs. 78%: p = 0.04) and three snacks (10% vs. 4%: p = 0.06) per day, compared with two or less; and in relation to evening snacks, consumed a higher percentage of daily energy (6% vs. 5%: p = 0.03) and carbohydrates (8% vs. 6%: p = 0.01). Achieving glycaemic control throughout the day was positively associated with snacking (p = 0.008). Achieving glucose targets was associated with having more snacks across the day, and may be associated with frequency and distribution of meals and nutrients. A larger study is required to confirm this.

Text
Highlighted manuscript_nutrients-650917_13122019
Restricted to Repository staff only
Request a copy
Text
nutrients-12-00003-v2
Available under License Creative Commons Attribution.
Download (474kB)

More information

Accepted/In Press date: 16 December 2019
e-pub ahead of print date: 18 December 2019
Published date: 18 December 2019

Identifiers

Local EPrints ID: 436836
URI: http://eprints.soton.ac.uk/id/eprint/436836
ISSN: 2072-6643
PURE UUID: 8ddf0aee-83fe-4055-a598-2f591afe7bd9
ORCID for Nisreen Alwan: ORCID iD orcid.org/0000-0002-4134-8463

Catalogue record

Date deposited: 10 Jan 2020 17:34
Last modified: 17 Mar 2024 03:38

Export record

Contributors

Author: Michelle Morris
Author: Jayne Hutchinson
Author: Carla Gianfrancesco
Author: Nisreen Alwan ORCID iD
Author: Michelle Carter
Author: Eleanor Scott
Author: Janet Cade

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×