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.
Morris, Michelle
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Hutchinson, Jayne
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Gianfrancesco, Carla
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Alwan, Nisreen
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Carter, Michelle
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Scott, Eleanor
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Cade, Janet
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18 December 2019
Morris, Michelle
aa35dcac-a3b6-43a4-b051-af8b9f7cb85e
Hutchinson, Jayne
7548ea10-3c97-4f45-ba05-16645eb097e7
Gianfrancesco, Carla
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Alwan, Nisreen
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Carter, Michelle
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Scott, Eleanor
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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].
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.
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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
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Date deposited: 10 Jan 2020 17:34
Last modified: 17 Mar 2024 03:38
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Contributors
Author:
Michelle Morris
Author:
Jayne Hutchinson
Author:
Carla Gianfrancesco
Author:
Michelle Carter
Author:
Eleanor Scott
Author:
Janet Cade
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