Influence of Medical Nutrition Therapy and Eating Behavior on Gestational Weight Gain

Influence of Medical Nutrition Therapy and Eating Behavior on Gestational Weight Gain in Women With Diabetes

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03100383

Enrollment

Registered

2017-04-04

Start date

2013-11-01

Completion date

2014-11-30

Last updated

2017-04-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Eating Behavior, Weight Gain

Keywords

gestational diabetes, Type2 Diabetes

Brief summary

To assess the association of the number of medical nutrition therapy (MNT) consultations and eating behavior (cognitive restraint, uncontrolled eating, and emotional eating) with GWG in women with type 2 diabetes mellitus (T2DM) and gestational diabetes mellitus (GDM).

Detailed description

Women in puerperium with known T2DM or GDM diagnosed at the hospital were invited to participate in the study. Gestational diabetes was diagnosed with a 75-g oral glucose tolerance test. Weight (kg) and height (m) were measured using a mechanical column scale (SECA). The specific dimensions of eating behavior were measured through the 18-item Three-Factor Eating Questionnaire-18 (TFEQ-18). The Medical Nutrition Therapy (MNT) was offered every 2-4 weeks. This therapy consists of providing a food plan with the following recommendations: limiting carbohydrate intake to 35-45% of total calories calculated as 30 kcal/kg based on pregestational BMI for an ideal weight . We evaluated the effect of MNT on GWG using a multiple linear regression model

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

FEMALE

Healthy volunteers

Inclusion criteria

* Women in puerperium with known T2DM or GDM diagnosed at the hospital.

Exclusion criteria

* Women with a twin or other multiple pregnancy, type 1 diabetes mellitus (T1DM), or intolerance to carbohydrates, and those with additional diseases (hypertensive disorders of pregnancy, hyper- or hypothyroidism, lupus, kidney or liver disease).

Design outcomes

Primary

Measure	Time frame	Description
Gestational Weight Gain (GWG).	9 months	GWG was calculated by subtracting the prepregnancy weight from the weight at the end of third trimester (kg).

Secondary

Measure	Time frame	Description
Eating behavior	9 months	The specific dimensions of eating behavior were measured through the 18-item Three-Factor Eating Questionnaire-18.

Outcome results