Cochrane · systematic review · CD009275
Different types of dietary advice for women with gestational diabetes mellitus
Han, S, Middleton, P, Shepherd, E, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
29
current version
GRADE rated
11
No studies
18
Included studies
NR
No studies 18 · 62.1%Ungraded 0 · 0%Very low 3 · 10.3%Low 8 · 27.6%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings: Low‐moderate GI diet versus moderate‐high GI diet (maternal outcomes)
Population: pregnant women with GDM
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hypertensive disorders of pregnancy: severe hypertension or pre‐eclampsia Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (maternal outcomes) | RR 1.02 [0.07, 15.86] | 1 study · 95 participants | Very low Downgraded: risk of bias, imprecision |
Hypertensive disorders of pregnancy: eclampsia Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (maternal outcomes) | RR 0.34 [0.01, 8.14] | 1 study · 83 participants | Very low Downgraded: risk of bias, imprecision |
Caesarean section Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (maternal outcomes) | RR 0.66 [0.29, 1.47] | 1 study · 63 participants | Low Downgraded: risk of bias, imprecision |
Induction of labour Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (maternal outcomes) | RR 0.88 [0.33, 2.34] | 1 study · 63 participants | Low Downgraded: risk of bias, imprecision |
Perineal trauma Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (maternal outcomes) | no estimate extracted | NR | No studies |
Type 2 diabetes mellitus Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (maternal outcomes) | no estimate extracted | NR | No studies |
Postnatal depression Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (maternal outcomes) | no estimate extracted | NR | No studies |
Postnatal weight retention or return to pre‐pregnancy weight Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (maternal outcomes) | no estimate extracted | NR | No studies |
Summary of findings: Low‐moderate GI diet versus moderate‐high GI diet (neonatal/child/adulthood outcomes)
Population: pregnant women with GDM
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Large‐for‐gestational age Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (neonatal/child/adulthood outcomes) | RR 0.71 [0.22, 2.34] | 2 studies · 89 participants | Low Downgraded: risk of bias, imprecision |
Perinatal mortality Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |
Neonatal mortality or morbidity composite Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |
Neonatal hypoglycaemia Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |
Childhood/adulthood neurosensory disability Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |
Childhood/adulthood adiposity Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |
Childhood/adulthood type 2 diabetes mellitus Summary of findings: Low‐moderate GI diet vs moderate‐high GI diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |
Summary of findings: Energy‐restricted diet versus no energy‐restricted diet (maternal outcomes)
Population: pregnant women with GDM
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hypertensive disorders of pregnancy: pre‐eclampsia Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (maternal outcomes) | RR 1 [0.51, 1.97] | 1 study · 117 participants | Low Downgraded: risk of bias, imprecision |
Caesarean section Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (maternal outcomes) | RR 1.12 [0.8, 1.56] | 2 studies · 420 participants | Low Downgraded: risk of bias, imprecision |
Induction of labour Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (maternal outcomes) | RR 1.02 [0.68, 1.53] | 1 study · 114 participants | Low Downgraded: risk of bias, imprecision |
Perineal trauma Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (maternal outcomes) | no estimate extracted | NR | No studies |
Type 2 diabetes mellitus Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (maternal outcomes) | no estimate extracted | NR | No studies |
Postnatal depression Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (maternal outcomes) | no estimate extracted | NR | No studies |
Postnatal weight retention or return to pre‐pregnancy weight Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (maternal outcomes) | no estimate extracted | NR | No studies |
Summary of findings: Energy‐restricted diet versus no energy‐restricted diet (neonatal/child/adulthood outcomes)
Population: pregnant women with GDM
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Large‐for‐gestational age Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (neonatal/child/adulthood outcomes) | RR 1.17 [0.65, 2.12] | 1 study · 123 participants | Low Downgraded: risk of bias, imprecision |
Perinatal mortality Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (neonatal/child/adulthood outcomes) | no estimate extracted | 2 studies · 423 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Neonatal mortality or morbidity composite Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |
Neonatal hypoglycaemia Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (neonatal/child/adulthood outcomes) | RR 1.06 [0.48, 2.32] | 2 studies · 408 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Childhood/adulthood neurosensory disability Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |
Childhood/adulthood adiposity Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |
Childhood/adulthood type 2 diabetes mellitus Summary of findings: Energy‐restricted diet vs no energy‐restricted diet (neonatal/child/adulthood outcomes) | no estimate extracted | NR | No studies |