A medical nutrition therapy program improves perinatal outcomes in Mexican pregnant women with gestational diabetes and type 2 diabetes mellitus

Otilia Perichart-Perera, Margie Balas-Nakash, Adalberto Parra-Covarrubias, Ameyalli Rodriguez-Cano, Aurora Ramirez-Torres, Carlos Ortega-González, Felipe Vadillo-Ortega

Resultado de la investigación: Contribución a una revistaArtículo

18 Citas (Scopus)

Resumen

Diabetes in pregnancy is a major public health problem in Mexico. Nutrition therapy is an important component of treatment. Intensive nutrition intervention has not been implemented for Mexican pregnant women with diabetes. Its effect on different types of diabetes mellitus has not been studied. Purpose The authors assessed the effect of a medical nutrition therapy (MNT) program on perinatal complications in Mexico City. Methods Quasi-experimental design with a historical control. Women were assigned to a MNT program (n = 88) and were followed up with every 2 weeks until delivery (2004-2007). The control group (n = 86) was selected from medical charts (2001-2003) and the same inclusion criteria were used. In each group, 55% of women had type 2 diabetes mellitus and 45% had gestational diabetes. The MNT program included a moderate intake of carbohydrate (40%-45% of total energy) and reduction in energy intake, capillary glucose self-monitoring, and education. The control group received usual hospital routine care. Statistical analysis included descriptive statistics, chi-square, and multivariate logistic regression (OR, 95% CI) as indicated. Results Women in the MNT program had a lower risk of preeclampsia, fewer maternal hospitalization, and neonatal deaths in both types of diabetes. Low birth weight was less frequent only in women with gestational diabetes receiving MNT, while neonatal intensive care unit admissions were lower only in women with type 2 diabetes. Conclusions An intensive MNT program, including counseling, education, and capillary glucose self-monitoring, has a positive effect over preeclampsia, maternal hospitalization, and neonatal death in women with diabetes in pregnancy. MNT guidelines should be implemented in Mexican health care facilities treating diabetes in pregnancy.

Idioma originalInglés
Páginas (desde-hasta)1004-1013
Número de páginas10
PublicaciónDiabetes Educator
Volumen35
N.º6
DOI
EstadoPublicada - 1 nov 2009

Huella dactilar

Nutrition Therapy
Type 2 Diabetes Mellitus
Pregnant Women
Diabetes Mellitus
Pregnancy in Diabetics
Maternal Death
Gestational Diabetes
Mexico
Pre-Eclampsia
Hospitalization
Education
Glucose
Nutrition Policy
Control Groups
Neonatal Intensive Care Units
Health Facilities
Low Birth Weight Infant
Energy Intake
Counseling
Research Design

Citar esto

Perichart-Perera, O., Balas-Nakash, M., Parra-Covarrubias, A., Rodriguez-Cano, A., Ramirez-Torres, A., Ortega-González, C., & Vadillo-Ortega, F. (2009). A medical nutrition therapy program improves perinatal outcomes in Mexican pregnant women with gestational diabetes and type 2 diabetes mellitus. Diabetes Educator, 35(6), 1004-1013. https://doi.org/10.1177/0145721709343125
Perichart-Perera, Otilia ; Balas-Nakash, Margie ; Parra-Covarrubias, Adalberto ; Rodriguez-Cano, Ameyalli ; Ramirez-Torres, Aurora ; Ortega-González, Carlos ; Vadillo-Ortega, Felipe. / A medical nutrition therapy program improves perinatal outcomes in Mexican pregnant women with gestational diabetes and type 2 diabetes mellitus. En: Diabetes Educator. 2009 ; Vol. 35, N.º 6. pp. 1004-1013.
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abstract = "Diabetes in pregnancy is a major public health problem in Mexico. Nutrition therapy is an important component of treatment. Intensive nutrition intervention has not been implemented for Mexican pregnant women with diabetes. Its effect on different types of diabetes mellitus has not been studied. Purpose The authors assessed the effect of a medical nutrition therapy (MNT) program on perinatal complications in Mexico City. Methods Quasi-experimental design with a historical control. Women were assigned to a MNT program (n = 88) and were followed up with every 2 weeks until delivery (2004-2007). The control group (n = 86) was selected from medical charts (2001-2003) and the same inclusion criteria were used. In each group, 55{\%} of women had type 2 diabetes mellitus and 45{\%} had gestational diabetes. The MNT program included a moderate intake of carbohydrate (40{\%}-45{\%} of total energy) and reduction in energy intake, capillary glucose self-monitoring, and education. The control group received usual hospital routine care. Statistical analysis included descriptive statistics, chi-square, and multivariate logistic regression (OR, 95{\%} CI) as indicated. Results Women in the MNT program had a lower risk of preeclampsia, fewer maternal hospitalization, and neonatal deaths in both types of diabetes. Low birth weight was less frequent only in women with gestational diabetes receiving MNT, while neonatal intensive care unit admissions were lower only in women with type 2 diabetes. Conclusions An intensive MNT program, including counseling, education, and capillary glucose self-monitoring, has a positive effect over preeclampsia, maternal hospitalization, and neonatal death in women with diabetes in pregnancy. MNT guidelines should be implemented in Mexican health care facilities treating diabetes in pregnancy.",
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Perichart-Perera, O, Balas-Nakash, M, Parra-Covarrubias, A, Rodriguez-Cano, A, Ramirez-Torres, A, Ortega-González, C & Vadillo-Ortega, F 2009, 'A medical nutrition therapy program improves perinatal outcomes in Mexican pregnant women with gestational diabetes and type 2 diabetes mellitus', Diabetes Educator, vol. 35, n.º 6, pp. 1004-1013. https://doi.org/10.1177/0145721709343125

A medical nutrition therapy program improves perinatal outcomes in Mexican pregnant women with gestational diabetes and type 2 diabetes mellitus. / Perichart-Perera, Otilia; Balas-Nakash, Margie; Parra-Covarrubias, Adalberto; Rodriguez-Cano, Ameyalli; Ramirez-Torres, Aurora; Ortega-González, Carlos; Vadillo-Ortega, Felipe.

En: Diabetes Educator, Vol. 35, N.º 6, 01.11.2009, p. 1004-1013.

Resultado de la investigación: Contribución a una revistaArtículo

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T1 - A medical nutrition therapy program improves perinatal outcomes in Mexican pregnant women with gestational diabetes and type 2 diabetes mellitus

AU - Perichart-Perera, Otilia

AU - Balas-Nakash, Margie

AU - Parra-Covarrubias, Adalberto

AU - Rodriguez-Cano, Ameyalli

AU - Ramirez-Torres, Aurora

AU - Ortega-González, Carlos

AU - Vadillo-Ortega, Felipe

PY - 2009/11/1

Y1 - 2009/11/1

N2 - Diabetes in pregnancy is a major public health problem in Mexico. Nutrition therapy is an important component of treatment. Intensive nutrition intervention has not been implemented for Mexican pregnant women with diabetes. Its effect on different types of diabetes mellitus has not been studied. Purpose The authors assessed the effect of a medical nutrition therapy (MNT) program on perinatal complications in Mexico City. Methods Quasi-experimental design with a historical control. Women were assigned to a MNT program (n = 88) and were followed up with every 2 weeks until delivery (2004-2007). The control group (n = 86) was selected from medical charts (2001-2003) and the same inclusion criteria were used. In each group, 55% of women had type 2 diabetes mellitus and 45% had gestational diabetes. The MNT program included a moderate intake of carbohydrate (40%-45% of total energy) and reduction in energy intake, capillary glucose self-monitoring, and education. The control group received usual hospital routine care. Statistical analysis included descriptive statistics, chi-square, and multivariate logistic regression (OR, 95% CI) as indicated. Results Women in the MNT program had a lower risk of preeclampsia, fewer maternal hospitalization, and neonatal deaths in both types of diabetes. Low birth weight was less frequent only in women with gestational diabetes receiving MNT, while neonatal intensive care unit admissions were lower only in women with type 2 diabetes. Conclusions An intensive MNT program, including counseling, education, and capillary glucose self-monitoring, has a positive effect over preeclampsia, maternal hospitalization, and neonatal death in women with diabetes in pregnancy. MNT guidelines should be implemented in Mexican health care facilities treating diabetes in pregnancy.

AB - Diabetes in pregnancy is a major public health problem in Mexico. Nutrition therapy is an important component of treatment. Intensive nutrition intervention has not been implemented for Mexican pregnant women with diabetes. Its effect on different types of diabetes mellitus has not been studied. Purpose The authors assessed the effect of a medical nutrition therapy (MNT) program on perinatal complications in Mexico City. Methods Quasi-experimental design with a historical control. Women were assigned to a MNT program (n = 88) and were followed up with every 2 weeks until delivery (2004-2007). The control group (n = 86) was selected from medical charts (2001-2003) and the same inclusion criteria were used. In each group, 55% of women had type 2 diabetes mellitus and 45% had gestational diabetes. The MNT program included a moderate intake of carbohydrate (40%-45% of total energy) and reduction in energy intake, capillary glucose self-monitoring, and education. The control group received usual hospital routine care. Statistical analysis included descriptive statistics, chi-square, and multivariate logistic regression (OR, 95% CI) as indicated. Results Women in the MNT program had a lower risk of preeclampsia, fewer maternal hospitalization, and neonatal deaths in both types of diabetes. Low birth weight was less frequent only in women with gestational diabetes receiving MNT, while neonatal intensive care unit admissions were lower only in women with type 2 diabetes. Conclusions An intensive MNT program, including counseling, education, and capillary glucose self-monitoring, has a positive effect over preeclampsia, maternal hospitalization, and neonatal death in women with diabetes in pregnancy. MNT guidelines should be implemented in Mexican health care facilities treating diabetes in pregnancy.

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Perichart-Perera O, Balas-Nakash M, Parra-Covarrubias A, Rodriguez-Cano A, Ramirez-Torres A, Ortega-González C y otros. A medical nutrition therapy program improves perinatal outcomes in Mexican pregnant women with gestational diabetes and type 2 diabetes mellitus. Diabetes Educator. 2009 nov 1;35(6):1004-1013. https://doi.org/10.1177/0145721709343125