中国食物与营养2023，Vol.29Issue(12)：68-77,10.
不同饮食模式对妊娠期糖尿病血糖及妊娠结局影响的网状Meta分析
Effects of Different Dietary Patterns on Blood Glucose and Pregnancy Outcomes in Patients with Gestational Diabetes Mellitus:A Network Meta-Analysis
摘要
Abstract
[Objective]To evaluate the effects of different dietary patterns on blood glucose and pregnancy outcomes in patients with gestational diabetes mellitus by network Meta-analysis.[Method]CNKI,Wanfang,VIP,SinoMed,PubMed,Embase,Web of Science,Cochrane Library and other Chinese and English databases were searched from the establishment of the database to March 2023.Two researchers screened the literature and extracted the data back-to-back.The Cochrane bias risk assessment tool was used to evaluate the quality of the literature.Review Manager5.4.1 and Stata15.1 software were used for data analysis.[Result]A total of 25studies were included.The results showed that in terms of fasting blood glucose,the ranking of Network Meta-analysis from best to worst was low glycemic index diet＞low glycemic index combined with conventional diet＞DASH＞low glycemic load diet＞low carbohydrate diet＞low carbohydrate diet combined with DASH＞conventional diet.In terms of 2-hour postprandial blood glucose,the ranking of network Meta-analysis from best to worst was low glycemic index diet＞low glycemic index diet combined with conventional diet＞low glycemic load diet＞low carbohydrate diet＞conventional diet.In terms of insulin resistance,the result of network Meta-analysis ranking from best to worst was DASH＞low glycemic index diet combined with regular diet＞low glycemic index diet＞regular diet.In terms of the incidence of adverse pregnancy outcomes,the ranking of network Meta-analysis from best to worst was low glycemic index Diet＞DASH＞low glycemic index diet combined with conventional diet＞low carbohydrate diet＞low glycemic load iet＞conventional diet＞low carbohydrate diet combined with DASH.[Conclusion]In terms of fasting blood glucose,2-hour postprandial blood glucose,and the incidence of adverse pregnancy outcomes,low glycemic index diet can achieve good results,ranking first among the 7 methods.In terms of insulin resistance,DASH had the best effect.However,more high-quality RCT are still needed to further confirm the results.关键词
饮食模式/妊娠期糖尿病/随机对照试验/网状Meta分析Key words
diet pattern/gestational diabetes mellitus(GDM)/Randomized Controlled Trial(RCT)/Network Meta-analysis引用本文复制引用
张萌,陈赟,刘牧军,蔡洁超..不同饮食模式对妊娠期糖尿病血糖及妊娠结局影响的网状Meta分析[J].中国食物与营养,2023,29(12):68-77,10.基金项目
2022年度福田区卫生健康系统科研项目(项目编号:FTWS2022038). （项目编号:FTWS2022038）
