Nutritional therapy in gestational diabetes

Detalhes bibliográficos
Autor(a) principal: de Carvalho PADILHA, Patricia
Data de Publicação: 2023
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Nutrição
Texto Completo: https://periodicos.puc-campinas.edu.br/nutricao/article/view/9339
Resumo: This is a scientific literature review about nutritional therapy in gestational diabetes mellitus, without date restriction and using the SciELO, PubMed and Medline databases. The results of this review show that nutritional intervention is an important tool for managing gestational diabetes mellitus, and potentially benefits the mother’s and fetal health. Nutritional status assessment of the mother should include anthropometric, dietary, biochemical, clinical and functional indicators. In this way, dietary assessment should be thorough, paying attention to the number and kind of meals, and the food groups present. The distribution of macronutrients in relation to the total energy intake per day should be 45-65% carbohydrates, 15-20% proteins and 20-35% lipids. The allowed sweeteners are acesulfame K, aspartame, neotame, saccharin and sucralose. Physical activity should also be included in the strategy to treat diabetes mellitus but the impact of physical activity on neonatal complications still requires minute testing. In addition, some studies have associated nutritional counseling skill with greater adherence to dietary recommendations. Several measures should be taken to ensure successful management of gestational diabetes mellitus, including participation of an inter andmultidisciplinary team, early prenatal care with opportune nutritional care, and guaranteed quality care during pregnancy.
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spelling Nutritional therapy in gestational diabetesTerapia nutricional no diabetes gestacionalPrenatal careDiabetes, gestationalPregnantNutritionCuidado pré-natalDiabetes gestacionalGestanteNutriçãoThis is a scientific literature review about nutritional therapy in gestational diabetes mellitus, without date restriction and using the SciELO, PubMed and Medline databases. The results of this review show that nutritional intervention is an important tool for managing gestational diabetes mellitus, and potentially benefits the mother’s and fetal health. Nutritional status assessment of the mother should include anthropometric, dietary, biochemical, clinical and functional indicators. In this way, dietary assessment should be thorough, paying attention to the number and kind of meals, and the food groups present. The distribution of macronutrients in relation to the total energy intake per day should be 45-65% carbohydrates, 15-20% proteins and 20-35% lipids. The allowed sweeteners are acesulfame K, aspartame, neotame, saccharin and sucralose. Physical activity should also be included in the strategy to treat diabetes mellitus but the impact of physical activity on neonatal complications still requires minute testing. In addition, some studies have associated nutritional counseling skill with greater adherence to dietary recommendations. Several measures should be taken to ensure successful management of gestational diabetes mellitus, including participation of an inter andmultidisciplinary team, early prenatal care with opportune nutritional care, and guaranteed quality care during pregnancy.Trata-se de uma revisão da literatura científica sobre a terapia nutricional no Diabetes Mellitus Gestacional, sem restrição de data e com fontes primárias indexadas nas bases de dados SciELO, PubMed, Medline. Os resultados desta revisão apontam a intervenção nutricional como uma importante aliada no controle do Diabetes Mellitus Gestacional, trazendo potenciais benefícios à saúde materno-fetal. Na avaliação do estado nutricional materno devem ser empregados os indicadores antropométricos, dietéticos, bioquímicos, clínicos e funcional. Neste sentido, a avaliação dietética deve ser detalhada, com atenção para o fracionamento e composição das refeições, e grupos de alimentos presentes. No planejamento nutricional a distribuição de macronutrientes em relação ao consumo energético diário deve ser 45-65% de carboidratos, 15-20% de proteínas e 20-35% de lipídeos. Quanto a recomendação dos edulcorantes, são liberados para gestantes acesulfame K, aspartame, neotame, sacarina e sucralose. A atividade física também deve fazer parte da estratégia de tratamento do Diabetes Mellitus Gestacional, embora o impacto do exercício nas complicações neonatais ainda mereça ser rigorosamente testado. Ademais, estudos associam a habilidade de aconselhamento nutricional com a melhorara na adesão ao cuidado nutricional. Diante desses achados, para sucesso no controle do DMG são necessários: a participação da equipe inter e multidisciplinar, o cuidado pré-natalprecoce, com assistência nutricional oportuna e a garantia da assistência de qualidade ao longo da gestação. Núcleo de Editoração – PUC-Campinas2023-08-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9339Brazilian Journal of Nutrition; Vol. 23 No. 1 (2010): Revista de NutriçãoRevista de Nutrição; Vol. 23 Núm. 1 (2010): Revista de NutriçãoRevista de Nutrição; v. 23 n. 1 (2010): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPporhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/9339/6714Copyright (c) 2023 Patricia de Carvalho PADILHAhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessde Carvalho PADILHA, Patricia 2023-08-25T14:34:24Zoai:ojs.periodicos.puc-campinas.edu.br:article/9339Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-08-25T14:34:24Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false
dc.title.none.fl_str_mv Nutritional therapy in gestational diabetes
Terapia nutricional no diabetes gestacional
title Nutritional therapy in gestational diabetes
spellingShingle Nutritional therapy in gestational diabetes
de Carvalho PADILHA, Patricia
Prenatal care
Diabetes, gestational
Pregnant
Nutrition
Cuidado pré-natal
Diabetes gestacional
Gestante
Nutrição
title_short Nutritional therapy in gestational diabetes
title_full Nutritional therapy in gestational diabetes
title_fullStr Nutritional therapy in gestational diabetes
title_full_unstemmed Nutritional therapy in gestational diabetes
title_sort Nutritional therapy in gestational diabetes
author de Carvalho PADILHA, Patricia
author_facet de Carvalho PADILHA, Patricia
author_role author
dc.contributor.author.fl_str_mv de Carvalho PADILHA, Patricia
dc.subject.por.fl_str_mv Prenatal care
Diabetes, gestational
Pregnant
Nutrition
Cuidado pré-natal
Diabetes gestacional
Gestante
Nutrição
topic Prenatal care
Diabetes, gestational
Pregnant
Nutrition
Cuidado pré-natal
Diabetes gestacional
Gestante
Nutrição
description This is a scientific literature review about nutritional therapy in gestational diabetes mellitus, without date restriction and using the SciELO, PubMed and Medline databases. The results of this review show that nutritional intervention is an important tool for managing gestational diabetes mellitus, and potentially benefits the mother’s and fetal health. Nutritional status assessment of the mother should include anthropometric, dietary, biochemical, clinical and functional indicators. In this way, dietary assessment should be thorough, paying attention to the number and kind of meals, and the food groups present. The distribution of macronutrients in relation to the total energy intake per day should be 45-65% carbohydrates, 15-20% proteins and 20-35% lipids. The allowed sweeteners are acesulfame K, aspartame, neotame, saccharin and sucralose. Physical activity should also be included in the strategy to treat diabetes mellitus but the impact of physical activity on neonatal complications still requires minute testing. In addition, some studies have associated nutritional counseling skill with greater adherence to dietary recommendations. Several measures should be taken to ensure successful management of gestational diabetes mellitus, including participation of an inter andmultidisciplinary team, early prenatal care with opportune nutritional care, and guaranteed quality care during pregnancy.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.puc-campinas.edu.br/nutricao/article/view/9339
url https://periodicos.puc-campinas.edu.br/nutricao/article/view/9339
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.puc-campinas.edu.br/nutricao/article/view/9339/6714
dc.rights.driver.fl_str_mv Copyright (c) 2023 Patricia de Carvalho PADILHA
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Patricia de Carvalho PADILHA
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Núcleo de Editoração – PUC-Campinas
publisher.none.fl_str_mv Núcleo de Editoração – PUC-Campinas
dc.source.none.fl_str_mv Brazilian Journal of Nutrition; Vol. 23 No. 1 (2010): Revista de Nutrição
Revista de Nutrição; Vol. 23 Núm. 1 (2010): Revista de Nutrição
Revista de Nutrição; v. 23 n. 1 (2010): Revista de Nutrição
1678-9865
reponame:Revista de Nutrição
instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
instacron:PUC_CAMP
instname_str Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
instacron_str PUC_CAMP
institution PUC_CAMP
reponame_str Revista de Nutrição
collection Revista de Nutrição
repository.name.fl_str_mv Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)
repository.mail.fl_str_mv ||sbi.submissionrn@puc-campinas.edu.br
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