Objective To investigate the dietary status,blood lipid distribution characteristics,and the impact of dietary guidance on pregnancy outcomes in pregnant women with gestational diabetes mellitus(GDM),providing references for improving pregnancy outcomes.Methods The clinical data of pregnant women with gestational diabetes(GDM)(observation group,600 cases)and healthy pregnant women undergoing routine antenatal care during the same period(control group,600 cases)were compared.The 24-hour dietary recall method was used to analyze the dietary intake of both groups.The 600 GDM pregnant women in the observation group were divided into two subgroups based on their willingness:a professional dietary guidance group with 340 cases and a self-adjusted diet group with 260 cases.The blood lipid levels and pregnancy outcomes of the three groups throughout pregnancy were followed up and compared.Results Compared to the control group,the observation group had higher pre-delivery body mass,fasting plasma glucose(FPG),and 2-hour postprandial plasma glucose(2hFPG)levels,as well as higher intake of fats,meats,and fruits,and lower intake of carbohydrates and vegetables,with all differences being statistically significant(all P<0.05).The levels of triglycerides(TG)and low-density lipoprotein cholesterol(LDL-C)in mid-pregnancy,and total cholesterol(TC),TG,and LDL-C levels in late pregnancy were highest in the self-adjusted diet group,followed by the professional dietary guidance group,and lowest in the control group(all P<0.05).The levels of high-density lipoprotein cholesterol(HDL-C)were lowest in the self-adjusted diet group,followed by the professional dietary guidance group,and highest in the control group(all P<0.05).The incidence of adversepregnancyoutcomesintheself-adjusteddietgroup(18.46%)washigherthanthatinthe professional dietary guidance group(6.18%)and the control group(1.50%),with all differences being statistically significant(χ2=21.848,P<0.05).Conclusions Pregnant women with GDM exhibit a significant increase in blood lipid levels during mid and late pregnancy,along with an unreasonable dietary structure.Clinically,dietary guidance and health interventions can effectively correct the disorder of blood lipid metabolism,thereby improving pregnancy outcomes.
国家科技期刊平台
NSTL
万方数据
