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Midwifery
Cohort study
Gestational diabetes: higher animal protein intake during pregnancy is associated with increased risk, and higher vegetable protein intake with decreased risk
  1. Philippa Middleton
  1. Discipline of Obstetrics and Gynaecology, Robinson Institute, The University of Adelaide, Adelaide, Australia
  1. Correspondence to: Ms Philippa Middleton, Department of Obstetrics and Gynaecology, Robinson Institute, The University of Adelaide, Adelaide, SA 5005 Australia; philippa.middleton{at}adelaide.edu.au

https://doi.org/10.1136/eb-2013-101550

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    Commentary on: Bao W, Bowers K, Tobias DK, et al. Prepregnancy dietary protein intake, major dietary protein sources, and the risk of gestational diabetes mellitus: a prospective cohort study. Diabetes Care 2013;36:2001–8.OpenUrlAbstract/FREE Full Text

    Implications for practice and research

    • Pregnant women or women planning to become pregnant may benefit from substituting some animal protein with vegetable protein (including nuts) and perhaps replacing some red meat with fish and poultry.

    • Midwives can incorporate this nutritional advice into prenatal care.

    • The role of advanced glycation end products and influence on diabetes risk is a research priority.

    • Intervention studies are required to assess the effects of reducing and substituting some forms of meat before and during pregnancy.

    Context

    Gestational diabetes mellitus (GDM) can result in significant adverse outcomes for mother and child, both in the short-term and long-term …

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    Footnotes

    • Competing interests Part of Philippa Middleton's research involves assessing interventions for preventing and treating gestational and type 2 diabetes.