Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus
Introduction: Gestational diabetes mellitus (GDM) increases risks for type 2 diabetes and cardiovascular diseases. Low glycaemic index (GI) diets improve cardio-metabolic outcomes in insulin-resistant individuals. We examined the feasibility of lowering GI through GI-based-education among Asian po...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nutrition Society of Malaysia
2013
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| Online Access: | http://psasir.upm.edu.my/id/eprint/29772/ http://psasir.upm.edu.my/id/eprint/29772/1/Lowering%20dietary%20glycaemic%20index%20through%20nutrition%20education%20among%20Malaysian%20women%20with%20a%20history%20of%20gestational%20diabetes%20mellitus.pdf |
| _version_ | 1848846492586999808 |
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| author | Shyam, Sangeetha Arshad, Fatimah Abdul Ghani, Rohana Abdul Wahab, Norasyikin Karuthan, Chinna S., Nik Shanita Mohd Yusof, Barakatun Nisak Kamaruddin, Nor Azmi |
| author_facet | Shyam, Sangeetha Arshad, Fatimah Abdul Ghani, Rohana Abdul Wahab, Norasyikin Karuthan, Chinna S., Nik Shanita Mohd Yusof, Barakatun Nisak Kamaruddin, Nor Azmi |
| author_sort | Shyam, Sangeetha |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Introduction:
Gestational diabetes mellitus (GDM) increases risks for type 2 diabetes and cardiovascular diseases. Low glycaemic index (GI) diets improve cardio-metabolic outcomes in insulin-resistant individuals. We examined the feasibility of lowering GI through GI-based-education among Asian post-GDM women.
Methods:
A 3-month investigation was carried out on 60 Malaysian women with a mean age of 31.0±4.5 years and a history of GDM. Subjects were randomised into two groups: LGIE and CHDR. The CHDR group received conventional healthy dietary recommendations only. The LGIE group received GI based-education in addition to conventional healthy dietary recommendations. At baseline and after 3-months, dietary intake of energy and macronutrient intakes including GI diet and glycaemic load was assessed using 3-day food records. Diabetes-Diet and GI-concept scores and physical activity levels were assessed using a questionnaire. Adherence to dietary instructions was measured at the end of 3 months.
Results:
At the end of 3 months, the LGIE group had significant reductions in energy intake (241.7±522.4Kcal, P=0.037, ES=0.463), total carbohydrate (48.7±83.5g, P=0.010, ES=0.583), GI (3.9±7.1, P=0.017, ES=0.549) and GL (39.0±55.3, P=0.003, ES=0.705) and significant increases in protein (3.7±5.4g, 0.003, ES=0.685) and diet fibre (4.6±7.3g, P=0.06). The CHDR group had a significant reduction in fat only (5.7±9.4g, P=0.006, ES=0.606). There was a 30% increase in GI-concept scores in the LGIE group (p< 0.001). Changes in GI-concept scores correlated significantly to the reduction in dietary GI (r = -0.642, P=0.045). Dietary adherence was comparable in both groups.
Conclusion:
GI-education improves GI-concept knowledge and helps lower dietary glycaemic index among women with a history of GDM. |
| first_indexed | 2025-11-15T09:03:34Z |
| format | Article |
| id | upm-29772 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T09:03:34Z |
| publishDate | 2013 |
| publisher | Nutrition Society of Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-297722016-02-05T01:33:17Z http://psasir.upm.edu.my/id/eprint/29772/ Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus Shyam, Sangeetha Arshad, Fatimah Abdul Ghani, Rohana Abdul Wahab, Norasyikin Karuthan, Chinna S., Nik Shanita Mohd Yusof, Barakatun Nisak Kamaruddin, Nor Azmi Introduction: Gestational diabetes mellitus (GDM) increases risks for type 2 diabetes and cardiovascular diseases. Low glycaemic index (GI) diets improve cardio-metabolic outcomes in insulin-resistant individuals. We examined the feasibility of lowering GI through GI-based-education among Asian post-GDM women. Methods: A 3-month investigation was carried out on 60 Malaysian women with a mean age of 31.0±4.5 years and a history of GDM. Subjects were randomised into two groups: LGIE and CHDR. The CHDR group received conventional healthy dietary recommendations only. The LGIE group received GI based-education in addition to conventional healthy dietary recommendations. At baseline and after 3-months, dietary intake of energy and macronutrient intakes including GI diet and glycaemic load was assessed using 3-day food records. Diabetes-Diet and GI-concept scores and physical activity levels were assessed using a questionnaire. Adherence to dietary instructions was measured at the end of 3 months. Results: At the end of 3 months, the LGIE group had significant reductions in energy intake (241.7±522.4Kcal, P=0.037, ES=0.463), total carbohydrate (48.7±83.5g, P=0.010, ES=0.583), GI (3.9±7.1, P=0.017, ES=0.549) and GL (39.0±55.3, P=0.003, ES=0.705) and significant increases in protein (3.7±5.4g, 0.003, ES=0.685) and diet fibre (4.6±7.3g, P=0.06). The CHDR group had a significant reduction in fat only (5.7±9.4g, P=0.006, ES=0.606). There was a 30% increase in GI-concept scores in the LGIE group (p< 0.001). Changes in GI-concept scores correlated significantly to the reduction in dietary GI (r = -0.642, P=0.045). Dietary adherence was comparable in both groups. Conclusion: GI-education improves GI-concept knowledge and helps lower dietary glycaemic index among women with a history of GDM. Nutrition Society of Malaysia 2013 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/29772/1/Lowering%20dietary%20glycaemic%20index%20through%20nutrition%20education%20among%20Malaysian%20women%20with%20a%20history%20of%20gestational%20diabetes%20mellitus.pdf Shyam, Sangeetha and Arshad, Fatimah and Abdul Ghani, Rohana and Abdul Wahab, Norasyikin and Karuthan, Chinna and S., Nik Shanita and Mohd Yusof, Barakatun Nisak and Kamaruddin, Nor Azmi (2013) Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus. Malaysian Journal of Nutrition, 19 (1). pp. 9-23. ISSN 1394-035X |
| spellingShingle | Shyam, Sangeetha Arshad, Fatimah Abdul Ghani, Rohana Abdul Wahab, Norasyikin Karuthan, Chinna S., Nik Shanita Mohd Yusof, Barakatun Nisak Kamaruddin, Nor Azmi Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus |
| title | Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus |
| title_full | Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus |
| title_fullStr | Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus |
| title_full_unstemmed | Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus |
| title_short | Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus |
| title_sort | lowering dietary glycaemic index through nutrition education among malaysian women with a history of gestational diabetes mellitus |
| url | http://psasir.upm.edu.my/id/eprint/29772/ http://psasir.upm.edu.my/id/eprint/29772/1/Lowering%20dietary%20glycaemic%20index%20through%20nutrition%20education%20among%20Malaysian%20women%20with%20a%20history%20of%20gestational%20diabetes%20mellitus.pdf |