Evidence map›Paper›PMID 30785640›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2020

Dietary intakes of women with Type 1 diabetes before and during pregnancy: a pre-specified secondary subgroup analysis among CONCEPTT participants.

S L Neoh, J A Grisoni, D S Feig, H R Murphy, CONCEPTT Collaborative Group

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Article in Diabetic medicine : a journal of the British Diabetic Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

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15citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

S L NeohInstitute of Metabolic Science, Addenbrooke's Hospital, Cambridge, UK.ORCID 0000-0001-9387-7079
J A GrisoniCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
D S FeigMount Sinai Hospital, Toronto, Canada.ORCID 0000-0001-8561-7584
H R MurphyCambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0001-6876-8727
CONCEPTT Collaborative Group

Funding

Breakthrough T1D 17-2011-533Breakthrough T1D 80-2010-585Department of Health 16/35/01Department of Health CDF-2013-06-035Gates Cambridge ScholarshipNational Institute for Health ResearchTommy's charity
6 · The paper itself

Abstract

aimTo describe the dietary intakes of women with Type 1 diabetes before and during pregnancy.

methodsThis was a pre-specified subgroup analysis of CONCEPTT involving 63 women planning pregnancy and 93 pregnant women from 14 sites in England, Scotland and Ireland. Two hundred and forty-six 3-day food diaries (104 planning pregnancy, 142 pregnant) were matched to data source and food reference codes, and analysed using dietary software. Participants were informed that food diaries would be de-identified and used only for research purposes.

resultsMean (sd) daily energy intake was 1588 (346) kcal and 1673 (384) kcal in women planning pregnancy and pregnant women respectively. Total carbohydrate intake was consistent with dietary guideline recommendations [180 (52) g planning pregnancy, 198 (54) g pregnant], but non-recommended sources (e.g. sugars, preserves, confectionery, biscuits, cakes) contributed to 46% of total daily carbohydrate intake. Fat consumption exceeded guideline recommendations [70 (21) g planning pregnancy, 72 (21) g pregnant]. Fibre [15.5 (5.3) g planning pregnancy, 15.4 (5.1) g pregnant], fruit and vegetable intakes [3.5 (2.2) and 3.1 (1.8) serves/day] were inadequate. Twelve women planning pregnancy (19%) and 24 pregnant women (26%) did not meet micronutrient requirements.

conclusionsThe diets of pregnant women from England, Scotland and Ireland are characterized by high fat, low fibre and poor-quality carbohydrate intakes. Fruit and vegetable consumption is inadequate, with one in four women at risk of micronutrient deficiencies. Further research is needed to optimize maternal nutrition for glycaemic control and for maternal and offspring health.

Indexed as

Diabetes Mellitus, Type 1Dietary CarbohydratesDietary FatsDietary FiberDiet RecordsMicronutrientsPregnancy in DiabeticsAdultDietEnglandFemaleFruitHumansIrelandPreconception CarePregnancyDietary CarbohydratesDietary FatsDietary FiberMicronutrients

Identifiers

PMID30785640
PMCPMC7586790

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.