ArticleBMC pregnancy and childbirth2023
Adherence to the Mediterranean diet and risk of gestational diabetes: a prospective cohort study.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Lifestyle Behaviors, Physical Activity, and Body Composition in Women With Gestational Diabetes: A Real-World Observational Study From Poland.Medical science monitor : international medical journal of experimental and clinical research · 2026Observational
- Association Between Plant-Based Dietary Indices and Mediterranean Diet Score With the Odds of Gestational Diabetes Mellitus in Iranian Women: A Case-Control Study.Endocrinology, diabetes & metabolism · 2026Article
- Associations of the Mediterranean diet during pregnancy with impaired glucose tolerance and gestational diabetes: A national prospective cohort study in Lebanon.European journal of clinical nutrition · 2026Article
- Pregnancy phytochemical dietary index is associated with the risk of gestational diabetes and perinatal outcomes.Endocrine connections · 2025Article
- Adherence to the dietary inflammatory index and dietary approaches to stop hypertension and risk of gestational diabetes: a case-control study.BMC pregnancy and childbirth · 2025Article
- First-trimester nutrition insights from the United Arab Emirate Birth Cohort Study (UAE-BCS): assessment of dietary intake, micronutrient profiles, and folic acid supplementation in Emirati Women.Journal of nutritional science · 2025Article
- Association of Vegetables-Fruits Dietary Patterns with Gestational Diabetes Mellitus: Mediating Effects of Gut Microbiota.Nutrients · 2024Article
- Consumption of red and processed meat during early pregnancy and risk of gestational diabetes: a prospective birth cohort study.Scientific reports · 2024Article
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Authors and funding
7 authors at 3 institutions in 1 country.
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Abstract
backgroundLimited data is available on the association between adherence to the Mediterranean diet during early pregnancy and risk of gestational diabetes (GDM) in countries located in the Middle East, one of the regions with the highest prevalence of GDM.
methodsA total of 647 pregnant mothers were included in the present prospective birth cohort study in Iran. Dietary intake was assessed by a 90-item food frequency questionnaire during the first trimester of pregnancy. Cases of GDM were ascertained by a two-step approach with a 50-g screen followed by a 100-g oral glucose tolerance for those who tested positive. Cox proportional hazard model was used to calculate the hazard ratio and 95%CI of GDM across tertiles of the Mediterranean diet score, while controlling for a wide range of potential confounders.
resultsA total of 647 pregnant mothers were included, of whom 77 mothers were diagnosed with GDM during their pregnancy. The average age of the mothers was 28.8 ± 5.1 years. In the multivariable analysis, being in the third tertile of the score of adherence to the Mediterranean diet was associated with a 41% lower risk of developing GDM as compared to those in the first tertile (adjusted hazard ratio: 0.59, 95%CI: 0.35, 0.99).
conclusionsBased on our findings, greater adherence to the Mediterranean diet during early pregnancy may be associated with a lower risk of developing GDM in Iranian women. Larger cohort studies are needed to confirm the findings.
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