摘要
目的:系统评价膳食纤维对妊娠糖尿病病人血糖控制的干预效果,为妊娠糖尿病病人的饮食指导提供依据。方法:计算机检索中国知网、维普数据库、万方数据库、中国生物医学文献数据库、PubMed、Cochrane Library、Web of Science、EMbase中有关妊娠糖尿病病人膳食纤维干预的随机对照试验,检索时限为建库至2023年8月31日,由2名研究者根据纳入和排除标准独立进行文献筛选、质量评价及数据资料提取,使用RevMan 5.2软件进行Meta分析。结果:共纳入12篇文献,涉及1402例病人。Meta分析结果显示,膳食纤维可以改善空腹血糖、餐后2 h血糖、糖化血红蛋白、胆固醇、三酰甘油、高密度脂蛋白、低密度脂蛋白,但对于孕期体重增长影响不大。结论:现有证据表明,膳食纤维摄入有助于改善妊娠糖尿病病人的血糖水平、血脂情况,但其与孕期体重增长的关系尚无法得出定论,需要更多大样本研究进一步探索。
Objective:To systematically evaluate the intervention effect of dietary fiber on glycemic control in patients with gestational diabetes mellitus(GDM)and provide a basis for dietary guidance for GDM patients.Methods:Randomized controlled trials(RCTs)on dietary fiber intervention in GDM patients were retrieved from CNKI,VIP,WanFang Data,CBM,PubMed,Cochrane Library,Web of Science,and EMbase from the establishment of the database to August 31,2023.Two researchers independently screened the literature,evaluated the quality,and extracted data according to the inclusion and exclusion criteria.Meta-analysis was performed using RevMan 5.2 software.Results:A total of 12 articles were included,involving 1402 patients.Meta-analysis results showed that dietary fiber can improve fasting blood glucose,2 articles postprandial blood glucose,glycosylated hemoglobin,cholesterol,triglycerides,high-density lipoprotein,and low-density lipoprotein,but has no effect on weight gain during pregnancy.Conclusions:Existing evidence shows that dietary fiber intake can help improve blood glucose levels and blood lipids in GDM patients;thought its relationship with weight gain during pregnancy has not yet been determined.and requires further large-sample studies.
作者
张敏娜
杨恺欣
陈希
林心怡
汪晶
丁霖
ZHANG Minna;YANG Kaixin;CHEN Xi;LIN Xinyi;WANG Jing;DING Lin(Guangzhou Women and Children's Medical Center,Guangzhou Medical University,Guangdong 510000 China;School of Pediatrics,Guangzhou Medical University)
出处
《循证护理》
2025年第17期3498-3505,共8页
Chinese Evidence-Based Nursing
关键词
膳食纤维
妊娠糖尿病
血糖
META分析
循证护理
dietary fiber
gestational diabetes mellitus
blood glucose
Meta-analysis
evidence-based nursing
