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Subject: Foods and Nutrition × End date: 2014 × Start date: 2010 × Type: Thesis × Thesis Type: M.Sc ×
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    ThesisItemOpen Access
    Impact of nutrition counseling on the nutritional status and fetal outcome of gestational diabetics.
    (Punjab Agricultural University, Ludhiana, 2014) Khushpreet Kaur; Kochhar, Anita
    Sixty gestational diabetics in the age group of 20-40 years were selected from Dayanand Medical College and Hospital and other local hospitals of Ludhiana. The subjects were divided into two groups viz. experimental (E) and controlled (C) group. General information, family history, sign and symptoms, physical activity pattern and dietary pattern of the subjects was recorded by interview schedule. In group E nutrition counseling was imparted for three months at 15 days interval by individual and group contacts about gestational diabetes, sign & symptoms, causes, risk factors, complications, management, prevention, dietary management, role of antioxidants and importance of exercise in the management of gestational diabetes mellitus. Blood glucose and lipid profile level of the subjects were recorded before and after nutrition counseling. The anthropometric parameters were also measured. Significant improvement was seen in food habits, physical exercise and dietary pattern of the subjects in group E. The mean daily intake of cereals (65.2 to 79%), pulses (65.9 to 73.9%), green leafy vegetables (60.3 to 90.7%), other vegetables (66.4 to 83.7%), fruits (50 to 97.7%) and milk & milk product (78.1 to 98.1%) was significantly increased and mean daily intake of roots & tubers (82.2 to 30.7%), fats & oils (120.2 to 93.7%) and sugar & jaggery (110 to 50%) was significantly decreased in the subjects of group E. The mean daily energy (68.2 to 75.8%) and protein (64 to 73.8%) intake of the subjects increased significantly and intake of total fat (167 to 117%) decreased significantly in the subjects of group E. The mean daily intake of vitamins and minerals were increased significantly (P≤0.01, P≤0.05) by the subjects in group E. It was found that there is significant decrease in the blood glucose level in the subjects of group E. The levels of total triglycerides, total cholesterol, LDL-C and VLDL-C decreased significantly and level of HDL-C increased significantly in group E. There was also significant increase in the knowledge, attitude and practice score obtain by subjects in group E. Quantum of knowledge of the subjects regarding the disease and diet improved 3.55 times. The subjects of group E faced less complications as compared to group C. Anthropometric parameters of the newborns were better in group E as compared to group C. Therefore, it can be reported from the results that nutrition counseling significantly improved the nutritional status of the gestational diabetics and their fetal outcome. Keywords: Gestational diabetes mellitus, Anthropometric parameters, Blood glucose, Lipid profile, Nutrition counseling and Nutritional status. ________________________