{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T21:54:43Z","timestamp":1793224483279,"version":"4.5.0"},"reference-count":79,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T00:00:00Z","timestamp":1696377600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Joint Funds for the innovation of science and Technology, Fujian province","award":["2020Y9133"],"award-info":[{"award-number":["2020Y9133"]}]},{"DOI":"10.13039\/501100016323","name":"Fujian Provincial Maternity and Children\u2019s Hospital","doi-asserted-by":"publisher","award":["YCXH 22-02"],"award-info":[{"award-number":["YCXH 22-02"]}],"id":[{"id":"10.13039\/501100016323","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>The worldwide prevention of gestational diabetes mellitus (GDM) is a significant health challenge. Plant-based dietary patterns are a series dietary habits that emphasized foods derived from plant sources more and from animal foods less. Now, no consensus exists on the effects of plant-based dietary patterns on the incident of GDM.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>This study aimed to estimate the effects of plant-based dietary patterns on the risk of developing GDM.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>This systematic review was conducted following the checklist of PRISMA. Six electronic databases including PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Wangfang, and Chinese Scientific Journals Database were searched from inception to November 20, 2022. A fixed or random effect model was used to synthesize results of included studies. Then, subgroup analysis, meta-regression and sensitivity analysis were performed to assure the reliability and stability of the results.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>Ten studies including 32,006 participants were identified. The results of this study showed that the better adherence to the plant-based dietary patterns was related to the lower risk of developing GDM (RR = 0.88[0.81 to 0.96], <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup> = 14.8%). The slightly stronger association between plant-based diets and the risk of developing GDM was found when healthy plant-based dietary pattern index was included in pooled estimate (RR = 0.86[0.79 to 0.94], <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup> = 8.3%), compared with that unhealthy one was included (RR = 0.90[0.82 to 0.98], <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup> = 8.3%).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The plant-based dietary patterns are associated with a lower risk of developing GDM. Furthermore, healthy plant-based dietary patterns are more recommended than unhealthy one. It is significant to help medical staff to guide pregnant women to choose reasonable diets.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0291732","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T17:24:08Z","timestamp":1696440248000},"page":"e0291732","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":20,"title":["The effects of plant-based dietary patterns on the risk of developing gestational diabetes mellitus: A systematic review and meta-analysis"],"prefix":"10.1371","volume":"18","author":[{"given":"Yu","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"QingXiang","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4133-5301","authenticated-orcid":true,"given":"XiuMin","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"XiaoXia","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JiaNing","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RuLin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,10,4]]},"reference":[{"issue":"Suppl 1","key":"pone.0291732.ref001","first-page":"S13","article-title":"Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2018","volume":"41","year":"2018","journal-title":"Diabetes Care"},{"issue":"1","key":"pone.0291732.ref002","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1007\/s11892-015-0699-x","article-title":"Prevalence of Gestational Diabetes and Risk of Progression to Type 2 Diabetes: a Global Perspective.","volume":"16","author":"Y Zhu","year":"2016","journal-title":"Curr Diab Rep."},{"issue":"9","key":"pone.0291732.ref003","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1007\/s40618-016-0607-5","article-title":"Gestational diabetes mellitus: an updated overview","volume":"40","author":"E Chiefari","year":"2017","journal-title":"Journal of endocrinological investigation"},{"key":"pone.0291732.ref004","first-page":"e067946","article-title":"Gestational diabetes mellitus and adverse pregnancy outcomes: systematic review and meta-analysis","volume":"377","author":"W Ye","year":"2022","journal-title":"BMJ (Clinical research ed)."},{"issue":"21","key":"pone.0291732.ref005","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1136\/bjsports-2018-099355","article-title":"Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis","volume":"52","author":"MH Davenport","year":"2018","journal-title":"Br J Sports Med"},{"issue":"1","key":"pone.0291732.ref006","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1111\/aogs.13030","article-title":"Towards national comprehensive gestational diabetes screening - 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