{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T07:58:50Z","timestamp":1792223930540,"version":"4.4.0"},"reference-count":26,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2024-0294_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To compare the effectiveness of outpatient nutritional guidance supplemented by digital media with exclusively standard outpatient nutritional guidance in pregnant women with gestational diabetes mellitus (GDM).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2024-0294_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a randomized, patient-blinded clinical trial conducted at the Diabetes and Pregnancy outpatient clinic from February 2021 to January 2023. Pregnant women with GDM were randomly allocated into two groups: the control group received exclusively outpatient nutritional guidance, and the Intervention Group received outpatient nutritional guidance along with reminders via WhatsApp. Dietary intake (calories, carbohydrates, lipids, proteins, and fibers) was evaluated using 24\u202fh dietary recalls. Glycemic control and the need for pharmacological treatment were also assessed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2024-0294_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 81 women were included, 34 allocated to the control group, and 47 to the intervention group. Patients were followed for a period of 4\u20138\u00a0weeks. Significant differences were observed in some points of glycemic control between the two groups over the follow-up period. There were no statistical differences in pharmacological therapy (p=0.498); 188 24\u202fh dietary recall were conducted in\u00a0the control group and 290 in the intervention group. A\u00a0statistically significant increase in lipid intake was observed in the intervention group over the follow-up period compared to the control group (p&lt;0.001). No changes in calorie intake, other macronutrients, or fiber consumption were noted.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2024-0294_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Glycemic control was significantly improved with the addition of frequent text reminders about dietary choices, and a significant increase in lipid intake was seen in all women, more so in the reminder group.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2024-0294","type":"journal-article","created":{"date-parts":[[2024,10,19]],"date-time":"2024-10-19T17:40:38Z","timestamp":1729359638000},"page":"15-24","source":"Crossref","is-referenced-by-count":9,"title":["Nutritional guidance through digital media for glycemic control of women with gestational diabetes mellitus: a randomized clinical trial"],"prefix":"10.1515","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9657-5711","authenticated-orcid":false,"given":"Marlene Carvalho Teixeira","family":"Valen\u00e7a","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Paulista School of Medicine , Federal University of S\u00e3o Paulo (EPM-UNIFESP) , S\u00e3o Paulo , SP , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5145-1061","authenticated-orcid":false,"given":"Marcelo Santucci","family":"Fran\u00e7a","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Paulista School of Medicine , Federal University of S\u00e3o Paulo (EPM-UNIFESP) , S\u00e3o Paulo , SP , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1405-5371","authenticated-orcid":false,"given":"Rosiane","family":"Mattar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Paulista School of Medicine , Federal University of S\u00e3o Paulo (EPM-UNIFESP) , S\u00e3o Paulo , SP , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0358-1034","authenticated-orcid":false,"given":"Patricia Medici","family":"Dualib","sequence":"additional","affiliation":[{"name":"Discipline of Endocrinology, Department of Medicine, Paulista School of Medicine , Federal University of S\u00e3o Paulo (EPM-UNIFESP) , S\u00e3o Paulo , SP , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0382-9151","authenticated-orcid":false,"given":"Victor Hugo Saucedo","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Paulista School of Medicine , Federal University of S\u00e3o Paulo (EPM-UNIFESP) , S\u00e3o Paulo , SP , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5907-5459","authenticated-orcid":false,"given":"Bianca","family":"de Almeida-Pititto","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Paulista School of Medicine , Federal University of S\u00e3o Paulo (EPM-UNIFESP) , S\u00e3o Paulo , SP , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6145-2532","authenticated-orcid":false,"given":"Edward","family":"Araujo J\u00fanior","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Paulista School of Medicine , Federal University of S\u00e3o Paulo (EPM-UNIFESP) , S\u00e3o Paulo , SP , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6856-8327","authenticated-orcid":false,"given":"Evelyn","family":"Traina","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Paulista School of Medicine , Federal University of S\u00e3o Paulo (EPM-UNIFESP) , S\u00e3o Paulo , SP , Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"2025031512104822328_j_jpm-2024-0294_ref_001","doi-asserted-by":"crossref","unstructured":"Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy: a World Health Organization Guideline. 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