{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T03:42:47Z","timestamp":1773027767752,"version":"3.50.1"},"reference-count":31,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T00:00:00Z","timestamp":1699574400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"publisher","award":["409032\/2016-6"],"award-info":[{"award-number":["409032\/2016-6"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"publisher","award":["E-26\/202.972\/2016-6"],"award-info":[{"award-number":["E-26\/202.972\/2016-6"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004586","name":"Research Support Foundation of the State of Rio de Janeiro","doi-asserted-by":"publisher","award":["409032\/2016-6"],"award-info":[{"award-number":["409032\/2016-6"]}],"id":[{"id":"10.13039\/501100004586","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004586","name":"Research Support Foundation of the State of Rio de Janeiro","doi-asserted-by":"publisher","award":["E-26\/202.972\/2016-6"],"award-info":[{"award-number":["E-26\/202.972\/2016-6"]}],"id":[{"id":"10.13039\/501100004586","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Background: This study aimed to investigate the influence of the dietary approaches to stop hypertension (DASH) diet on gestational weight gain and perinatal outcomes in pregnant women with pre-existing diabetes mellitus (PDM). Methods: A randomized, single-blind, controlled clinical trial was conducted with 68 pregnant women with PDM throughout prenatal care until delivery (18 weeks) at a public maternity hospital in Rio de Janeiro, Brazil (2016\u20132020). The standard diet adopted by the control group (standard diet group\u2014SDG) contained 45\u201355% carbohydrates, 15\u201320% protein, and 25\u201330% lipids of the total energy intake. An adapted DASH diet, with a similar macronutrient composition, but with higher calcium, potassium, magnesium, fiber, and reduced saturated fat, was prescribed for the intervention group (DASH diet group\u2014DDG). Student\u2019s t- or Mann\u2013Whitney U tests were used to compare outcomes between groups. To assess the trajectory of gestational weight gain throughout the intervention between the study groups, linear mixed-effects regression models were used. Results: The DDG had lower gestational weight gain at the fifth (p = 0.03) and seventh appointment (p = 0.04), with no difference in average total gestational weight gain (SDG: 10 kg [SD = 4]; DDG: 9 kg [SD = 5], p = 0.23). There was a trend for a lower length of stay of the newborns (p = 0.08) in the DDG without differences for other perinatal outcomes. Conclusions: The DASH diet promoted less variation in gestational weight gain without promoting a difference in total gestational weight gain, and there was no difference between the study groups for perinatal outcomes.<\/jats:p>","DOI":"10.3390\/life13112191","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T02:10:43Z","timestamp":1699841443000},"page":"2191","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Influence of the DASH Diet on Gestational Weight Gain and Perinatal Outcomes in Women with Pre-Existing Diabetes Mellitus: A Randomized, Single-Blind, Controlled Clinical Trial"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2066-7446","authenticated-orcid":false,"given":"Gabriella P.","family":"Belfort","sequence":"first","affiliation":[{"name":"Postgraduate Program in Nutrition, Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Carlos Chagas Filho Ave, 373, University City, Rio de Janeiro 21941-590, RJ, Brazil"},{"name":"School of Nutrition, Federal University of the State of Rio de Janeiro, Pasteur Ave, 296, Urca, Rio de Janeiro 22290-240, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0278-8375","authenticated-orcid":false,"given":"Dayana R.","family":"Farias","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Nutrition, Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Carlos Chagas Filho Ave, 373, University City, Rio de Janeiro 21941-590, RJ, Brazil"}]},{"given":"Patricia de C.","family":"Padilha","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Nutrition, Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Carlos Chagas Filho Ave, 373, University City, Rio de Janeiro 21941-590, RJ, Brazil"}]},{"given":"Let\u00edcia B. G.","family":"da Silva","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Nutrition, Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Carlos Chagas Filho Ave, 373, University City, Rio de Janeiro 21941-590, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4841-0554","authenticated-orcid":false,"given":"Karina","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Nutrition, Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Carlos Chagas Filho Ave, 373, University City, Rio de Janeiro 21941-590, RJ, Brazil"},{"name":"School of Nutrition, Federal University of the State of Rio de Janeiro, Pasteur Ave, 296, Urca, Rio de Janeiro 22290-240, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6092-0501","authenticated-orcid":false,"given":"Mayara S.","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Maternity School of the Federal University of Rio de Janeiro, Laranjeiras Street, 180, Rio de Janeiro 22240-003, RJ, Brazil"}]},{"given":"Lenita","family":"Zajdenverg","sequence":"additional","affiliation":[{"name":"Maternity School of the Federal University of Rio de Janeiro, Laranjeiras Street, 180, Rio de Janeiro 22240-003, RJ, Brazil"}]},{"given":"Elisa","family":"Keating","sequence":"additional","affiliation":[{"name":"Unit of Biochemistry, Department of Biomedicine, Faculty of Medicine, University of Porto, Prof. Hern\u00e2ni Monteiro Ave, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8815-6736","authenticated-orcid":false,"given":"Claudia","family":"Saunders","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Nutrition, Josu\u00e9 de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Carlos Chagas Filho Ave, 373, University City, Rio de Janeiro 21941-590, RJ, Brazil"},{"name":"Maternity School of the Federal University of Rio de Janeiro, Laranjeiras Street, 180, Rio de Janeiro 22240-003, RJ, Brazil"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,10]]},"reference":[{"key":"ref_1","unstructured":"International Diabetes Federation (2021). 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Nutr."}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/13\/11\/2191\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:21:08Z","timestamp":1760131268000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/13\/11\/2191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,10]]},"references-count":31,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2023,11]]}},"alternative-id":["life13112191"],"URL":"https:\/\/doi.org\/10.3390\/life13112191","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,10]]}}}