1. Do probiotics effectively ameliorate glycemic control during gestational diabetes? A systematic review
- Author
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Clare A Tracey, Roberta Hack Mendes, Yasmin Medeiros de Souza, Luiz Fernando Wurdig Roesch, Rúbia Garcia Deon, Suelen Dallanora, and Ana Amélia Freitas-Vilela
- Subjects
0301 basic medicine ,Blood Glucose ,Pediatrics ,medicine.medical_specialty ,Pregnancy Trimester, Third ,030209 endocrinology & metabolism ,Third trimester ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Diabetes mellitus ,medicine ,Humans ,Glycemic ,business.industry ,Mesh term ,Probiotics ,Obstetrics and Gynecology ,General Medicine ,medicine.disease ,Gut microbiome ,Gestational diabetes ,Diabetes, Gestational ,030104 developmental biology ,Cholesterol ,Pregnancy Trimester, Second ,Dietary Supplements ,Gestation ,Female ,business - Abstract
Background Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. The aim of this work was to systematically review all studies in which probiotic supplements were used during pregnancy and analyse the effects on GDM. Methods The data were collected using the medical subheading (MeSH) terms: ("diabetes, gestational"[MeSH Terms] OR ("diabetes"[All Fields] AND "gestational"[All Fields]) OR "gestational diabetes"[All Fields] OR ("gestational"[All Fields] AND "diabetes"[All Fields])) AND ("probiotics"[MeSH Terms] OR "probiotics"[All Fields]). The search included original articles written in English/Portuguese and published between 2012 and 2017. Results Of the 31 articles identified, seven met the inclusion criteria and were included in this review. In these studies, the sample size ranged from 60 to 373 women with GDM, which was between 24 and 40 weeks of pregnancy (second and third trimesters). Results demonstrated that probiotics used during pregnancy in women with GDM may improve glycaemic control and reduce VDL cholesterol, triglycerides, and inflammatory markers. Conclusions The present systematic review highlights the importance of probiotics for glycemic control and decrease of inflammatory markers in GDM. Further long-term studies should be conducted to elucidate this interaction.
- Published
- 2017