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Grundlagenreferate

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51. Kongreß der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe

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Abstract

Background and Objective: Evidence from multiple sources indicates that maternal blood glucose levels correlate directly with size at birth and that both diet and exercise alter them. The purpose of these preliminary studies was to test the hypothesis that the carbohydrate mix in a pregnant woman’s diet modifies the primary effect of exercise on feto-placental growth through its effects on maternal blood glucose levels.

Experimental Designs and Methods: A prospective randomized design was used to examine the effects of two isocaloric, high carbohydrate diets combined with regular exercise on maternal blood glucose levels and various indices of morphometric outcome in healthy pregnant women (n = 12). The diets differed only in the type of carbohydrate ingested. Those in one had low glycemic indices and those in the other had high glycemic indices.

Results: During pregnancy, women on the low glycemic carbohydrate diet experienced no significant change in their glycemic response to mixed caloric intake while those who switched to the high glycemic carbohydrate diet experienced a 190 % increase in their response. The later was associated with larger placental size, increased birth weight, and greater maternal weight gain.

Conclusion: These preliminary data indicate that the type of dietary carbohydrate in a physically active pregnant woman’s diet influences her blood glucose profile which alters placental growth, size at birth, and weight gain.

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Authors
  1. J. F. Clapp III
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  2. J. R. G. Challis
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  3. H.-K. Selbmann
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Editor information

Editors and Affiliations

  1. Zentrum für Gynäkologie und Geburtshilfe, Klinikstraße 32, 35392, Gießen, Germany

    Wolfgang Künzel

  2. Klinik für Gynäkologie und Geburtshilfe, Medizinische Universität zu Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany

    Klaus Diedrich

  3. Klinikum Kreis Herford, Frauenklinik, Schwarzmoorstraße 70, 32049, Herford, Germany

    Manfred Hohmann

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Clapp, J.F., Challis, J.R.G., Selbmann, HK. (1997). Grundlagenreferate. In: Künzel, W., Diedrich, K., Hohmann, M. (eds) 51. Kongreß der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60840-7_8

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  • DOI: https://doi.org/10.1007/978-3-642-60840-7_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64578-5

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