Dietary fiber supplementation mitigates gestational diabetes risk and preterm birth via gut microbiota modulation: a randomized controlled trial
Abstract
Background Gestational Diabetes Mellitus (GDM) poses severe health risks to mother and child, yet effective, non-invasive preventive strategies remain elusive. While the gut microbiota is known to influence glucose metabolism, its potential as a therapeutic target and predictive biomarker in high-risk pregnancies is underexplored. This study investigated whether soluble dietary fiber supplementation could remodel the gut microbiome to prevent GDM and improve pregnancy outcomes. Methods We performed a single-center, randomized controlled trial with 98 pregnant women at elevated risk for GDM. For 5 weeks, from 20 to 24+6 weeks of pregnancy, participants were randomly assigned to either a fiber group (getting soluble fiber supplements every day) or a control group (getting normal care). Clinical outcomes encompassed OGTT results, gestational weight gain (GWG), and delivery outcomes. We used 16S rRNA sequencing to look at changes in gut flora. Furthermore, we developed a novel nomogram integrating clinical variables with microbial signatures to predict GDM risk. Results Although GDM incidence did not statistically differ, the fiber group exhibited significantly improved glycemic excursions (predominantly lower 1h-PG, and reduced whole-OGTT glucose AUC and iAUC), reduced GWG during the 5-week intervention period (1.83 vs. 2.54 kg; P = 0.016), and a complete absence of preterm births (0% vs. 12.0%; P = 0.040). Microbiome analysis revealed that fiber intake enriched Bifidobacterium…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 98 participants or records.
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