Research Summary
Analyzed using Evidence Intelligence™

Dietary fiber may reduce gestational diabetes risk in overweight women

Last updated September 2, 2026

Key finding

The incidence of GDM was significantly reduced in the fiber supplement group compared with the control group: 8.3 vs. 24.0% (χ² = 4.40, p = 0.036).

This study investigated the impact of dietary fiber intake on gestational diabetes mellitus (GDM) in overweight/obese pregnant women, finding significant reductions in GDM incidence with fiber supplementation.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Extended (5–20+ y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the impact of dietary fiber intake on gestational diabetes mellitus (GDM) in overweight/obese pregnant women, finding significant reductions in GDM incidence with fiber supplementation.

Clinical relevance

Gestational diabetes can lead to complications for both mother and child, including increased risk for type 2 diabetes later in life. This study highlights the potential of dietary interventions, specifically fiber supplementation, to reduce GDM incidence in high-risk populations, which could improve maternal and neonatal health outcomes.

Keep in mind

The study's sample size may limit the generalizability of the findings. The long-term effects of fiber supplementation beyond pregnancy were not assessed. Potential confounding factors were not fully controlled for in the analysis.

Published in

Journal Reference

Publication details and source links for this paper.

Dong-Yao Z, De-Cui C, Yan-Nan C, et al. Dietary Fiber Intake During Pregnancy and the Prevention of Gestational Diabetes Mellitus in Overweight/Obese Women. Frontiers in Pharmacology. 2022;13:922015. doi:10.3389/fphar.2022.922015

Main Effects

The incidence of gestational diabetes mellitus was significantly lower in the fiber supplement group (8.3%) compared to the control group (24.0%), p = 0.036.

Body weight gain was significantly lower in the fiber supplement group (1.99 kg) compared to the control group (2.53 kg), p = 0.022.

None of the women in the fiber supplement group experienced preterm birth, while 12.0% in the control group did, p = 0.040.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Control Group Usual Activity, Fiber supplement group and Fasting Plasma Glucose (FPG), Body weight, Excessive gestational weight gain, and 3 more.

Primary intervention

Control Group Usual Activity

Primary outcomes

  • Fasting Plasma Glucose (FPG)
  • Body weight
  • Excessive gestational weight gain

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

7
Evidence pairs
7
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

4

Related topics

7

Evidence pairs

1313

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Fasting Blood Glucose

matched_outcome

Related evidence

Evidence topic

Glycemic Control

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Fasting Plasma Glucose (FPG)

Control Group Usual Activity → Fasting Plasma Glucose (FPG)

Control Group Usual Activity → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Body weight

Fiber supplement group → Body weight

Fiber supplement group → Body weight

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Excessive gestational weight gain

Fiber supplement group → Excessive gestational weight gain

Fiber supplement group → Excessive gestational weight gain

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Fiber supplement group → Fasting Plasma Glucose (FPG)

Fiber supplement group → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Gestational diabetes mellitus incidence

Fiber supplement group → Gestational diabetes mellitus incidence

Fiber supplement group → Gestational diabetes mellitus incidence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Rate of preterm delivery (<37 weeks)

Fiber supplement group → Rate of preterm delivery (<37 weeks)

Fiber supplement group → Rate of preterm delivery (<37 weeks)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Triglycerides

Fiber supplement group → Triglycerides

Fiber supplement group → Triglycerides

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Fiber supplementation reduced GDM incidence by 15.7%, p = 0.036.
  • Mean fasting plasma glucose decreased by 0.16 mmol/L in the fiber group, p < 0.01.
  • Excessive weight gain occurred in 46.7% of the fiber group versus 68.0% in the control group, p = 0.035.
who this applies

Who this applies to

  • Overweight and obese pregnant women at risk for gestational diabetes.
  • Women seeking dietary interventions to manage weight gain during pregnancy.
keep in mind

Keep in Mind

  • Results may not apply to women with normal weight or other health conditions.
  • The study did not evaluate the effects of fiber type or dosage.
  • Further research is needed to confirm findings and explore long-term outcomes.
between the lines

Between the Lines

  • The study's sample size may limit the generalizability of the findings.
  • The long-term effects of fiber supplementation beyond pregnancy were not assessed.
  • Potential confounding factors were not fully controlled for in the analysis.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Control Group Usual Activity and Fasting Glucose, Control Group Usual Activity and Adipokine and Angiogenic Markers.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Control Group Usual Activity improve fasting plasma glucose (FPG)?

Strong Evidence

Current evidence does not show a clear benefit of Control Group Usual Activity for fasting plasma glucose (FPG).

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | neutral | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Fiber supplement group affect body weight?

Emerging Evidence

Fiber supplement group appears to affect body weight.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Fiber supplement group improve excessive gestational weight gain?

Emerging Evidence

Fiber supplement group appears to improve excessive gestational weight gain.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Excessive gestational weight gain

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Fiber supplement group improve fasting plasma glucose (FPG)?

Emerging Evidence

Fiber supplement group appears to improve fasting plasma glucose (FPG).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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