Al Wattar BH, et al. - Given a high risk of complications in pregnant women with metabolic risk factors, researchers examined if adverse pregnancy outcomes in these women could be reduced by inclusion of a Mediterranean-style diet. In this multicenter randomized trial conducted in 5 maternity units, inner-city pregnant women with metabolic risk factors (obesity, chronic hypertension, or hypertriglyceridaemia) were randomized to a Mediterranean-style diet with high intake of nuts, extra virgin olive oil, fruits, vegetables, nonrefined grains, and legumes; moderate to high consumption of fish; low to moderate intake of poultry and dairy products; low intake of red and processed meat; and avoidance of sugary drinks, fast food, and food rich in animal fat vs usual care. Outcomes revealed no reduced overall risk of adverse maternal and offspring complications in correlation to a simple, individualized, Mediterranean-style diet in pregnancy. However, the diet was identified to have the potential to lessen gestational weight gain and the risk of gestational diabetes.