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Association between healthy maternal dietary pattern and risk for gestational diabetes mellitus.
Eur J Clin Nutr. 2016 Feb; 70(2):237-42.EJ

Abstract

BACKGROUND/OBJECTIVES

Gestational diabetes mellitus (GDM) is associated with negative health effects for mother and child. The aim was to investigate the association between maternal dietary patterns and GDM.

SUBJECTS/METHODS

Prospective observational study including 168 pregnant women aged 18-40 years, recruited at routine 20-week ultrasound. All participants kept a 4-day weighed food record following recruitment (commencement: gestational weeks 19-24). Principal component analysis was used to extract dietary patterns from 29 food groups. A Healthy Eating Index (HEI) was constructed. All women underwent an oral glucose tolerance test in weeks 23-28.

RESULTS

One clear dietary pattern (Eigenvalue 2.4) was extracted with positive factor loadings for seafood; eggs; vegetables; fruits and berries; vegetable oils; nuts and seeds; pasta; breakfast cereals; and coffee, tea and cocoa powder, and negative factor loadings for soft drinks and French fries. This pattern was labeled a prudent dietary pattern. Explained variance was 8.2%. The prevalence of GDM was 2.3% among women of normal weight before pregnancy (n=86) and 18.3% among overweight/obese women (n=82). The prudent dietary pattern was associated with lower risk of GDM (OR: 0.54; 95% CI: 0.30, 0.98). When adjusting for age, parity, prepregnancy weight, energy intake, weekly weight gain and total metabolic equivalent of task the association remained (OR: 0.36; 95% CI: 0.14, 0.94). Similar results were found when only including overweight or obese women (OR: 0.31; 95% CI: 0.13, 0.75).

CONCLUSIONS

Adhering to a prudent dietary pattern in pregnancy was clearly associated with lower risk of GDM, especially among women already at higher risk because of overweight/obesity before pregnancy.

Authors+Show Affiliations

Unit for Nutrition Research, Landspitali National University Hospital and Faculty of Food Science and Nutrition, University of Iceland, Reykjavik, Iceland.Department of Obstetrics and Gynecology, Women's Clinic, Landspitali University Hospital/University of Iceland, Reykjavik, Iceland.Unit for Nutrition Research, Landspitali National University Hospital and Faculty of Food Science and Nutrition, University of Iceland, Reykjavik, Iceland.Department of Obstetrics and Gynecology, Women's Clinic, Landspitali University Hospital/University of Iceland, Reykjavik, Iceland.Unit for Nutrition Research, Landspitali National University Hospital and Faculty of Food Science and Nutrition, University of Iceland, Reykjavik, Iceland.

Pub Type(s)

Journal Article
Observational Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26350393

Citation

Tryggvadottir, E A., et al. "Association Between Healthy Maternal Dietary Pattern and Risk for Gestational Diabetes Mellitus." European Journal of Clinical Nutrition, vol. 70, no. 2, 2016, pp. 237-42.
Tryggvadottir EA, Medek H, Birgisdottir BE, et al. Association between healthy maternal dietary pattern and risk for gestational diabetes mellitus. Eur J Clin Nutr. 2016;70(2):237-42.
Tryggvadottir, E. A., Medek, H., Birgisdottir, B. E., Geirsson, R. T., & Gunnarsdottir, I. (2016). Association between healthy maternal dietary pattern and risk for gestational diabetes mellitus. European Journal of Clinical Nutrition, 70(2), 237-42. https://doi.org/10.1038/ejcn.2015.145
Tryggvadottir EA, et al. Association Between Healthy Maternal Dietary Pattern and Risk for Gestational Diabetes Mellitus. Eur J Clin Nutr. 2016;70(2):237-42. PubMed PMID: 26350393.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association between healthy maternal dietary pattern and risk for gestational diabetes mellitus. AU - Tryggvadottir,E A, AU - Medek,H, AU - Birgisdottir,B E, AU - Geirsson,R T, AU - Gunnarsdottir,I, Y1 - 2015/09/09/ PY - 2014/11/28/received PY - 2015/07/15/revised PY - 2015/07/22/accepted PY - 2015/9/10/entrez PY - 2015/9/10/pubmed PY - 2016/11/1/medline SP - 237 EP - 42 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 70 IS - 2 N2 - BACKGROUND/OBJECTIVES: Gestational diabetes mellitus (GDM) is associated with negative health effects for mother and child. The aim was to investigate the association between maternal dietary patterns and GDM. SUBJECTS/METHODS: Prospective observational study including 168 pregnant women aged 18-40 years, recruited at routine 20-week ultrasound. All participants kept a 4-day weighed food record following recruitment (commencement: gestational weeks 19-24). Principal component analysis was used to extract dietary patterns from 29 food groups. A Healthy Eating Index (HEI) was constructed. All women underwent an oral glucose tolerance test in weeks 23-28. RESULTS: One clear dietary pattern (Eigenvalue 2.4) was extracted with positive factor loadings for seafood; eggs; vegetables; fruits and berries; vegetable oils; nuts and seeds; pasta; breakfast cereals; and coffee, tea and cocoa powder, and negative factor loadings for soft drinks and French fries. This pattern was labeled a prudent dietary pattern. Explained variance was 8.2%. The prevalence of GDM was 2.3% among women of normal weight before pregnancy (n=86) and 18.3% among overweight/obese women (n=82). The prudent dietary pattern was associated with lower risk of GDM (OR: 0.54; 95% CI: 0.30, 0.98). When adjusting for age, parity, prepregnancy weight, energy intake, weekly weight gain and total metabolic equivalent of task the association remained (OR: 0.36; 95% CI: 0.14, 0.94). Similar results were found when only including overweight or obese women (OR: 0.31; 95% CI: 0.13, 0.75). CONCLUSIONS: Adhering to a prudent dietary pattern in pregnancy was clearly associated with lower risk of GDM, especially among women already at higher risk because of overweight/obesity before pregnancy. SN - 1476-5640 UR - https://www.unboundmedicine.com/medline/citation/26350393/Association_between_healthy_maternal_dietary_pattern_and_risk_for_gestational_diabetes_mellitus_ L2 - https://doi.org/10.1038/ejcn.2015.145 DB - PRIME DP - Unbound Medicine ER -