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Dietary Patterns during Pregnancy Are Associated with Risk of Gestational Diabetes Mellitus.
Nutrients. 2015 Nov 12; 7(11):9369-82.N

Abstract

Maternal dietary patterns before and during pregnancy play important roles in the development of gestational diabetes mellitus (GDM). We aimed to identify dietary patterns during pregnancy that are associated with GDM risk in pregnant U.S. women. From a 24 h dietary recall of 253 pregnant women (16-41 years) included in the National Health and Nutrition Examination Survey (NHANES) 2003-2012, food items were aggregated into 28 food groups based on Food Patterns Equivalents Database. Three dietary patterns were identified by reduced rank regression with responses including prepregnancy body mass index (BMI), dietary fiber, and ratio of poly- and monounsaturated fatty acids to saturated fatty acid: "high refined grains, fats, oils and fruit juice", "high nuts, seeds, fat and soybean; low milk and cheese", and "high added sugar and organ meats; low fruits, vegetables and seafood". GDM was diagnosed using fasting plasma glucose levels ≥5.1 mmol/L for gestation <24 weeks. Multivariable logistic regression models were used to estimate adjusted odds ratio (AOR) and 95% confidence intervals (CIs) for GDM, after controlling for maternal age, race/ethnicity, education, family poverty income ratio, marital status, prepregnancy BMI, gestational weight gain, energy intake, physical activity, and log-transformed C-reactive protein (CRP). All statistical analyses accounted for the appropriate survey design and sample weights of the NHANES. Of 249 pregnant women, 34 pregnant women (14%) had GDM. Multivariable AOR (95% CIs) of GDM for comparisons between the highest vs. lowest tertiles were 4.9 (1.4-17.0) for "high refined grains, fats, oils and fruit juice" pattern, 7.5 (1.8-32.3) for "high nuts, seeds, fat and soybean; low milk and cheese" pattern, and 22.3 (3.9-127.4) for "high added sugar and organ meats; low fruits, vegetables and seafood" pattern after controlling for maternal sociodemographic variables, prepregnancy BMI, gestational weight gain, energy intake and log-transformed CRP. These findings suggest that dietary patterns during pregnancy are associated with risk of GDM after controlling for potential confounders. The observed connection between a high consumption of refined grains, fat, added sugars and low intake of fruits and vegetables during pregnancy with higher odds for GDM, are consistent with general health benefits of healthy diets, but warrants further research to understand underlying pathophysiology of GDM associated with dietary behaviors during pregnancy.

Authors+Show Affiliations

Department of Food Science and Human Nutrition, Michigan State University, 469 Wilson Road, Trout FSHN Building, East Lansing, MI 48824, USA. shinda@msu.edu.Department of Food Science and Human Nutrition, Michigan State University, 469 Wilson Road, Trout FSHN Building, East Lansing, MI 48824, USA. kyungwon@msu.edu.Department of Food Science and Human Nutrition, Michigan State University, 469 Wilson Road, Trout FSHN Building, East Lansing, MI 48824, USA. song@msu.edu.

Pub Type(s)

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

Language

eng

PubMed ID

26569302

Citation

Shin, Dayeon, et al. "Dietary Patterns During Pregnancy Are Associated With Risk of Gestational Diabetes Mellitus." Nutrients, vol. 7, no. 11, 2015, pp. 9369-82.
Shin D, Lee KW, Song WO. Dietary Patterns during Pregnancy Are Associated with Risk of Gestational Diabetes Mellitus. Nutrients. 2015;7(11):9369-82.
Shin, D., Lee, K. W., & Song, W. O. (2015). Dietary Patterns during Pregnancy Are Associated with Risk of Gestational Diabetes Mellitus. Nutrients, 7(11), 9369-82. https://doi.org/10.3390/nu7115472
Shin D, Lee KW, Song WO. Dietary Patterns During Pregnancy Are Associated With Risk of Gestational Diabetes Mellitus. Nutrients. 2015 Nov 12;7(11):9369-82. PubMed PMID: 26569302.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary Patterns during Pregnancy Are Associated with Risk of Gestational Diabetes Mellitus. AU - Shin,Dayeon, AU - Lee,Kyung Won, AU - Song,Won O, Y1 - 2015/11/12/ PY - 2015/08/11/received PY - 2015/11/01/revised PY - 2015/11/04/accepted PY - 2015/11/17/entrez PY - 2015/11/17/pubmed PY - 2016/8/31/medline KW - National Health and Nutrition Examination Survey KW - dietary patterns KW - gestational diabetes mellitus KW - reduced rank regression SP - 9369 EP - 82 JF - Nutrients JO - Nutrients VL - 7 IS - 11 N2 - Maternal dietary patterns before and during pregnancy play important roles in the development of gestational diabetes mellitus (GDM). We aimed to identify dietary patterns during pregnancy that are associated with GDM risk in pregnant U.S. women. From a 24 h dietary recall of 253 pregnant women (16-41 years) included in the National Health and Nutrition Examination Survey (NHANES) 2003-2012, food items were aggregated into 28 food groups based on Food Patterns Equivalents Database. Three dietary patterns were identified by reduced rank regression with responses including prepregnancy body mass index (BMI), dietary fiber, and ratio of poly- and monounsaturated fatty acids to saturated fatty acid: "high refined grains, fats, oils and fruit juice", "high nuts, seeds, fat and soybean; low milk and cheese", and "high added sugar and organ meats; low fruits, vegetables and seafood". GDM was diagnosed using fasting plasma glucose levels ≥5.1 mmol/L for gestation <24 weeks. Multivariable logistic regression models were used to estimate adjusted odds ratio (AOR) and 95% confidence intervals (CIs) for GDM, after controlling for maternal age, race/ethnicity, education, family poverty income ratio, marital status, prepregnancy BMI, gestational weight gain, energy intake, physical activity, and log-transformed C-reactive protein (CRP). All statistical analyses accounted for the appropriate survey design and sample weights of the NHANES. Of 249 pregnant women, 34 pregnant women (14%) had GDM. Multivariable AOR (95% CIs) of GDM for comparisons between the highest vs. lowest tertiles were 4.9 (1.4-17.0) for "high refined grains, fats, oils and fruit juice" pattern, 7.5 (1.8-32.3) for "high nuts, seeds, fat and soybean; low milk and cheese" pattern, and 22.3 (3.9-127.4) for "high added sugar and organ meats; low fruits, vegetables and seafood" pattern after controlling for maternal sociodemographic variables, prepregnancy BMI, gestational weight gain, energy intake and log-transformed CRP. These findings suggest that dietary patterns during pregnancy are associated with risk of GDM after controlling for potential confounders. The observed connection between a high consumption of refined grains, fat, added sugars and low intake of fruits and vegetables during pregnancy with higher odds for GDM, are consistent with general health benefits of healthy diets, but warrants further research to understand underlying pathophysiology of GDM associated with dietary behaviors during pregnancy. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/26569302/Dietary_Patterns_during_Pregnancy_Are_Associated_with_Risk_of_Gestational_Diabetes_Mellitus_ L2 - https://www.mdpi.com/resolver?pii=nu7115472 DB - PRIME DP - Unbound Medicine ER -