Dietary pattern in pregnancy and risk of gestational diabetes mellitus (GDM)

Zareei, Saeideh; Homayounfar, Reza; Naghizadeh, Mohammad Mehdi; Ehrampoush, Elham; Rahimi, Maryam

doi:10.1016/j.dsx.2018.03.004

Cited by 36 publications

(36 citation statements)

References 21 publications

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“…Dietary pattern analysis has become a popular tool for exploring dietary associations with GDM, as it is thought to better reflect real eating behaviours by considering the eating pattern as a whole [24]. A number of studies have found dietary patterns characterised by high intakes of red and processed meats, fried foods and added sugars to be associated with an increased risk of GDM, while dietary patterns characterised by high consumption of fruit, vegetables, wholegrains and nuts or 'Mediterranean'-style dietary patterns to be associated with a lower risk of developing GDM [25][26][27][28][29][30][31][32][33][34][35]. Nonetheless, research of dietary patterns and risk of GDM has primarily been conducted in largely Caucasian populations [11,25,30,34,36], with many using data from the same cohort of women from the Nurses' Health Study II [25,28,36].…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns and Dietary Adaptations in Women With and Without Gestational Diabetes: Evidence From the Growing Up in New Zealand Study

2020

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Diet is a cornerstone of the management of gestational diabetes (GDM). We investigated differences in dietary patterns and dietary adaptations among pregnant women with and without GDM participating in the Growing Up in New Zealand study. Presence of GDM was determined using coded clinical data and plasma glucose results meeting the New Zealand Society for the Study of Diabetes diagnostic criteria. Women answered a food frequency questionnaire and questions regarding dietary changes and information received during pregnancy. Women with GDM had lower adherence scores than those without GDM for ‘Junk’ (mean (SD) score −0.28 (0.95) versus 0.02 (1.01) p < 0.0005) and ‘Traditional/White bread’ dietary patterns (−0.18 (0.93) versus 0.01 (1.01) p = 0.002). More women with GDM reported avoiding foods high in fat or sugar (25.3% versus 5.7%, p < 0.05) compared to women without GDM. A greater proportion of women with GDM compared with those without GDM received information from dietitians or nutritionists (27.0% versus 1.7%, p < 0.05) or obstetricians (12.6% versus 7.5%, p < 0.05). More women diagnosed before the antenatal interview received advice from dietitians or nutritionists compared with those diagnosed after (46.9% versus 6.0%, p < 0.05). Women with GDM appear to make positive changes to their diet in response to advice received from health care professionals.

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Section: Introductionmentioning

confidence: 99%

Dietary Patterns and Dietary Adaptations in Women With and Without Gestational Diabetes: Evidence From the Growing Up in New Zealand Study

2020

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“…Some initial studies have also explored maternal healthful dietary patterns in relation to pregnancy outcomes and offspring health, describing associations with lower risk of e.g., gestational diabetes mellitus [27] or delivering a fetal growth-restricted infant [28]. However, previous studies did not find consistent associations between maternal healthful dietary patterns during pregnancy and childhood overweight risk in 4-10 year old children [29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Maternal healthful dietary patterns during peripregnancy and long-term overweight risk in their offspring

et al. 2020

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Adherence to healthful dietary patterns is associated with lower body mass index (BMI) in adults; however, whether maternal diet quality during peripregnancy is related to a lower overweight risk in the offspring remains to be elucidated. We investigated the associations between the Alternate Healthy Eating Index (AHEI), Alternate Mediterranean Diet (aMED) and Dietary Approach to Stop Hypertension (DASH) during peripregnancy and offspring weight outcomes in a study including 2729 mother-child pairs from the Nurses' Health Study II and offspring cohort Growing Up Today Study II. Children, 12-14 years at baseline were 21-23 years at the last follow-up. Overweight or obesity was defined according to International Obesity Task Force (< 18 years) and World-Health-Organization guidelines (18 + years). Maternal dietary patterns were calculated from food frequency questionnaires. Log-binomial models were used to estimate relative risks (RR) and 95% confidence intervals. In models adjusted for sex, gestational age at delivery and maternal total energy intake, greater maternal adherence to aMED and DASH, but not AHEI, was associated with lower overweight risk in the offspring (RR Q5 vs Q1 = 0.82 [0.70-0.97] for aMED and 0.86 [0.72-1.04] for DASH, P for trend < 0.05 for both). After additional adjustment for maternal pre-pregnancy lifestyle factors and socio-demographic characteristic, none of the diet quality scores were significantly associated with offspring overweight risk. Maternal pre-pregnancy BMI did not modify any of these associations. In this population of generally well-nourished women, maternal healthful dietary patterns during the period surrounding pregnancy were not independently associated with offspring overweight risk at ages 12-23 years.

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“…Nutritional health outcomes are often the result of multiple synergies among nutrients and foods rather than just the sum of the individual food [16]. Although there are several approaches to identifying dietary patterns of pregnant women, the posterior-approach derived from principal component analysis (PCA) is the most commonly used for deriving dietary patterns during pregnancy [17][18][19][20]. PCA is a technique to reduce a large of correlated variables into a smaller number of components [21,22], revealing the underlying structure within diets of the population.…”

Section: Introductionmentioning

confidence: 99%

The association between dietary patterns before and in early pregnancy and the risk of gestational diabetes mellitus (GDM): Data from the Malaysian SECOST cohort

et al. 2020

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Generally, dietary patterns (DP)s have been linked to the risk of diabetes mellitus, however, only few studies examined the associations between DPs in early pregnancy and the risk of gestational diabetes mellitus (GDM). This study aims to determine the association between DPs before and during pregnancy and risk of GDM in Malaysian pregnant women. DPs were derived using principal component analysis of consumed 126 food and beverage items assessed using a validated semi-quantitative food frequency questionnaire collecting data retrospectively for pre-pregnancy, but prospectively for the first and second trimester. Three different DPs were identified at each time point and labelled as DP 1-3 (pre-pregnancy), DP 4-6 (first trimester), and DP 7-9 (second trimester). About 10.6% (n = 48) of pregnant women were diagnosed with GDM in our cohort. Women with high adherence (HA) to DP 2 (adjusted OR: 0.45, 95% CI: 0.20-0.91) and DP 5 (adjusted OR: 0.28, 95% CI: 0.11-0.68) showed a significantly reduced risk of GDM compared to women with low adherence (LA). Other DPs were not significantly associated with GDM risk. Compared to women with GDM, non-GDM women showed HA scores for all DPs throughout pregnancy. Overall, a relative low percentage of women with GDM was found in this cohort. The risk was lower in women with HA to a relatively unhealthy dietary pattern, i.e. DP 2 and DP 5. The lower body mass index (BMI) status and energy intake of women showing a HA to DP 2 in the first trimester may underlie the observed association with a lower GDM risk. Additionally, genetic variance might explain the less susceptibility to GDM despite HA to unhealthy DPs among non-GDM women.

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Dietary pattern in pregnancy and risk of gestational diabetes mellitus (GDM)

Cited by 36 publications

References 21 publications

Dietary Patterns and Dietary Adaptations in Women With and Without Gestational Diabetes: Evidence From the Growing Up in New Zealand Study

Dietary Patterns and Dietary Adaptations in Women With and Without Gestational Diabetes: Evidence From the Growing Up in New Zealand Study

Maternal healthful dietary patterns during peripregnancy and long-term overweight risk in their offspring

The association between dietary patterns before and in early pregnancy and the risk of gestational diabetes mellitus (GDM): Data from the Malaysian SECOST cohort

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