Dietary Patterns and Their Associations with the Diet Quality Index-International (DQI-I) in Korean Women with Gestational Diabetes Mellitus

Shin, Moon Kyung; Kim, Yoo Sun; Kim, Jung Hyun; Kim, Sung Hoon; Kim, Yuri

doi:10.7762/cnr.2015.4.4.216

Cited by 18 publications

(16 citation statements)

References 39 publications

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“…We highlight that the diet of the mother during pregnancy can play a fundamental role in the health of the mother-child binomial. Some evidence suggests that a better quality of the diet during pregnancy is associated with a lower risk of GD 28 , as well as fetal anomalies, including neural tube defects 5 . On the other hand, specific deficiencies of micronutrients can cause low birth weight, maternal obesity, and hypertension during pregnancy 25 .…”

Section: Discussionmentioning

confidence: 99%

“…Evidence suggests that a diet high in vegetables, legumes, and fruits has a better quality and, consequently, promotes positive outcomes for the health of the mother and the baby 12 , 18 , 19 , 28 . Associated with these food groups and micronutrients of interest during the gestational period (iron, calcium, and folate), the adequate intake of omega-3 to favor the maternal and child health is also currently emphasized 6 .…”

Section: Introductionmentioning

confidence: 99%

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Development of a Diet Quality Index Adapted for Pregnant Women

2018

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OBJECTIVE:To develop a Diet Quality Index Adapted for Pregnant Women (IQDAG) and to evaluate its relation with the characteristics of women treated at the Brazilian Unified Health System.METHODS:The data on food intake come from a cross-sectional study carried out with 785 adult pregnant women in the city of Ribeirão Preto, state of São Paulo, Brazil, between 2011 and 2012. The index was based on the recommendations of the Brazilian Ministry of Health, previous national dietary indexes, and the new Dietary Guidelines for the Brazilian Population. We used the ANOVA, Kruskal-Wallis, and chi-square tests to describe the quality of the diet according to the characteristics of the mother.RESULTS:The IQDAG has nine components, and it is represented by three food groups (in servings/1,000 kcal), five nutrients, and a moderator component. A high proportion of pregnant women reached the maximum score for the components of legumes and vegetables. However, few women reached the maximum score for consumption of fresh fruits, fiber, omega-3, calcium, folate, iron, and ultra-processed foods. We verified a better quality of diet among older and eutrophic pregnant women who reported practicing more physical activity and taking dietary supplements. We also observed the highest index score among women with higher intake of carbohydrates, proteins, vitamins C, E, and A, and minerals calcium, folate, and iron, as well as among those with lower intake of total fats and saturated fats.CONCLUSIONS:This dietary index is unprecedented in incorporating the recommendation of the new Dietary Guidelines for the Brazilian Population regarding the moderation of the consumption of ultra-processed foods. It was useful in evaluating the quality of the diet of pregnant women and we verified a higher score among older and eutrophic women who reported a healthy lifestyle. Strategies are needed to promote a higher consumption of fresh fruits, foods high in fiber, omega-3, calcium, folate, iron, and minimally processed foods in pregnant women.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of a Diet Quality Index Adapted for Pregnant Women

2018

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“…Our findings provide new information about the dietary patterns of women with GDM in late pregnancy. Diet is the cornerstone in the management of women with GDM, yet few studies 46,47 have examined maternal dietary patterns in these women. A cohort study conducted in South Korea assessed dietary patterns via factor analysis using a 3-day food record, although the timing of dietary data collection was unclear 47 .…”

Section: Discussionmentioning

confidence: 99%

“…Diet is the cornerstone in the management of women with GDM, yet few studies 46,47 have examined maternal dietary patterns in these women. A cohort study conducted in South Korea assessed dietary patterns via factor analysis using a 3-day food record, although the timing of dietary data collection was unclear 47 . Among the 166 women with GDM two dietary patterns were identified: a "carbohydrate and vegetable pattern" with high loadings of fruits, rice and cereals, fermented vegetables, vegetables, and meat and a "western pattern" characterized by poultry and eggs, fast food, deep-fried food, processed meat and seafood, snacks and desserts, coffee and other beverages, and seaweeds 47 .…”

Section: Discussionmentioning

confidence: 99%

The relationship between maternal dietary patterns during pregnancy in women with gestational diabetes mellitus and infant appetitive feeding behaviour at 6 months

Amissah

Gamble

Wall

et al. 2020

Sci Rep

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Early dietary exposure may influence infant appetitive feeding behaviour, and therefore their later health. Maternal diabetes in pregnancy is associated with an increased risk of obesity in the offspring. We, therefore, examined third-trimester dietary patterns of women with gestational diabetes, their offspring’s appetitive feeding behaviour at 6 months of age, and relationships between these. We used data from a prospective cohort of women with gestational diabetes and assessed maternal dietary patterns at 36 weeks’ gestation using principal component analysis; infant appetitive feeding behaviour at 6 months of age using the Baby Eating Behaviour Questionnaire; and relationships between these using general linear modelling and chi-square tests. In 325 mother-infant dyads, we identified three distinct maternal dietary patterns: ‘Junk,’ ‘Mixed,’ and ‘Health-conscious.’ The maternal ‘Health-conscious’ pattern was inversely associated with ‘enjoyment of food’ in their sons (β − 0.24, 95% CI − 0.36 to − 0.11, p = 0.0003), but not daughters (β − 0.02, 95% CI − 0.12 to 0.08, p = 0.70), and was positively associated with ‘slowness in eating,’ (β 0.13, 95% CI 0.02 to 0.24, p = 0.01). Third-trimester dietary patterns in women with gestational diabetes may have sex-specific effects on infant appetitive feeding behaviour at 6 months of age.

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“…Relatively few studies have examined associations between maternal diet quality and pregnancy related outcomes [ 5 ]. However, there is some evidence that consuming a higher quality diet in the gestational period is associated with a reduction in maternal depressive symptoms [ 8 ], lower maternal fasting plasma glucose and reduced risk for gestational diabetes mellitus [ 9 ], and reduced risk for preeclampsia [ 10 ]. A recent summary of the limited but existing evidence suggests that a high-quality maternal diet consumed throughout the gestational period may reduce the risk for preterm birth, infant growth restriction, and fetal anomalies including neural tube defects [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Maternal diet quality and nutrient intake in the gestational period: results from the delta healthy sprouts comparative impact trial

Tussing‐Humphreys

Thomson

Goodman

et al. 2016

matern health, neonatol and perinatol

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BackgroundA woman’s diet while pregnant can play an important role in her reproductive health as well as the health of her unborn child. Diet quality and nutrient intake amongst pregnant women residing in the rural Lower Mississippi Delta (LMD) region of the United States is inadequate. The Delta Healthy Sprouts Project was designed to test the comparative impact of two home visiting programs on weight status, dietary intake, and health behaviors of women and their infants residing in the LMD region. This paper reports results pertaining to maternal diet quality and nutrient intake in the gestational period.MethodsThe experimental arm (PATE) received monthly home visits beginning in the second trimester using the Parents as Teachers curriculum enhanced with a nutrition and lifestyle behavior curriculum. The control arm (PAT) received monthly home visits using the Parents as Teachers curriculum only. Maternal diet was assessed via 24-h dietary recall at gestational months (GM) 4 (baseline), 6, and 8. Diet quality was computed using the Healthy Eating Index-2010 (HEI-2010).ResultsGestational period retention rates for PAT and PATE arms were 77 % (33/43) and 67 % (26/39), respectively. Significant effects were not found for time, treatment, or time by treatment for the HEI-2010 total or component scores, macro- or micronutrient intake or percentage of women meeting recommended nutrient intakes.ConclusionsPerhaps due to low participant enrollment and higher than expected rates of drop out and noncompliance, we were not able to demonstrate that the enhanced nutrition and lifestyle curriculum (PATE) intervention had a significant effect on diet quality or nutrient intake during pregnancy in this cohort of rural, Southern, primarily African American women.Trial registrationclinicaltrials.gov, NCT01746394. Registered 5 December 2012.

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Dietary Patterns and Their Associations with the Diet Quality Index-International (DQI-I) in Korean Women with Gestational Diabetes Mellitus

Cited by 18 publications

References 39 publications

Development of a Diet Quality Index Adapted for Pregnant Women

Development of a Diet Quality Index Adapted for Pregnant Women

The relationship between maternal dietary patterns during pregnancy in women with gestational diabetes mellitus and infant appetitive feeding behaviour at 6 months

Maternal diet quality and nutrient intake in the gestational period: results from the delta healthy sprouts comparative impact trial

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