Excessive fruit consumption during the second trimester is associated with increased likelihood of gestational diabetes mellitus: a prospective study

Abstract

This study aimed to investigate the association between fruit consumption during the second trimester and the occurrence of gestational diabetes mellitus (GDM). A prospective study with 772 female participants was conducted in China from April 2013 to August 2014. Dietary intake was assessed in face-to-face and telephone interviews using a 3-day food record. GDM was ascertained using a standard 75 g 2 hour oral glucose tolerance test. Multivariable logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) after adjustment for various confounders. Of the 772 participants, 169 were diagnosed with GDM during the period under study. Greater total fruit consumption during the second trimester was associated with a higher likelihood of GDM (highest vs. lowest quartile: adjusted OR4.82, 95% CI 2.38 to 9.76). Fruits with a moderate or high glycaemic index (GI) were positively associated with the occurrence of GDM. Fruit subgroups were also categorised by polyphenol content, and tropical-fruit and citrus-fruit consumption was found to be positively related to the occurrence of GDM. These findings suggest that the excessive consumption of fruit, especially fruit with moderate or high GI values, tropical-fruit and citrus-fruit, increases the likelihood of GDM.

Electronic Health Record Driven Prediction for Gestational Diabetes Mellitus in Early Pregnancy

“…According to the report of International Diabetes Federation (IDF) 4 , the total prevalence of GDM reaches almost 1% to 14% worldwide in 2014. In China, the recorded prevalence of GDM has increased from about 5% to more than 16% since the implementation of a new method of diagnosing GDM in December 2011 5 . Moreover, GDM increases the risk of development of type 2 diabetes mellitus in both mother and child 6 , is also associated with adverse short-term fetal outcomes and offspring long-term greater adiposity.…”

Association of food choices during pregnancy with gestational diabetes mellitus

“…Another study revealed that excessive fruit consumption was also related to GDM risk [17]. In our study sugar sweetened beverages as a part of Western dietary pattern were also associated with GDM risk, while fruit consumption was found to be beneficial.…”

Dietary quality is associated with reduced risk of diabetes among adults in Northern China: a cross-sectional study

“…Research has suggested that increasing vegetable and fruit consumption helps with weight loss, which might indirectly reduce the type 2 diabetes mellitus incidence (46) ; however, some meta-analyses found no relationship between fruit and/or vegetable consumption and diabetes risk (47,48) . Huang et al (49) showed that fruits with a moderate or high glycaemic index were positively associated with the occurrence of gestational diabetes mellitus. Therefore, consuming more fruits and vegetables may not help prevent diabetes.…”