Maternal and Dietary Factors Are Associated with Metabolic Syndrome in Women with a Previous History of Gestational Diabetes Mellitus

Hasbullah, Farah Yasmin; Yusof, Barakatun Nisak Mohd; Ghani, Rohana Abdul; Daud, Zulfitri Azuan Mat; Appannah, Geeta; Abas, Faridah; Shyam, Sangeetha

doi:10.3390/ijerph192416797

Cited by 3 publications

(1 citation statement)

References 57 publications

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“…Malaysia is an ethnically and religiously diverse country. Hence, data collection was halted during Ramadan fasting and around major festive periods (such as Eid al-Fitr, Christmas, Chinese New Year, and Deepavali) to prevent short-term but potentially significant changes in dietary patterns, as they may not accurately depict their actual habitual intake [ 29 ]. The study was approved by the Medical Research Ethics Committee of the Ministry of Health Malaysia (NMRR-19-3482-50546) and the Research Committee of Universiti Putra Malaysia (JKEUPM-2019-464).…”

Section: Methodsmentioning

confidence: 99%

Dietary Patterns Associated with Abnormal Glucose Tolerance following Gestational Diabetes Mellitus: The MyNutritype Study

et al. 2023

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Abnormal glucose tolerance (AGT), which includes type 2 diabetes and pre-diabetes, is highly prevalent in women post gestational diabetes mellitus (post-GDM). Dietary patterns have been associated with the risk of developing AGT in women post-GDM, but evidence in Asian populations is sparse. This study aimed to determine the association between a posteriori dietary patterns and AGT in women post-GDM. This cross-sectional study recruited 157 women post-GDM (mean age 34.8 years) from Seri Kembangan Health Clinic and Universiti Putra Malaysia. AGT was diagnosed according to the Malaysian Clinical Practice Guidelines using a 75 g 2 h oral glucose tolerance test or HbA1c. Food intake was assessed using the 2014 Malaysian Adult Nutrition Survey food frequency questionnaire. Five dietary patterns were derived using principal component analysis: ‘Unhealthy’, ‘Fish-eggs-fruits-vegetables’, ‘Cereals-confectionaries’, ‘Legumes-dairy’, and ‘Meat-sugar-sweetened-beverages’. After adjusting for sociodemographic characteristics and total energy intake, the ‘Cereals-confectionaries’ dietary pattern was significantly associated with AGT (adjusted odds ratio 1.536, p = 0.049). Targeted lifestyle modification, including dietary intervention, for women post-GDM is warranted to reduce their risk of AGT and its complications.

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Section: Methodsmentioning

confidence: 99%

Dietary Patterns Associated with Abnormal Glucose Tolerance following Gestational Diabetes Mellitus: The MyNutritype Study

et al. 2023

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Lifestyle-Related Risk Factors and Primary Prevention Strategies for Cardiovascular Diseases in a Middle-Income Country: A Scoping Review and Implication for Future Research

Raman,

Sagadevan,

Dhanapalan

et al. 2024

J of Prevention

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Cardiovascular diseases are the leading cause of death in middle-income countries such as Malaysia. There is a significant gap in knowledge between cardiovascular disease-related risk assessments and interventions in the Malaysian population. In this scoping review, we have determined the status of cardiovascular research in Malaysia by prioritising lifestyle-related risk assessments and interventions. We searched five electronic databases (Ovid MEDLINE, Cochrane Central Register of Controlled Trials, APA PsychINFO, Embase and Scopus) to identify relevant research articles that had been published. The Joanna Briggs Institute and the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews served as a guide for the scoping review. Study selection was made using the Covidence platform, screened, and extracted. Thirty-one studies were included in this review. Studies reviewed reported a significant positive association between physical inactivity, smoking, poor dietary patterns, working hours, clustering of lifestyle risk, and cardiovascular disease risk. Most interventions focused on physical activity and a multimodal lifestyle approach, significantly improving primary and secondary cardiovascular disease-related outcomes. The findings suggest improving lifestyle-related risk assessments and interventions to prevent cardiovascular diseases in this population. It is unclear if these outcomes can translate to higher effectiveness in preventing cardiovascular disease. Nevertheless, intervention using the multifaceted lifestyle approach can improve cardiovascular disease-related outcomes.

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A cross‐sectional study on the dietary patterns of multiethnic Malaysian preschoolers and their sociodemographic determinants

Hasmuni Chew,

Mohd Saat,

Wong

et al. 2024

Nutrition Bulletin

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Early childhood is a critical developmental stage where established dietary patterns can impact lifelong health outcomes. This study investigates dietary patterns and their relationships with sociodemographic factors among Malaysian preschoolers. A total of 643 preschoolers of Malay, Indian, Chinese and other ethnicities participating in South East Asian Nutrition Surveys (SEANUTS II) were included. Dietary intake was assessed using a single triple‐pass 24‐h dietary recall method. Dietary patterns were derived using principal component analysis and their association with sociodemographic factors was determined using complex sampling logistic regressions. Five dietary patterns were identified: “healthy eating,” “wholegrains and starchy vegetables,” “high salt and sugar,” “Western food,” and “sugary drinks and legumes”. Having older siblings was inversely associated with a “healthy eating” pattern (adjusted OR: 0.54, 95% CI: 0.33–0.87). Malay ethnicity was associated with higher odds of adhering to the “high salt and sugar” pattern (adjusted OR: 4.12, 95% CI: 2.20–7.75). Meanwhile, children living in urban areas (adjusted OR: 1.76, 95% CI: 1.03–3.01), those from middle‐income families (adjusted OR: 3.20, 95% CI: 1.38–7.40) and whose fathers were overweight (adjusted OR: 2.79, 95% CI: 1.58–4.94) showed a higher association with “Western food” pattern. Conversely, children whose mothers had overweight were less likely to adhere to the “Western food” pattern (adjusted OR: 0.50, 95% CI: 0.30–0.83). Older age was significantly associated with a greater likelihood of the “sugary drinks and legumes” pattern (adjusted OR: 3.99, 95% CI: 1.75–9.06). There was no significant association between “wholegrains and starchy vegetables” pattern with sociodemographic characteristics (all p > 0.05). These findings suggest that ethnicity, age, residence area, having older siblings, parental weight status and household income level are associated with dietary patterns among multiethnic preschoolers in Malaysia. Thus, these sociodemographic characteristics should be considered when designing targeted dietary strategies and interventions for preschoolers.

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Maternal and Dietary Factors Are Associated with Metabolic Syndrome in Women with a Previous History of Gestational Diabetes Mellitus

Cited by 3 publications

References 57 publications

Dietary Patterns Associated with Abnormal Glucose Tolerance following Gestational Diabetes Mellitus: The MyNutritype Study

Dietary Patterns Associated with Abnormal Glucose Tolerance following Gestational Diabetes Mellitus: The MyNutritype Study

Lifestyle-Related Risk Factors and Primary Prevention Strategies for Cardiovascular Diseases in a Middle-Income Country: A Scoping Review and Implication for Future Research

A cross‐sectional study on the dietary patterns of multiethnic Malaysian preschoolers and their sociodemographic determinants

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