Hong Yi DU1, Hong Jiang1, Karmin O2, Bo Chen3, Lin Ji Xu4, Shu Ping Liu4, Jian Ping Yi4, Geng Sheng He3, Xu Qian1. 1. Department of Maternal, Child and Adolescent Health, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China. 2. Department of Animal Science, Department of Physiology and Pathophysiology, University of Manitoba, Winnipeg R3T 2N2, Manitoba, Canada. 3. Department of Nutrition and Food Hygiene, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai 200032, China. 4. Maternal and Child Health Care Hospital, Tangshan Municipality, Tangshan 063000, Hebei, China.
Abstract
OBJECTIVE: To examine the association of maternal dietary patterns during pregnancy with gestational diabetes mellitus (GDM) in northern China. METHODS: The dietary intakes of pregnant women were recorded twice by 24-hour dietary recalls for three days prior to having been diagnosed with GDM, at 5-15 and 24-28 gestational weeks, respectively. GDM was diagnosed, and serum glycosylated hemoglobin (HbA1c) was measured at 24-28 weeks. Dietary patterns were assessed by factor analysis. The association of the dietary pattern with GDM and HbA1c was examined by multiple logistic models. RESULTS: Of 753 participants, 64 (8.5%) were diagnosed with GDM. Four dietary patterns were identified: Western pattern (dairy, baked/fried food and white meat), traditional pattern (light-colored vegetables, fine grain, red meat and tubers), mixed pattern (edible fungi, shrimp/shellfish and red meat) and prudent pattern (dark-colored vegetables and deep-sea fish). Compared with the prudent pattern, both the Western pattern and the traditional pattern were associated with an increased risk of GDM (aOR = 4.40, 95% CI: 1.58-12.22; aOR = 4.88, 95% CI: 1.79-13.32) and a high level of HbA1c (aOR = 12.37, 95% CI: 1.47-103.91; aOR = 26.23, 95% CI: 2.54-270.74). Compared to the lowest quartile (Q), Q3 of the Western pattern scores and Q3-Q4 of the traditional pattern scores were associated with a higher risk of GDM. CONCLUSION: The consumption of the Western pattern or the traditional pattern during pregnancy may increase the risk of GDM.
OBJECTIVE: To examine the association of maternal dietary patterns during pregnancy with gestational diabetes mellitus (GDM) in northern China. METHODS: The dietary intakes of pregnant women were recorded twice by 24-hour dietary recalls for three days prior to having been diagnosed with GDM, at 5-15 and 24-28 gestational weeks, respectively. GDM was diagnosed, and serum glycosylated hemoglobin (HbA1c) was measured at 24-28 weeks. Dietary patterns were assessed by factor analysis. The association of the dietary pattern with GDM and HbA1c was examined by multiple logistic models. RESULTS: Of 753 participants, 64 (8.5%) were diagnosed with GDM. Four dietary patterns were identified: Western pattern (dairy, baked/fried food and white meat), traditional pattern (light-colored vegetables, fine grain, red meat and tubers), mixed pattern (edible fungi, shrimp/shellfish and red meat) and prudent pattern (dark-colored vegetables and deep-sea fish). Compared with the prudent pattern, both the Western pattern and the traditional pattern were associated with an increased risk of GDM (aOR = 4.40, 95% CI: 1.58-12.22; aOR = 4.88, 95% CI: 1.79-13.32) and a high level of HbA1c (aOR = 12.37, 95% CI: 1.47-103.91; aOR = 26.23, 95% CI: 2.54-270.74). Compared to the lowest quartile (Q), Q3 of the Western pattern scores and Q3-Q4 of the traditional pattern scores were associated with a higher risk of GDM. CONCLUSION: The consumption of the Western pattern or the traditional pattern during pregnancy may increase the risk of GDM.
Authors: Li Wen; Huisheng Ge; Juan Qiao; Lan Zhang; Xuyang Chen; Mark D Kilby; Ying Zhou; Jie Gan; Richard Saffery; Jianying Yan; Chao Tong; Hongbo Qi; Philip N Baker Journal: Nutr J Date: 2020-02-10 Impact factor: 3.271
Authors: Heng Yaw Yong; Zalilah Mohd Shariff; Barakatun-Nisak Mohd Yusof; Zulida Rejali; Geeta Appannah; Jacques Bindels; Yvonne Yee Siang Tee; Eline M van der Beek Journal: PLoS One Date: 2020-01-10 Impact factor: 3.240
Authors: Jonathan K L Mak; Ngoc Minh Pham; Andy H Lee; Li Tang; Xiong-Fei Pan; Colin W Binns; Xin Sun Journal: Nutr J Date: 2018-11-20 Impact factor: 3.271