Cargando…
Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy
BACKGROUND: An understanding of the dietary behaviors linked to substantial postpartum weight retention, particularly in women diagnosed with gestational diabetes (GDM), is warranted to focus intervention efforts to prevent future type 2 diabetes. This study evaluates the relationship between dietar...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541731/ https://www.ncbi.nlm.nih.gov/pubmed/28794888 http://dx.doi.org/10.1186/s40608-017-0166-0 |
_version_ | 1783254869380956160 |
---|---|
author | Davis, Jaimie N. Shearrer, Grace E. Tao, Wei Hurston, Shanta R. Gunderson, Erica P. |
author_facet | Davis, Jaimie N. Shearrer, Grace E. Tao, Wei Hurston, Shanta R. Gunderson, Erica P. |
author_sort | Davis, Jaimie N. |
collection | PubMed |
description | BACKGROUND: An understanding of the dietary behaviors linked to substantial postpartum weight retention, particularly in women diagnosed with gestational diabetes (GDM), is warranted to focus intervention efforts to prevent future type 2 diabetes. This study evaluates the relationship between dietary food intake at 6–9 weeks postpartum (baseline) and odds of substantial postpartum weight retention (≥ 5 kg) at 1-year in women with GDM. METHODS: The Study of Women, Infant Feeding and Type 2 Diabetes after GDM pregnancy (SWIFT) is a prospective multi-ethnic cohort (75% minority) of 1035 women (aged 20–45 years) with recent GDM who delivered a singleton, live birth (≥35 weeks gestation) and underwent 2-h 75 g OGTTs, anthropometric measurements and other assessments at 6–9 weeks postpartum (baseline) and annually thereafter. Eight hundred and eighty-eight women without diabetes at baseline completed the 18-item PrimeScreen to assess dietary intake and the 13-item Caffeine Survey to assess beverage intake, and completed 1-year follow-up. Average postpartum weight retention was calculated (1-year postpartum weight minus pre-pregnancy weight). Multivariable logistic regression models that estimated baseline dietary intake and odds of substantial postpartum weight retention (SPPWR ≥5 kg above pre-pregnancy weight) versus not SPPWR adjusted for numerous clinical, sociodemographic and behavioral covariates. RESULTS: Compared to eating no fried foods, women who reported eating fried foods ≥5 servings/wk. (n = 32) and 2–4 serv/wk. (n = 208), respectively, had a three-fold and two-fold higher odds of SPPWR (OR = 3.38, 95% CI:1.36–8.38, P = 0.009; OR = 1.99, 95% CI:1.30–3.03, P = 0.02), after adjustment for covariates and other foods and soda intake. Soda intake ≥2 serv/wk. versus none was associated with higher odds of SPPWR (OR = 1.95, 95% CI:1.22–3.11, P = 0.005) adjusted for fried foods and covariates, but was attenuated (OR = 1.61,95% CI:0.98–2.66, p = 0.06) after addition of whole eggs and processed meats. CONCLUSIONS: These findings indicate that interventions should focus on reducing fried foods and soda intake during early postpartum periods to reduce substantial postpartum weight retention in high-risk women with GDM. TRIAL REGISTRATION: NCT01967030; October 2013, Eunice Kennedy Shriver National Institute of Health and Human Development (NICHD). |
format | Online Article Text |
id | pubmed-5541731 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-55417312017-08-09 Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy Davis, Jaimie N. Shearrer, Grace E. Tao, Wei Hurston, Shanta R. Gunderson, Erica P. BMC Obes Research Article BACKGROUND: An understanding of the dietary behaviors linked to substantial postpartum weight retention, particularly in women diagnosed with gestational diabetes (GDM), is warranted to focus intervention efforts to prevent future type 2 diabetes. This study evaluates the relationship between dietary food intake at 6–9 weeks postpartum (baseline) and odds of substantial postpartum weight retention (≥ 5 kg) at 1-year in women with GDM. METHODS: The Study of Women, Infant Feeding and Type 2 Diabetes after GDM pregnancy (SWIFT) is a prospective multi-ethnic cohort (75% minority) of 1035 women (aged 20–45 years) with recent GDM who delivered a singleton, live birth (≥35 weeks gestation) and underwent 2-h 75 g OGTTs, anthropometric measurements and other assessments at 6–9 weeks postpartum (baseline) and annually thereafter. Eight hundred and eighty-eight women without diabetes at baseline completed the 18-item PrimeScreen to assess dietary intake and the 13-item Caffeine Survey to assess beverage intake, and completed 1-year follow-up. Average postpartum weight retention was calculated (1-year postpartum weight minus pre-pregnancy weight). Multivariable logistic regression models that estimated baseline dietary intake and odds of substantial postpartum weight retention (SPPWR ≥5 kg above pre-pregnancy weight) versus not SPPWR adjusted for numerous clinical, sociodemographic and behavioral covariates. RESULTS: Compared to eating no fried foods, women who reported eating fried foods ≥5 servings/wk. (n = 32) and 2–4 serv/wk. (n = 208), respectively, had a three-fold and two-fold higher odds of SPPWR (OR = 3.38, 95% CI:1.36–8.38, P = 0.009; OR = 1.99, 95% CI:1.30–3.03, P = 0.02), after adjustment for covariates and other foods and soda intake. Soda intake ≥2 serv/wk. versus none was associated with higher odds of SPPWR (OR = 1.95, 95% CI:1.22–3.11, P = 0.005) adjusted for fried foods and covariates, but was attenuated (OR = 1.61,95% CI:0.98–2.66, p = 0.06) after addition of whole eggs and processed meats. CONCLUSIONS: These findings indicate that interventions should focus on reducing fried foods and soda intake during early postpartum periods to reduce substantial postpartum weight retention in high-risk women with GDM. TRIAL REGISTRATION: NCT01967030; October 2013, Eunice Kennedy Shriver National Institute of Health and Human Development (NICHD). BioMed Central 2017-08-03 /pmc/articles/PMC5541731/ /pubmed/28794888 http://dx.doi.org/10.1186/s40608-017-0166-0 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Davis, Jaimie N. Shearrer, Grace E. Tao, Wei Hurston, Shanta R. Gunderson, Erica P. Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy |
title | Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy |
title_full | Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy |
title_fullStr | Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy |
title_full_unstemmed | Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy |
title_short | Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy |
title_sort | dietary variables associated with substantial postpartum weight retention at 1-year among women with gdm pregnancy |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541731/ https://www.ncbi.nlm.nih.gov/pubmed/28794888 http://dx.doi.org/10.1186/s40608-017-0166-0 |
work_keys_str_mv | AT davisjaimien dietaryvariablesassociatedwithsubstantialpostpartumweightretentionat1yearamongwomenwithgdmpregnancy AT shearrergracee dietaryvariablesassociatedwithsubstantialpostpartumweightretentionat1yearamongwomenwithgdmpregnancy AT taowei dietaryvariablesassociatedwithsubstantialpostpartumweightretentionat1yearamongwomenwithgdmpregnancy AT hurstonshantar dietaryvariablesassociatedwithsubstantialpostpartumweightretentionat1yearamongwomenwithgdmpregnancy AT gundersonericap dietaryvariablesassociatedwithsubstantialpostpartumweightretentionat1yearamongwomenwithgdmpregnancy |