Cargando…
Dietary Patterns during Pregnancy Are Associated with the Risk of Gestational Diabetes Mellitus: Evidence from a Chinese Prospective Birth Cohort Study
Dietary patterns during pregnancy have been shown to influence the development of gestational diabetes mellitus (GDM). However, evidence from Asian populations is limited and inconsistent. We conducted a prospective cohort study in China to assess the relationship between dietary patterns and GDM. W...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412704/ https://www.ncbi.nlm.nih.gov/pubmed/30769927 http://dx.doi.org/10.3390/nu11020405 |
_version_ | 1783402667689639936 |
---|---|
author | Hu, Jiajin Oken, Emily Aris, Izzuddin M. Lin, Pi-I D. Ma, Yanan Ding, Ning Gao, Ming Wei, Xiaotong Wen, Deliang |
author_facet | Hu, Jiajin Oken, Emily Aris, Izzuddin M. Lin, Pi-I D. Ma, Yanan Ding, Ning Gao, Ming Wei, Xiaotong Wen, Deliang |
author_sort | Hu, Jiajin |
collection | PubMed |
description | Dietary patterns during pregnancy have been shown to influence the development of gestational diabetes mellitus (GDM). However, evidence from Asian populations is limited and inconsistent. We conducted a prospective cohort study in China to assess the relationship between dietary patterns and GDM. We administered three-day food diaries (TFD) and food frequency questionnaires (FFQ) at the second trimester. GDM was diagnosed with a 75 g 2-h oral glucose tolerance test at 24–28 weeks of gestation. We identified dietary patterns using principal components analysis and used multivariable logistic regression to investigate associations of dietary patterns with GDM. Of the 1014 participants, 23.5% were diagnosed with GDM. Both the TFD and FFQ identified a “traditional pattern”, consisting of high vegetable, fruit, and rice intake, which was associated with a lower GDM risk (odds ratio (OR) for quartile 4 versus quartile 1: 0.40, 95% CI: 0.23–0.71 for traditional pattern (TFD); OR: 0.44, CI: 0.27–0.70 for traditional pattern (FFQ)). The protective associations were more pronounced among women ≥35 years old. A whole grain–seafood TFD pattern was associated with higher risk of GDM (OR: 1.73, 95% CI: 1.10–2.74). These findings may provide evidence for making dietary guidelines among pregnant women in Chinese populations to prevent GDM. |
format | Online Article Text |
id | pubmed-6412704 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-64127042019-04-09 Dietary Patterns during Pregnancy Are Associated with the Risk of Gestational Diabetes Mellitus: Evidence from a Chinese Prospective Birth Cohort Study Hu, Jiajin Oken, Emily Aris, Izzuddin M. Lin, Pi-I D. Ma, Yanan Ding, Ning Gao, Ming Wei, Xiaotong Wen, Deliang Nutrients Article Dietary patterns during pregnancy have been shown to influence the development of gestational diabetes mellitus (GDM). However, evidence from Asian populations is limited and inconsistent. We conducted a prospective cohort study in China to assess the relationship between dietary patterns and GDM. We administered three-day food diaries (TFD) and food frequency questionnaires (FFQ) at the second trimester. GDM was diagnosed with a 75 g 2-h oral glucose tolerance test at 24–28 weeks of gestation. We identified dietary patterns using principal components analysis and used multivariable logistic regression to investigate associations of dietary patterns with GDM. Of the 1014 participants, 23.5% were diagnosed with GDM. Both the TFD and FFQ identified a “traditional pattern”, consisting of high vegetable, fruit, and rice intake, which was associated with a lower GDM risk (odds ratio (OR) for quartile 4 versus quartile 1: 0.40, 95% CI: 0.23–0.71 for traditional pattern (TFD); OR: 0.44, CI: 0.27–0.70 for traditional pattern (FFQ)). The protective associations were more pronounced among women ≥35 years old. A whole grain–seafood TFD pattern was associated with higher risk of GDM (OR: 1.73, 95% CI: 1.10–2.74). These findings may provide evidence for making dietary guidelines among pregnant women in Chinese populations to prevent GDM. MDPI 2019-02-15 /pmc/articles/PMC6412704/ /pubmed/30769927 http://dx.doi.org/10.3390/nu11020405 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hu, Jiajin Oken, Emily Aris, Izzuddin M. Lin, Pi-I D. Ma, Yanan Ding, Ning Gao, Ming Wei, Xiaotong Wen, Deliang Dietary Patterns during Pregnancy Are Associated with the Risk of Gestational Diabetes Mellitus: Evidence from a Chinese Prospective Birth Cohort Study |
title | Dietary Patterns during Pregnancy Are Associated with the Risk of Gestational Diabetes Mellitus: Evidence from a Chinese Prospective Birth Cohort Study |
title_full | Dietary Patterns during Pregnancy Are Associated with the Risk of Gestational Diabetes Mellitus: Evidence from a Chinese Prospective Birth Cohort Study |
title_fullStr | Dietary Patterns during Pregnancy Are Associated with the Risk of Gestational Diabetes Mellitus: Evidence from a Chinese Prospective Birth Cohort Study |
title_full_unstemmed | Dietary Patterns during Pregnancy Are Associated with the Risk of Gestational Diabetes Mellitus: Evidence from a Chinese Prospective Birth Cohort Study |
title_short | Dietary Patterns during Pregnancy Are Associated with the Risk of Gestational Diabetes Mellitus: Evidence from a Chinese Prospective Birth Cohort Study |
title_sort | dietary patterns during pregnancy are associated with the risk of gestational diabetes mellitus: evidence from a chinese prospective birth cohort study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412704/ https://www.ncbi.nlm.nih.gov/pubmed/30769927 http://dx.doi.org/10.3390/nu11020405 |
work_keys_str_mv | AT hujiajin dietarypatternsduringpregnancyareassociatedwiththeriskofgestationaldiabetesmellitusevidencefromachineseprospectivebirthcohortstudy AT okenemily dietarypatternsduringpregnancyareassociatedwiththeriskofgestationaldiabetesmellitusevidencefromachineseprospectivebirthcohortstudy AT arisizzuddinm dietarypatternsduringpregnancyareassociatedwiththeriskofgestationaldiabetesmellitusevidencefromachineseprospectivebirthcohortstudy AT linpiid dietarypatternsduringpregnancyareassociatedwiththeriskofgestationaldiabetesmellitusevidencefromachineseprospectivebirthcohortstudy AT mayanan dietarypatternsduringpregnancyareassociatedwiththeriskofgestationaldiabetesmellitusevidencefromachineseprospectivebirthcohortstudy AT dingning dietarypatternsduringpregnancyareassociatedwiththeriskofgestationaldiabetesmellitusevidencefromachineseprospectivebirthcohortstudy AT gaoming dietarypatternsduringpregnancyareassociatedwiththeriskofgestationaldiabetesmellitusevidencefromachineseprospectivebirthcohortstudy AT weixiaotong dietarypatternsduringpregnancyareassociatedwiththeriskofgestationaldiabetesmellitusevidencefromachineseprospectivebirthcohortstudy AT wendeliang dietarypatternsduringpregnancyareassociatedwiththeriskofgestationaldiabetesmellitusevidencefromachineseprospectivebirthcohortstudy |