Indices of dietary fat quality during midpregnancy is associated with gestational diabetes

Barbieiri, Patricia; Nunes, Juliana; Torres, Alexandre Guedes; Nishimura, R; Zuccolotto, Daniela Cristina Candelas; Crivellenti, Lívia Castro; Franco, Laércio Joel; Sartorelli, Daniela Saes

doi:10.1016/j.nut.2015.12.002

Cited by 44 publications

(37 citation statements)

References 28 publications

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“…A cross-sectional study was conducted with pregnant women attending the public health system of Ribeirão Preto, São Paulo State, Brazil, between 2011 and 2012 for prenatal care, as previously described by Barbieri et al 24 . The inclusion criteria were women aged ≥ 20 years, pre-pregnancy body mass index (BMI) ≥ 20kg/m 2 and gestational diabetes mellitus screening after the 24th week of gestation.…”

Section: Methodsmentioning

confidence: 99%

Relationship between minimally and ultra-processed food intake during pregnancy with obesity and gestational diabetes mellitus

et al. 2019

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This study aimed to investigate the relationship between food intake (considering the nature, extent, and purpose of food processing) during pregnancy and overweight, obesity, and gestational diabetes mellitus conditions. This is a cross-sectional study conducted among 785 adult women in singleton pregnancies (between 24th and 39th weeks of gestation) in Brazil. Usual food intake was estimated by the Multiple Source Method, using two 24-hour dietary recalls. The food groups of interest in this study were the unprocessed or minimally processed foods and ultra-processed foods. The World Health Organization criteria for the diagnosis of gestational diabetes mellitus and the Atalah criteria for excess weight were used. Adjusted multinomial logistic regression models were used to assess the relationship between energy contribution (%E) from foods with overweight and obesity conditions and, adjusted logistic regression models for gestational diabetes mellitus. In total, 32.1% participants were overweight, 24.6% were obese, and 17.7% of women were diagnosed with gestational diabetes mellitus . After adjustments, an inverse association between the highest tertile of %E from the intake of unprocessed or minimally processed foods and obesity was found [0.49 (0.30-0.79)]. Moreover, a positive association between the highest tertile of %E from ultra-processed food intake [3.06 (1.27-3.37)] and obesity was observed. No association between food intake (considering the nature, extent, and purpose of food processing) during pregnancy and overweight or gestational diabetes mellitus was found. The findings suggest a role of food processing in obesity but not in gestational diabetes mellitus. Further research is warranted to provide robust evidence on the relationship between the role of processed foods in obesity and gestational diabetes mellitus.

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Section: Methodsmentioning

confidence: 99%

Relationship between minimally and ultra-processed food intake during pregnancy with obesity and gestational diabetes mellitus

et al. 2019

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“…A cross-sectional study conducted with 785 women, in singleton pregnancies, receiving prenatal care in the Public Health System of Ribeirão Preto, São Paulo state, Brazil (19). The recruitment of women was carried out by trained nutritionists, when the oral glucose tolerance test (OGTT) was performed, and all the pregnant women who attended these laboratories to carry out the OGTT, between 2011 and 2012, were invited to participate in the study.…”

Section: Study Design and Populationmentioning

confidence: 99%

“…A total of 1,446 women were contacted, however, 19 women refused to participate in the study, 639 were excluded according to the established criteria and three pregnant women presented incomplete data, giving a sample total of 785 women (19). Assuming a prevalence of 20% of GDM among women attended in the Brazilian Nation Health System, a sample size of 512 individuals was necessary, with a margin of error of 5% (20).…”

Section: Study Design and Populationmentioning

confidence: 99%

The relationship of flavonoid intake during pregnancy with excess body weight and gestational diabetes mellitus

Balbi¹,

Crivellenti²,

Zuccolotto³

et al. 2019

Archives of Endocrinology and Metabolism

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Objective: To investigate the relationship of flavonoid intake during pregnancy with maternal excessive body weight and gestational diabetes mellitus (GDM). Subjects and methods: A crosssectional study was conducted among 785 adult women in singleton pregnancies, and data were collected at the time of the oral glucose tolerance test. For the body mass index (BMI) classification according to the gestational age, the criteria of Atalah was used, and the diagnosis of GDM was based on the World Health Organization of 2014. Two 24-hour dietary recalls were obtained, and the usual intake was determined by the Multiple Source Method. Adjusted multinomial logistic regression was used to investigate the relationship of the flavonoids with overweight and obesity, and adjusted non-conditional logistic regression for the relationship of the flavonoids with GDM. Results: The mean (SD) age of the women was 28 (5) years, 32.1% were overweight, 24.6% were obese and 17.7% were diagnosed with GDM. The median (P25, P75) of total flavonoid intake was 50 (31,75) mg/day. Considering the eutrophic women as the reference, the pregnant women with a higher total flavonoid intake [OR 0.62 (95% CI 0.38; 0.96)] and anthocyanidin intake [OR 0.62 (95% CI 0.40; 0.99)] were less likely to be obese when compared to the women with lower intakes. No association of the flavonoids intake with overweight or GDM was found. Conclusion: A very low intake of flavonoids was observed. The data suggest that the intake of foods naturally rich in total flavonoids and anthocyanidin has a beneficial role regarding obesity among pregnant women.

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“…Later, Ding et al [32] introduced the lipophilic index (LI) which has the ability to estimate the fluidity of biological specimens including cholesterol particles in the presence of fatty acids consumed or endogenously synthesized. Largely, previous work has focused on relationships between AI, TI, h/H or LI and incidence of gestational diabetes [33] and risk of myocardial infarction [34]. By considering the predictive effect of excess body weight gain on insulin sensitivity [35] and the importance of obesity in the development of many other chronic diseases including metabolic syndrome [6], it is imperative that scientists examine the association between the above fat quality indices and the odds of obesity.…”

Section: Introductionmentioning

confidence: 99%

Dietary fat quantity and quality in relation to general and abdominal obesity in women: a cross-sectional study from Ghana

et al. 2020

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Background: Although relationships between obesity and total fat and fat types have been widely examined, the associations between the relative proportions of fatty acids calculated in the form of indices and obesity/overweight are lacking. The objective of this study was to assess associations between dietary fat quality indices and odds of obesity/overweight in women from Ghana. Methods:In this cross-sectional study, dietary information was obtained using 24-h dietary recall. The odds of obesity were evaluated across quintiles of specific DFQ indices [atherogenicity index (AI), thrombogenic index (TI), hypo-and hypercholesterolemic fatty acids ratio (h/H), omega-3 to omega-6 polyunsaturated fatty acids ratio (∑ω-3/∑ω-6), polyunsaturated fatty acids/saturated fatty acids ratio (PSR), dietary lipophilic index (LI) and percentage of energy from total fat (TF)].Results: After adjustment for covariates, general obesity and overweight were inversely associated with ∑ω-3/ ∑ω-6 ratio (OR: 0.63; 95% CI: 0.24-1.63; P for trend (P) = 0.005) and positively with TI (4.14; 95% CI: 1.78-9.66; P = 0.01) and LI (2.49; 95% CI: 1.14-5.43; P = 0.01). The odds of abdominal obesity based on waist circumference (WC) were significantly higher among participants in the fifth quintile (Q) compared with those in the first Q of AI (1.24; 95% CI: 0.56-2.74; P = 0.01), TI (4.14; 95% CI: 1.78-9.66; P = 0.009), LI (2.11; 95% CI: 0.98-4.55; P = 0.02) and TF (1.59; 95% CI: (0.73-3.46; P = 0.003). Similarly, waist to height ratio (WHtR) was positively associated with AI (2.89; 95% CI: 1.32-6.31; P = 0.04), TI (2.65; 95% CI: 1.22-5.76; P = 0.03), LI (3.32; 95% CI: 1.52-7.28; P = 0.007) and TF (1.83; 95% CI: 0.85-3.93; P = 0.009). Conclusion:There was an inverse association between ∑ω-3/∑ω-6 ratio and general obesity and WC. We also found positive associations between abdominal obesity and AI and TF. Furthermore, TI and LI showed positive relationships with both general and abdominal obesity. Therefore, intake of dietary fatty acids in favor of higher ratios of ∑ω-3/∑ω-6 may be important in obesity prevention.

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Indices of dietary fat quality during midpregnancy is associated with gestational diabetes

Cited by 44 publications

References 28 publications

Relationship between minimally and ultra-processed food intake during pregnancy with obesity and gestational diabetes mellitus

Relationship between minimally and ultra-processed food intake during pregnancy with obesity and gestational diabetes mellitus

The relationship of flavonoid intake during pregnancy with excess body weight and gestational diabetes mellitus

Dietary fat quantity and quality in relation to general and abdominal obesity in women: a cross-sectional study from Ghana

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