Maternal diet and gestational diabetes mellitus development

Mizgier, Małgorzata; Jarzabek-Bielecka, Grazyna; Mruczyk, Kinga

doi:10.1080/14767058.2019.1598364

Cited by 20 publications

(23 citation statements)

References 25 publications

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“…We also observed that dietary total fat intake, neither one year before pregnancy nor during the first trimester of pregnancy, was correlated with the risk of developing GDM, which is in line with previous findings among 84,204 Nurses’ Health Study (NHS) women [ 35 ] or from 13,475 women in NHS II cohort study [ 22 ]. However, another study focusing on the quality of diet and the risk of GDM revealed that a tendency for increased fat intake was observed in the GDM groups among Caucasian women [ 21 ]. These inconsistent findings may be attributed to the racial differences in the regulation of fat and glucose metabolism [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Beyond protein intake: does dietary fat intake in the year preceding pregnancy and during pregnancy have an impact on gestational diabetes mellitus?

et al. 2021

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Purpose Studies regarding the association between dietary fat intake and gestational diabetes mellitus (GDM) are limited and provide conflicting findings. Thus, the study aims to examine the association of dietary fat intake in the year preceding pregnancy and during pregnancy with the risk of GDM, taking the relevance of dietary protein intake on GDM into consideration. Methods A prospective study was conducted in 6299 singleton pregnancies, using the data from the Nutrition in Pregnancy and Growth in Southwest China (NPGSC). A validated food frequency questionnaire was used to assess dietary fat intake in the year preceding pregnancy and during the first and second trimesters of pregnancy. Logistic regression analysis was used to assess the prospective associations of dietary fat intake and the type and source of dietary fats in different time windows with GDM risk. Results Higher intake of total fat [OR (95% CI): 2.21 (1.19–4.20), P = 0.02] during 12–22 weeks of gestation was associated with higher GDM risk. However, adjustment for animal protein intake greatly attenuated this association [OR (95% CI): 1.81 (0.93, 3.64), P = 0.11]. Total fat intake neither in the year preceding pregnancy nor during the early pregnancy was associated with GDM risk. Moreover, insignificant associations were observed between intakes of vegetable fat, animal fat, cholesterol, saturated fatty acid, monounsaturated fatty acid and polyunsaturated fatty acid one year before pregnancy and during the first and second trimesters and GDM risk. Conclusion Our study indicated that dietary fat intake one year before pregnancy and across the two pregnancy trimesters preceding the diagnosis of GDM has no relevance on GDM risk among Chinese women, particularly those with normal BMI, low, or normal calorie intake.

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Section: Discussionmentioning

confidence: 99%

Beyond protein intake: does dietary fat intake in the year preceding pregnancy and during pregnancy have an impact on gestational diabetes mellitus?

et al. 2021

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“…Furthermore, gestational weight gain (GWG) increases the risk of GDM (44); however, only a few studies reported adjusted RR or OR for GWG (30,34,38). Moreover, there are other factors, such as physical activity during pregnancy (45), race (46), diet (47), or GDM in the first pregnancy (48), that could modify the association between IPWC and GDM in the subsequent pregnancy. Finally, we found publication bias for the interpregnancy weight gain model because not enough studies reported a small effect size for the association between interpregnancy weight gain and the risk of GDM.…”

Section: Original Articlementioning

confidence: 99%

Interpregnancy Weight Change and Gestational Diabetes Mellitus: A Systematic Review and Meta‐Analysis

Martínez‐Hortelano

Cavero‐Redondo

Álvarez‐Bueno

et al. 2021

Obesity

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This study aimed to synthesize evidence regarding the association between interpregnancy weight change (IPWC) and gestational diabetes mellitus (GDM) in the subsequent pregnancy. Methods: MEDLINE, EMBASE, Cochrane Library, and Web of Science were searched from inception to May 10, 2020. This review included studies that reported the association between IPWC and GDM in the subsequent pregnancy without restriction on study design, IPWC classification, or parity. The "no weight change" interpregnancy category was defined by each study, and data were synthesized to analyze the risk of GDM according to weight change. Results: Thirteen observational studies were included. A higher risk of GDM in the subsequent pregnancy when there was interpregnancy weight gain (odds ratio [OR] = 1.56; 95% CI: 1.30-1.83; I 2 = 82.30%) was found. However, interpregnancy weight loss was associated with lower risk of GDM in the subsequent pregnancy (OR = 0.83; 95% CI: 0.68-0.98; I 2 = 58.10%), but the decrease in the risk of GDM in the subsequent pregnancy was greater among women with pregestational BMI higher than 25 kg/m 2 (OR = 0.58; 95% CI: 0.39-0.77; I 2 = 0.00%). Conclusions: The risk of GDM in the subsequent pregnancy increases with interpregnancy weight gain, whereas it decreases with interpregnancy weight loss.

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“…1 Potential risk factors for GDM include prepregnancy overweight and obesity, age and unhealthy dietary habits. 2 With respect to dietary fat intake, high maternal intake of total fat, 3 saturated fatty acids (SFA) as well as cholesterol 4 have previously been associated with an increased risk of GDM, 3 5 whereas intake of polyunsaturated fatty acid (PUFA) and alphalinolenic acid (ALA) has been associated with reduced risk. 6 Circulating FA can derive from both dietary intake 7 and catabolism or endogenous synthesis, both of which being partly influenced by glucose homeostasis.…”

Section: Introductionmentioning

confidence: 99%

Early pregnancy plasma fatty acid profiles of women later diagnosed with gestational diabetes

Tryggvadóttir

Gunnarsdóttir

Birgisdóttir

et al. 2021

BMJ Open Diab Res Care

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IntroductionFatty acid (FA) concentrations have previously been associated with gestational diabetes mellitus (GDM). However, few studies on GDM have examined FA profiles in early pregnancy or before diagnosis. This study aimed to compare early pregnancy plasma FA profiles of women with and without GDM diagnoses as well as their reported dietary consumption.Research design and methodsThe subjects comprised 853 women from the prospective study: Pregnant Women in Iceland II (PREWICE II), attending their 11–14 weeks ultrasound appointment in 2017–2018. During the visit, blood samples were collected for plasma FA analysis, and dietary habits were assessed using a short food frequency questionnaire. Information on GDM diagnoses was then later extracted from medical records. Differences in FA profile between GDM cases and non-cases were evaluated using the Mann-Whitney U test.ResultsGDM was diagnosed in 127 women (14.9%). Concentrations of saturated fatty acids, monounsaturated fatty acids, polyunsaturated fatty acids (PUFA) n-6, PUFA n-3 and total FA were higher in the women who later developed GDM compared with those who did not (p≤0.05). The medians for total FA were 2898 μg/mL for the women with GDM and 2681 μg/mL for those without GDM. Mean adjusted difference for total FA between the groups was 133 μg/mL (95% CI 33 to 233). Similar results were observed in prepregnancy normal-weight women and overweight women/women with obesity. Overall diet quality in early pregnancy appeared to be lower among the women later diagnosed with GDM.ConclusionWe found that plasma FA profiles in early pregnancy were different for women later diagnosed with GDM compared with those who were not, independent of the women’s body mass index.

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Maternal diet and gestational diabetes mellitus development

Cited by 20 publications

References 25 publications

Beyond protein intake: does dietary fat intake in the year preceding pregnancy and during pregnancy have an impact on gestational diabetes mellitus?

Beyond protein intake: does dietary fat intake in the year preceding pregnancy and during pregnancy have an impact on gestational diabetes mellitus?

Interpregnancy Weight Change and Gestational Diabetes Mellitus: A Systematic Review and Meta‐Analysis

Early pregnancy plasma fatty acid profiles of women later diagnosed with gestational diabetes

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