Maternal dietary pattern in early pregnancy is associated with gestational weight gain and hyperglycemia: A cohort study in South West of Iran
Autor: | Fatemeh Borazjani, Parvin Shahri, Kambiz Ahmadi Angali |
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Rok vydání: | 2020 |
Předmět: |
Adult
0301 basic medicine medicine.medical_specialty Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Early pregnancy factor Iran 3rd trimester Body Mass Index 03 medical and health sciences 0302 clinical medicine Pregnancy Diabetes mellitus Internal Medicine Humans Medicine Longitudinal Studies 030109 nutrition & dietetics biology business.industry Obstetrics Maternal Nutritional Physiological Phenomena General Medicine Dietary pattern Prognosis medicine.disease Gestational Weight Gain Diet Pregnancy Complications Quartile Hyperglycemia biology.protein Gestation Female medicine.symptom business Weight gain Biomarkers Follow-Up Studies Cohort study |
Zdroj: | Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 14:1711-1717 |
ISSN: | 1871-4021 |
Popis: | Background and aims Maternal dietary pattern could influence on fetal health outcome. Thus, this study was conducted to evaluate the relationship between maternal dietary pattern and Gestational Weight Gain (GWG) in each trimester and hyperglycemia amongst Arab pregnant women in south-west of Iran. Methods This longitudinally study was performed in urban healthcare centers of south-west of Iran. Among 610 candidates, 488 pregnant women were included in the final analysis. Consequently, two diet patterns were determined by principal component analysis and the association between GWG and blood glucose level was determined using quartile regression. Using generalized linear model, a model was adjusted for pre-pregnancy BMI, maternal age, income, and education levels. Results Two dietary patterns were identified as follows: “high fat –fast food” and “vegetable-fruits & protein” pattern. High adherence to “high fat –fast food” pattern was associated with higher GWG and hyperglycemia in 3rd trimester (adjusted β: 0.029 95%CI 0.012; 0.049 P = 0.001) (adjusted β: 0.029 95%CI 0.012; 0.049 P = 0.001) respectively. High tendency to “vegetable-fruits & protein” pattern was inversely associated with development of hyperglycemia in 3rd trimester. Higher SES level was associated with low adherence to “high fat-fast food” pattern. Conclusion Findings of the study revealed that, higher adherence to high -fat diet is related to excessive GWG and hyperglycemia in late pregnancy. |
Databáze: | OpenAIRE |
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