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Is improvement in the Healthy Food Intake Index (HFII) related to a lower risk for gestational diabetes?
- Source :
- The British journal of nutrition. 117(8)
- Publication Year :
- 2017
-
Abstract
- The aim was to analyse whether changes in the Healthy Food Intake Index (HFII) during pregnancy are related to gestational diabetes (GDM) risk. The 251 pregnant women participating had a pre-pregnancy BMI≥30 kg/m2 and/or a history of GDM. A 75 g oral glucose tolerance test (OGTT) was performed during the first and second trimesters of pregnancy for assessment of GDM. A normal OGTT result at first trimester was an inclusion criterion for the study. FFQ collected at first and second trimesters served for calculating the HFII. A higher HFII score reflects higher adherence to the Nordic Nutrition Recommendations (NNR) (score range 0–17). Statistical methods included Student’s t test, Mann–Whitney U test, Fisher’s exact test and linear and logistic regression analyses. The mean HFII at first trimester was 10·1 (95 % CI 9·7, 10·4) points, and the mean change from the first to the second trimester was 0·35 (95 % CI 0·09, 0·62) points. The range of the HFII changes varied from –7 to 7. The odds for GDM decreased with higher HFII change (adjusted OR 0·83 per one unit increase in HFII; 95 % CI 0·69, 0·99; P=0·043). In the analysis of the association between HFII-sub-indices and GDM, odds for GDM decreased with higher HFII-Fat change (fat percentage of milk and cheese, type of spread and cooking fats) but it was not significant in a fully adjusted model (P=0·058). Dietary changes towards the NNR during pregnancy seem to be related to a lower risk for GDM.
- Subjects :
- endocrine system diseases
Medicine (miscellaneous)
Logistic regression
MELLITUS
0302 clinical medicine
Pregnancy
Risk Factors
Surveys and Questionnaires
030212 general & internal medicine
Prospective cohort study
POPULATION
2. Zero hunger
education.field_of_study
Nutrition and Dietetics
Obstetrics
Nutrition and diabetes
RANDOMIZED CONTROLLED-TRIAL
3142 Public health care science, environmental and occupational health
PREVALENCE
DIETARY PATTERNS
Gestational diabetes
Exact test
Lifestyle changes
Dietary assessment
LIFE-STYLE INTERVENTION
Female
PREGNANT-WOMEN
medicine.medical_specialty
Population
Dietary changes
030209 endocrinology & metabolism
Lower risk
Diet Surveys
03 medical and health sciences
medicine
Humans
VALIDITY
education
business.industry
nutritional and metabolic diseases
Feeding Behavior
medicine.disease
Diet
3141 Health care science
Diabetes, Gestational
PHYSICAL-ACTIVITY
PROSPECTIVE COHORT
416 Food Science
Food
Mann–Whitney U test
business
Subjects
Details
- ISSN :
- 14752662
- Volume :
- 117
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- The British journal of nutrition
- Accession number :
- edsair.doi.dedup.....c53f5144765072d290a19ea71d8de41f