Pan, Wenting, Karatela, Shamshad, Lu, Qinggui, Xie, Luqin, Wu, Shengchi, Jing, Jin, and Cai, Li (2023) Association of Diet Quality during Pregnancy with Maternal Glucose Metabolism in Chinese Women. British Journal of Nutrition, 130 (6). pp. 958-965.

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Abstract

Overall diet quality during pregnancy has played an important role on maternal glucose metabolism. However, evidence based on the adherence to the dietary guideline is limited, especially for Asian populations. We aimed to examine the association between adherence to the Chinese dietary guideline measured by the diet balance index for pregnancy (DBI-P) and maternal glucose metabolism, including gestational diabetes mellitus (GDM) status, fasting and 2-hour plasma glucose. Data were obtained from the baseline survey of the Yuexiu birth cohort. We recruited 942 pregnant women at 20-28 weeks of gestation in 2017-2018. Dietary intakes during the past month were collected using a validated semi-quantitative food frequency questionnaire. The scores of DBI-P were calculated to assess dietary quality. Lower absolute values of the scores indicate higher adherence to the Chinese dietary guidelines. All participants underwent a 75g oral glucose tolerance test (OGTT). Multiple linear regression and logistic regression were conducted. The Benjamini-Hochberg (BH) method was used to adjust multiple comparisons across DBI-P food components. The value of high bound score indicator, reflecting excessive total food intake, was positively associated with OGTT-2h glucose levels (β=0.037, P=0.029). After adjustment for multiple comparisons, the score of animal food intake was positively associated with OGTT-2h glucose levels (β=0.045, P=0.045) and risk of GDM (OR=1.105, P=0.030). In conclusion, excessive total food intake was associated with higher postprandial glucose in pregnant women. Lower compliance with the dietary guideline for animal food was associated with both higher postprandial glucose and increased risk of GDM during pregnancy.

Item ID:	77520
Item Type:	Article (Research - C1)
ISSN:	1475-2662
Keywords:	Diet balance index for pregnancy, Diet quality, Glucose metabolism, Gestational diabetes mellitus, Asia
Copyright Information:	© The Author(s), 2023.
Date Deposited:	06 Oct 2023 03:20
FoR Codes:	30 AGRICULTURAL, VETERINARY AND FOOD SCIENCES > 3006 Food sciences > 300603 Food nutritional balance @ 40% 32 BIOMEDICAL AND CLINICAL SCIENCES > 3210 Nutrition and dietetics > 321005 Public health nutrition @ 60%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200199 Clinical health not elsewhere classified @ 30% 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 70%
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