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Association of Dietary Pattern during Pregnancy and gestational diabetes Mellitus： A Prospective Cohort Study in Northern China

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Biomedical and Environmental Sciences 2017年第12期30卷 887-897页

作者： DU Hong Yi JIANG Hong O Karmin CHEN Bo XU Lin Ji LIU Shu Ping YI Jian Ping HE Geng Sheng QIAN Xu Department of Maternal Child and Adolescent Health School of Public Health Key Laboratory of Public Health Safety Ministry of Education Fudan University Shanghai 200032 China Department of Animal Science Department of Physiology and Pathophysiology University of Manitoba Winnipeg R3T 2N2 Manitoba Canada Department of Nutrition and Food Hygiene School of Public Health Key Laboratory of Public Health Safety Ministry of Education Fudan University Shanghai 200032 China Maternal and Child Health Care Hospital Tangshan Municipality Tangshan 063000 Hebei China

Objective To examine the association of maternal dietary patterns during pregnancy with gestationa diabetes mellitus （GDM） in northern China. Methods The dietary intakes of pregnant women were recorded twice by 24-hour dietary recalls for three days prior to having been diagnosed with GDM, at 5-15 and 24-28 gestational weeks, respectively. GDM was diagnosed, and serum glycosylated hemoglobin （HbAlc） was measured at 24-28 weeks. Dietary patterns were assessed by factor analysis. The association of the dietary pattern with GDM and HbAlc was examined by multiple logistic models. Results Of 753 participants, 64 （8.5%） were diagnosed with GDM. Four dietary patterns were identified： Western pattern （dairy, baked/fried food and white meat）, traditional pattern （light-colored vegetables, fine grain, red meat and tubers）, mixed pattern （edible fungi, shrimp/shellfish and red meat） and prudent pattern （dark-colored vegetables and deep-sea fish）. Compared with the prudent pattern, both the Western pattern and the traditional pattern were associated with an increased risk of GDM （aOR = 4.40, 95% CI： 1.58-12.22; aOR = 4.88, 95% Ch 1.79-13.32） and a high level of HbAlc （aOR = 12.37, 95% Ch 1.47-103.91; aOR = 26.23, 95% CI： 2.54-270.74）. Compared to the lowest quartile （Q）, 0.3 of the Western pattern scores and Q3-Q4 of the traditional pattern scores were associated with a higher risk of GDM. Conclusion The consumption of the Western pattern or the traditional pattern during pregnancy may increase the risk of GDM.

关键词： gestational diabetes meltitus Dietary pattern Pregnant women Glycosylated hemoglobin Factor analysis

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