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dc.contributor.authorTryggvadottir, E A
dc.contributor.authorMedek, H
dc.contributor.authorBirgisdottir, B E
dc.contributor.authorGeirsson, R T
dc.contributor.authorGunnarsdottir, I
dc.date.accessioned2016-04-22T14:00:14Zen
dc.date.available2016-04-22T14:00:14Zen
dc.date.issued2016-02en
dc.date.submitted2016en
dc.identifier.citationEur J Clin Nutr. 2016, 70 (2):237-42en
dc.identifier.issn1476-5640en
dc.identifier.pmid26350393en
dc.identifier.doi10.1038/ejcn.2015.145en
dc.identifier.urihttp://hdl.handle.net/2336/606616en
dc.descriptionTo access publisher's full text version of this article click on the hyperlink at the bottom of the pageen
dc.description.abstractGestational diabetes mellitus (GDM) is associated with negative health effects for mother and child. The aim was to investigate the association between maternal dietary patterns and GDM.
dc.description.abstractProspective observational study including 168 pregnant women aged 18-40 years, recruited at routine 20-week ultrasound. All participants kept a 4-day weighed food record following recruitment (commencement: gestational weeks 19-24). Principal component analysis was used to extract dietary patterns from 29 food groups. A Healthy Eating Index (HEI) was constructed. All women underwent an oral glucose tolerance test in weeks 23-28.
dc.description.abstractOne clear dietary pattern (Eigenvalue 2.4) was extracted with positive factor loadings for seafood; eggs; vegetables; fruits and berries; vegetable oils; nuts and seeds; pasta; breakfast cereals; and coffee, tea and cocoa powder, and negative factor loadings for soft drinks and French fries. This pattern was labeled a prudent dietary pattern. Explained variance was 8.2%. The prevalence of GDM was 2.3% among women of normal weight before pregnancy (n=86) and 18.3% among overweight/obese women (n=82). The prudent dietary pattern was associated with lower risk of GDM (OR: 0.54; 95% CI: 0.30, 0.98). When adjusting for age, parity, prepregnancy weight, energy intake, weekly weight gain and total metabolic equivalent of task the association remained (OR: 0.36; 95% CI: 0.14, 0.94). Similar results were found when only including overweight or obese women (OR: 0.31; 95% CI: 0.13, 0.75).
dc.description.abstractAdhering to a prudent dietary pattern in pregnancy was clearly associated with lower risk of GDM, especially among women already at higher risk because of overweight/obesity before pregnancy.
dc.description.sponsorshipUniversity of Iceland Research Fund Landspitali National University Hospital Research Funden
dc.language.isoenen
dc.publisherNature Publishing Groupen
dc.relation.urlhttp://dx.doi.org/ 10.1038/ejcn.2015.145en
dc.relation.urlhttp://www.nature.com/ejcn/journal/v70/n2/pdf/ejcn2015145a.pdfen
dc.rightsArchived with thanks to European journal of clinical nutritionen
dc.subjectSykursýkien
dc.subjectMataræðien
dc.subjectMeðgangaen
dc.subjectNUR12
dc.subjectOAG12
dc.subject.meshDiet, Westernen
dc.subject.meshDiabetes, Gestationalen
dc.titleAssociation between healthy maternal dietary pattern and risk for gestational diabetes mellitus.en
dc.typeArticleen
dc.contributor.department[ 1 ] Univ Iceland, Landspitali Natl Univ Hosp, Unit Nutr Res, Eiriksgata 28, IS-101 Reykjavik, Iceland   Organization-Enhanced Name(s)      Landspitali National University Hospital     University of Iceland [ 2 ] Univ Iceland, Fac Food Sci & Nutr, Eiriksgata 28, IS-101 Reykjavik, Iceland [ 3 ] Univ Iceland, Landspitali Univ Hosp, Womens Clin, Dept Obstet & Gynecol, Eiriksgata 28, IS-101 Reykjavik, Iceland   Organization-Enhanced Name(s)      Landspitali National University Hospital     University of Icelanden
dc.identifier.journalEuropean journal of clinical nutritionen
dc.rights.accessLandspitali Access - LSH-aðganguren
html.description.abstractGestational diabetes mellitus (GDM) is associated with negative health effects for mother and child. The aim was to investigate the association between maternal dietary patterns and GDM.
html.description.abstractProspective observational study including 168 pregnant women aged 18-40 years, recruited at routine 20-week ultrasound. All participants kept a 4-day weighed food record following recruitment (commencement: gestational weeks 19-24). Principal component analysis was used to extract dietary patterns from 29 food groups. A Healthy Eating Index (HEI) was constructed. All women underwent an oral glucose tolerance test in weeks 23-28.
html.description.abstractOne clear dietary pattern (Eigenvalue 2.4) was extracted with positive factor loadings for seafood; eggs; vegetables; fruits and berries; vegetable oils; nuts and seeds; pasta; breakfast cereals; and coffee, tea and cocoa powder, and negative factor loadings for soft drinks and French fries. This pattern was labeled a prudent dietary pattern. Explained variance was 8.2%. The prevalence of GDM was 2.3% among women of normal weight before pregnancy (n=86) and 18.3% among overweight/obese women (n=82). The prudent dietary pattern was associated with lower risk of GDM (OR: 0.54; 95% CI: 0.30, 0.98). When adjusting for age, parity, prepregnancy weight, energy intake, weekly weight gain and total metabolic equivalent of task the association remained (OR: 0.36; 95% CI: 0.14, 0.94). Similar results were found when only including overweight or obese women (OR: 0.31; 95% CI: 0.13, 0.75).
html.description.abstractAdhering to a prudent dietary pattern in pregnancy was clearly associated with lower risk of GDM, especially among women already at higher risk because of overweight/obesity before pregnancy.


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