饮食变量与妊娠期糖尿病妇女产后1年体重保持相关

Q1 Medicine

BMC Obesity Pub Date : 2017-08-03 eCollection Date: 2017-01-01 DOI:10.1186/s40608-017-0166-0

Jaimie N Davis, Grace E Shearrer, Wei Tao, Shanta R Hurston, Erica P Gunderson

{"title":"饮食变量与妊娠期糖尿病妇女产后1年体重保持相关","authors":"Jaimie N Davis, Grace E Shearrer, Wei Tao, Shanta R Hurston, Erica P Gunderson","doi":"10.1186/s40608-017-0166-0","DOIUrl":null,"url":null,"abstract":"Background: An understanding of the dietary behaviors linked to substantial postpartum weight retention, particularly in women diagnosed with gestational diabetes (GDM), is warranted to focus intervention efforts to prevent future type 2 diabetes. This study evaluates the relationship between dietary food intake at 6-9 weeks postpartum (baseline) and odds of substantial postpartum weight retention (≥ 5 kg) at 1-year in women with GDM.Methods: The Study of Women, Infant Feeding and Type 2 Diabetes after GDM pregnancy (SWIFT) is a prospective multi-ethnic cohort (75% minority) of 1035 women (aged 20-45 years) with recent GDM who delivered a singleton, live birth (≥35 weeks gestation) and underwent 2-h 75 g OGTTs, anthropometric measurements and other assessments at 6-9 weeks postpartum (baseline) and annually thereafter. Eight hundred and eighty-eight women without diabetes at baseline completed the 18-item PrimeScreen to assess dietary intake and the 13-item Caffeine Survey to assess beverage intake, and completed 1-year follow-up. Average postpartum weight retention was calculated (1-year postpartum weight minus pre-pregnancy weight). Multivariable logistic regression models that estimated baseline dietary intake and odds of substantial postpartum weight retention (SPPWR ≥5 kg above pre-pregnancy weight) versus not SPPWR adjusted for numerous clinical, sociodemographic and behavioral covariates.Results: Compared to eating no fried foods, women who reported eating fried foods ≥5 servings/wk. (n = 32) and 2-4 serv/wk. (n = 208), respectively, had a three-fold and two-fold higher odds of SPPWR (OR = 3.38, 95% CI:1.36-8.38, P = 0.009; OR = 1.99, 95% CI:1.30-3.03, P = 0.02), after adjustment for covariates and other foods and soda intake. Soda intake ≥2 serv/wk. versus none was associated with higher odds of SPPWR (OR = 1.95, 95% CI:1.22-3.11, P = 0.005) adjusted for fried foods and covariates, but was attenuated (OR = 1.61,95% CI:0.98-2.66, p = 0.06) after addition of whole eggs and processed meats.Conclusions: These findings indicate that interventions should focus on reducing fried foods and soda intake during early postpartum periods to reduce substantial postpartum weight retention in high-risk women with GDM.Trial registration: NCT01967030; October 2013, Eunice Kennedy Shriver National Institute of Health and Human Development (NICHD).","PeriodicalId":37440,"journal":{"name":"BMC Obesity","volume":"4 ","pages":"31"},"PeriodicalIF":0.0000,"publicationDate":"2017-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40608-017-0166-0","citationCount":"17","resultStr":"{\"title\":\"Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy.\",\"authors\":\"Jaimie N Davis, Grace E Shearrer, Wei Tao, Shanta R Hurston, Erica P Gunderson\",\"doi\":\"10.1186/s40608-017-0166-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: An understanding of the dietary behaviors linked to substantial postpartum weight retention, particularly in women diagnosed with gestational diabetes (GDM), is warranted to focus intervention efforts to prevent future type 2 diabetes. This study evaluates the relationship between dietary food intake at 6-9 weeks postpartum (baseline) and odds of substantial postpartum weight retention (≥ 5 kg) at 1-year in women with GDM.Methods: The Study of Women, Infant Feeding and Type 2 Diabetes after GDM pregnancy (SWIFT) is a prospective multi-ethnic cohort (75% minority) of 1035 women (aged 20-45 years) with recent GDM who delivered a singleton, live birth (≥35 weeks gestation) and underwent 2-h 75 g OGTTs, anthropometric measurements and other assessments at 6-9 weeks postpartum (baseline) and annually thereafter. Eight hundred and eighty-eight women without diabetes at baseline completed the 18-item PrimeScreen to assess dietary intake and the 13-item Caffeine Survey to assess beverage intake, and completed 1-year follow-up. Average postpartum weight retention was calculated (1-year postpartum weight minus pre-pregnancy weight). Multivariable logistic regression models that estimated baseline dietary intake and odds of substantial postpartum weight retention (SPPWR ≥5 kg above pre-pregnancy weight) versus not SPPWR adjusted for numerous clinical, sociodemographic and behavioral covariates.Results: Compared to eating no fried foods, women who reported eating fried foods ≥5 servings/wk. (n = 32) and 2-4 serv/wk. (n = 208), respectively, had a three-fold and two-fold higher odds of SPPWR (OR = 3.38, 95% CI:1.36-8.38, P = 0.009; OR = 1.99, 95% CI:1.30-3.03, P = 0.02), after adjustment for covariates and other foods and soda intake. Soda intake ≥2 serv/wk. versus none was associated with higher odds of SPPWR (OR = 1.95, 95% CI:1.22-3.11, P = 0.005) adjusted for fried foods and covariates, but was attenuated (OR = 1.61,95% CI:0.98-2.66, p = 0.06) after addition of whole eggs and processed meats.Conclusions: These findings indicate that interventions should focus on reducing fried foods and soda intake during early postpartum periods to reduce substantial postpartum weight retention in high-risk women with GDM.Trial registration: NCT01967030; October 2013, Eunice Kennedy Shriver National Institute of Health and Human Development (NICHD).\",\"PeriodicalId\":37440,\"journal\":{\"name\":\"BMC Obesity\",\"volume\":\"4 \",\"pages\":\"31\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2017-08-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1186/s40608-017-0166-0\",\"citationCount\":\"17\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Obesity\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40608-017-0166-0\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2017/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Obesity","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40608-017-0166-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2017/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 17

摘要

背景:了解饮食行为与产后体重潴留的关系，特别是在诊断为妊娠糖尿病(GDM)的妇女中，有必要集中干预措施预防未来的2型糖尿病。本研究评估了GDM妇女产后6-9周(基线)饮食摄入与产后1年大量体重潴留(≥5 kg)的几率之间的关系。方法:GDM妊娠后妇女、婴儿喂养和2型糖尿病研究(SWIFT)是一项前瞻性多种族队列研究(75%为少数民族)，包括1035名近期GDM的女性(年龄在20-45岁)，这些女性分娩了单胎、活产(妊娠≥35周)，并在产后6-9周(基线)和此后每年接受2小时75 g ogtt、人体测量和其他评估。888名没有糖尿病的女性在基线时完成了18项的PrimeScreen饮食摄入评估和13项的咖啡因饮料摄入评估，并完成了1年的随访。计算平均产后体重保留(产后1年体重减去孕前体重)。多变量logistic回归模型估计了基线饮食摄入量和产后体重保持(SPPWR高于孕前体重≥5 kg)与非SPPWR的几率，调整了许多临床、社会人口统计学和行为协变量。结果:与不吃油炸食品相比，报告吃油炸食品的女性≥5份/周。(n = 32)和2-4次/周。(n = 208)， SPPWR的发生率分别高出3倍和2倍(OR = 3.38, 95% CI:1.36-8.38, P = 0.009;OR = 1.99, 95% CI:1.30-3.03, P = 0.02)，校正协变量及其他食物和汽水摄入量后。苏打摄入量≥2份/周。对油炸食品和协变量进行校正后，与无SPPWR的较高几率相关(OR = 1.95, 95% CI:1.22-3.11, P = 0.005)，但在添加全蛋和加工肉类后，SPPWR的发生率降低(OR = 1.61,95% CI:0.98-2.66, P = 0.06)。结论:这些研究结果表明，干预措施应侧重于减少产后早期油炸食品和苏打水的摄入，以减少GDM高危妇女产后体重潴留。试验注册:NCT01967030;2013年10月，尤尼斯·肯尼迪·施莱佛国家健康与人类发展研究所。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy.

Background: An understanding of the dietary behaviors linked to substantial postpartum weight retention, particularly in women diagnosed with gestational diabetes (GDM), is warranted to focus intervention efforts to prevent future type 2 diabetes. This study evaluates the relationship between dietary food intake at 6-9 weeks postpartum (baseline) and odds of substantial postpartum weight retention (≥ 5 kg) at 1-year in women with GDM.

Methods: The Study of Women, Infant Feeding and Type 2 Diabetes after GDM pregnancy (SWIFT) is a prospective multi-ethnic cohort (75% minority) of 1035 women (aged 20-45 years) with recent GDM who delivered a singleton, live birth (≥35 weeks gestation) and underwent 2-h 75 g OGTTs, anthropometric measurements and other assessments at 6-9 weeks postpartum (baseline) and annually thereafter. Eight hundred and eighty-eight women without diabetes at baseline completed the 18-item PrimeScreen to assess dietary intake and the 13-item Caffeine Survey to assess beverage intake, and completed 1-year follow-up. Average postpartum weight retention was calculated (1-year postpartum weight minus pre-pregnancy weight). Multivariable logistic regression models that estimated baseline dietary intake and odds of substantial postpartum weight retention (SPPWR ≥5 kg above pre-pregnancy weight) versus not SPPWR adjusted for numerous clinical, sociodemographic and behavioral covariates.

Results: Compared to eating no fried foods, women who reported eating fried foods ≥5 servings/wk. (n = 32) and 2-4 serv/wk. (n = 208), respectively, had a three-fold and two-fold higher odds of SPPWR (OR = 3.38, 95% CI:1.36-8.38, P = 0.009; OR = 1.99, 95% CI:1.30-3.03, P = 0.02), after adjustment for covariates and other foods and soda intake. Soda intake ≥2 serv/wk. versus none was associated with higher odds of SPPWR (OR = 1.95, 95% CI:1.22-3.11, P = 0.005) adjusted for fried foods and covariates, but was attenuated (OR = 1.61,95% CI:0.98-2.66, p = 0.06) after addition of whole eggs and processed meats.

Conclusions: These findings indicate that interventions should focus on reducing fried foods and soda intake during early postpartum periods to reduce substantial postpartum weight retention in high-risk women with GDM.

Trial registration: NCT01967030; October 2013, Eunice Kennedy Shriver National Institute of Health and Human Development (NICHD).

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

BMC Obesity Medicine-Health Policy

CiteScore

5.00

自引率

0.00%

发文量

期刊介绍： Cesation (2019). Information not localized.