The Impact of Gestational Weight Gain and Diet on Abnormal Glucose Tolerance During Pregnancy in Hispanic Women

Overview

Journal Matern Child Health J

Specialty Health Services

Date 2008 Jul 4

PMID 18597166

Citations 28

Authors

Alison Tovar

Aviva Must

Odilia I Bermudez

Raymond R Hyatt

Lisa Chasan-Taber

Affiliations

Soon will be listed here.

Abstract

Objective: To examine the association of gestational weight gain and dietary factors with abnormal glucose tolerance (AGT).

Methods: We conducted a prospective cohort study among 813 Hispanic prenatal care patients in Massachusetts. Gestational weight gain and oral glucose tolerance test results were abstracted from medical records. Dietary intake was assessed using a semi-quantitative food frequency questionnaire. Target weight gain was based on BMI-specific weekly weight gain rates established by the Institute of Medicine (IOM).

Results: We observed a statistically significant interaction between prepregnancy BMI and weight gain in relation to AGT (P < 0.01). Class II/III (BMI > or = 35 kg/m2) obese women who had a high rate of weight gain (>0.30 kg/week) or who exceeded target weight were 3-4 times as likely to develop AGT compared to women who gained within IOM ranges (OR = 4.2, 95% CI 1.1-16.0, OR = 3.2 95% CI 1.0-10.5, respectively). Decreasing levels of saturated fatty acids and energy-dense snack foods and increasing levels of fiber and polyunsaturated:saturated fat ratio were significantly associated with decreased risk of AGT, independent of gestational weight gain [corrected].

Conclusions: Weight gain among class II/III obese women and certain dietary components may represent modifiable risk factors for AGT.

Citing Articles

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Li G, Wei T, Ni W, Zhang A, Zhang J, Xing Y Front Endocrinol (Lausanne). 2020; 11:636.

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References

Metzger B, Lowe L, Dyer A, Trimble E, Chaovarindr U, Coustan D . Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008; 358(19):1991-2002. DOI: 10.1056/NEJMoa0707943. View

Mello G, Parretti E, Mecacci F, Lucchetti R, Lagazio C, Pratesi M . Risk factors for fetal macrosomia: the importance of a positive oral glucose challenge test. Eur J Endocrinol. 1997; 137(1):27-33. DOI: 10.1530/eje.0.1370027. View

Jensen D, Sorensen B, Westergaard J, Beck-Nielsen H . Maternal and perinatal outcomes in 143 Danish women with gestational diabetes mellitus and 143 controls with a similar risk profile. Diabet Med. 2000; 17(4):281-6. DOI: 10.1046/j.1464-5491.2000.00268.x. View

Kim S, Dietz P, England L, Morrow B, Callaghan W . Trends in pre-pregnancy obesity in nine states, 1993-2003. Obesity (Silver Spring). 2007; 15(4):986-93. DOI: 10.1038/oby.2007.621. View

Van Loan M, Kopp L, King J, Wong W, Mayclin P . Fluid changes during pregnancy: use of bioimpedance spectroscopy. J Appl Physiol (1985). 1995; 78(3):1037-42. DOI: 10.1152/jappl.1995.78.3.1037. View

Hedley A, Ogden C, Johnson C, Carroll M, Curtin L, Flegal K . Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA. 2004; 291(23):2847-50. DOI: 10.1001/jama.291.23.2847. View

Moses R, Shand J, Tapsell L . The recurrence of gestational diabetes: could dietary differences in fat intake be an explanation?. Diabetes Care. 1997; 20(11):1647-50. DOI: 10.2337/diacare.20.11.1647. View

Brennand E, Dannenbaum D, Willows N . Pregnancy outcomes of First Nations women in relation to pregravid weight and pregnancy weight gain. J Obstet Gynaecol Can. 2006; 27(10):936-44. DOI: 10.1016/s1701-2163(16)30739-3. View

Clapp 3rd J, Little K . Effect of recreational exercise on pregnancy weight gain and subcutaneous fat deposition. Med Sci Sports Exerc. 1995; 27(2):170-7. View

10.

Mendoza J, Drewnowski A, Christakis D . Dietary energy density is associated with obesity and the metabolic syndrome in U.S. adults. Diabetes Care. 2007; 30(4):974-9. DOI: 10.2337/dc06-2188. View

11.

Petitt D, BENNETT P, Knowler W, BAIRD H, Aleck K . Gestational diabetes mellitus and impaired glucose tolerance during pregnancy. Long-term effects on obesity and glucose tolerance in the offspring. Diabetes. 1985; 34 Suppl 2:119-22. DOI: 10.2337/diab.34.2.s119. View

12.

Kalkwarf H, Bell R, Khoury J, Gouge A, Miodovnik M . Dietary fiber intakes and insulin requirements in pregnant women with type 1 diabetes. J Am Diet Assoc. 2001; 101(3):305-10. DOI: 10.1016/s0002-8223(01)00080-3. View

13.

Gillman M, Rifas-Shiman S, Berkey C, Field A, Colditz G . Maternal gestational diabetes, birth weight, and adolescent obesity. Pediatrics. 2003; 111(3):e221-6. DOI: 10.1542/peds.111.3.e221. View

14.

Rudra C, Sorensen T, Leisenring W, Dashow E, Williams M . Weight characteristics and height in relation to risk of gestational diabetes mellitus. Am J Epidemiol. 2006; 165(3):302-8. DOI: 10.1093/aje/kwk007. View

15.

Marshall J, Bessesen D, Hamman R . High saturated fat and low starch and fibre are associated with hyperinsulinaemia in a non-diabetic population: the San Luis Valley Diabetes Study. Diabetologia. 1997; 40(4):430-8. DOI: 10.1007/s001250050697. View

16.

Wang Y, Storlien L, Jenkins A, Tapsell L, Jin Y, Pan J . Dietary variables and glucose tolerance in pregnancy. Diabetes Care. 2000; 23(4):460-4. DOI: 10.2337/diacare.23.4.460. View

17.

Gonzalez-Quintero V, Istwan N, Rhea D, Rodriguez L, Cotter A, Carter J . The impact of glycemic control on neonatal outcome in singleton pregnancies complicated by gestational diabetes. Diabetes Care. 2007; 30(3):467-70. DOI: 10.2337/dc06-1875. View

18.

Phillips S, Bandini L, Naumova E, Cyr H, Colclough S, Dietz W . Energy-dense snack food intake in adolescence: longitudinal relationship to weight and fatness. Obes Res. 2004; 12(3):461-72. DOI: 10.1038/oby.2004.52. View

19.

Tucker K, Bianchi L, Maras J, Bermudez O . Adaptation of a food frequency questionnaire to assess diets of Puerto Rican and non-Hispanic adults. Am J Epidemiol. 1998; 148(5):507-18. DOI: 10.1093/oxfordjournals.aje.a009676. View

20.

Foster-Powell K, Holt S, Brand-Miller J . International table of glycemic index and glycemic load values: 2002. Am J Clin Nutr. 2002; 76(1):5-56. DOI: 10.1093/ajcn/76.1.5. View