Dietary Energy Density but Not Glycemic Load is Associated with Gestational Weight Gain

Overview

Journal Am J Clin Nutr

Publisher Elsevier

Specialty Nutritional Sciences

Date 2008 Sep 10

PMID 18779285

Citations 31

Authors

Andrea L Deierlein

Anna Maria Siega-Riz

Amy Herring

Affiliations

Soon will be listed here.

Abstract

Background: Most pregnant women gain more weight than the ranges recommended. Excessive weight gain is linked to pregnancy complications and to long-term maternal and child health outcomes.

Objective: The objective was to examine the impact of dietary glycemic load and energy density on total gestational weight gain and the weight gain ratio (observed weight gain/expected weight gain).

Design: Data are from 1231 women with singleton pregnancies who participated in the Pregnancy, Infection, and Nutrition Cohort Study. Dietary information was collected at 26-29 wk of gestation with the use of a semiquantified food-frequency questionnaire. Linear regression models were used to estimate the associations between quartiles of glycemic load and energy density with total gestational weight gain and weight gain ratio.

Results: Dietary patterns of pregnant women significantly differed across many sociodemographic and behavioral characteristics, with the greatest contrasts seen for glycemic load. After adjustment for covariates, compared with women in the first quartile consuming a mean dietary energy density of 0.71 kcal/g (reference), women in the third quartile consuming a mean energy density of 0.98 kcal/g gained an excess of 1.13 kg (95% CI: 0.24, 2.01), and women in the fourth quartile consuming a mean energy density of 1.21 kcal/g gained an excess of 1.08 kg (95% CI: 0.20, 1.97) and had an increase of 0.13 (95% CI: 0.006, 0.24) units in the weight gain ratio. All other comparisons of energy intakes were not statistically significant. Glycemic load was not associated with total gestational weight gain or weight gain ratio.

Conclusion: Dietary energy density is a modifiable factor that may assist pregnant women in managing gestational weight gains.

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References

Howarth N, Murphy S, Wilkens L, Hankin J, Kolonel L . Dietary energy density is associated with overweight status among 5 ethnic groups in the multiethnic cohort study. J Nutr. 2006; 136(8):2243-8. DOI: 10.1093/jn/136.8.2243. View

Ohlin A, Rossner S . Factors related to body weight changes during and after pregnancy: the Stockholm Pregnancy and Weight Development Study. Obes Res. 1996; 4(3):271-6. DOI: 10.1002/j.1550-8528.1996.tb00545.x. View

Scholl T, Chen X . Insulin and the "thrifty" woman: the influence of insulin during pregnancy on gestational weight gain and postpartum weight retention. Matern Child Health J. 2003; 6(4):255-61. DOI: 10.1023/a:1021162117177. View

Barclay A, Flood V, Brand-Miller J, Mitchell P . Validity of carbohydrate, glycaemic index and glycaemic load data obtained using a semi-quantitative food-frequency questionnaire. Public Health Nutr. 2007; 11(6):573-80. DOI: 10.1017/S1368980007001103. View

Drewnowski A . Energy density, palatability, and satiety: implications for weight control. Nutr Rev. 1999; 56(12):347-53. DOI: 10.1111/j.1753-4887.1998.tb01677.x. View

Siega-Riz A, Adair L, Hobel C . Institute of Medicine maternal weight gain recommendations and pregnancy outcome in a predominantly Hispanic population. Obstet Gynecol. 1994; 84(4):565-73. View

Ma Y, Olendzki B, Chiriboga D, Hebert J, Li Y, Li W . Association between dietary carbohydrates and body weight. Am J Epidemiol. 2005; 161(4):359-67. PMC: 1199523. DOI: 10.1093/aje/kwi051. View

Ledikwe J, Blanck H, Khan L, Serdula M, Seymour J, Tohill B . Dietary energy density is associated with energy intake and weight status in US adults. Am J Clin Nutr. 2006; 83(6):1362-8. DOI: 10.1093/ajcn/83.6.1362. View

Bodnar L, Siega-Riz A, Arab L, Chantala K, McDonald T . Predictors of pregnancy and postpartum haemoglobin concentrations in low-income women. Public Health Nutr. 2004; 7(6):701-11. DOI: 10.1079/phn2004597. View

10.

Rowland M . Self-reported weight and height. Am J Clin Nutr. 1990; 52(6):1125-33. DOI: 10.1093/ajcn/52.6.1125. View

11.

Miller J . International tables of glycemic index. Am J Clin Nutr. 1995; 62(4):871S-890S. DOI: 10.1093/ajcn/62.4.871S. View

12.

Schieve L, Cogswell M, Scanlon K . Trends in pregnancy weight gain within and outside ranges recommended by the Institute of Medicine in a WIC population. Matern Child Health J. 2000; 2(2):111-6. DOI: 10.1023/a:1022992823185. View

13.

Moore M . Interactions between physical activity and diet in the regulation of body weight. Proc Nutr Soc. 2000; 59(2):193-8. DOI: 10.1017/s0029665100000215. View

14.

Block G, Thompson F, Hartman A, Larkin F, Guire K . Comparison of two dietary questionnaires validated against multiple dietary records collected during a 1-year period. J Am Diet Assoc. 1992; 92(6):686-93. View

15.

Stubbs J, Ferres S, Horgan G . Energy density of foods: effects on energy intake. Crit Rev Food Sci Nutr. 2001; 40(6):481-515. DOI: 10.1080/10408690091189248. View

16.

Duncan K, Bacon J, Weinsier R . The effects of high and low energy density diets on satiety, energy intake, and eating time of obese and nonobese subjects. Am J Clin Nutr. 1983; 37(5):763-7. DOI: 10.1093/ajcn/37.5.763. View

17.

Zhang C, Liu S, Solomon C, Hu F . Dietary fiber intake, dietary glycemic load, and the risk for gestational diabetes mellitus. Diabetes Care. 2006; 29(10):2223-30. DOI: 10.2337/dc06-0266. View

18.

Kral T, Roe L, Rolls B . Combined effects of energy density and portion size on energy intake in women. Am J Clin Nutr. 2004; 79(6):962-8. DOI: 10.1093/ajcn/79.6.962. View

19.

Kant A, Graubard B . Energy density of diets reported by American adults: association with food group intake, nutrient intake, and body weight. Int J Obes (Lond). 2005; 29(8):950-6. DOI: 10.1038/sj.ijo.0802980. View

20.

Stotland N, Haas J, Brawarsky P, Jackson R, Fuentes-Afflick E, Escobar G . Body mass index, provider advice, and target gestational weight gain. Obstet Gynecol. 2005; 105(3):633-8. DOI: 10.1097/01.AOG.0000152349.84025.35. View