Assessment of Resting Energy Expenditure and Body Composition in Japanese Pregnant Women with Diabetes

Overview

Journal J Diabetes Investig

Specialty Endocrinology

Date 2017 Dec 28

PMID 29280333

Citations 6

Authors

Eriko Eto

Jota Maki

Shoko Tamada

Takashi Mitsui

Kei Hayata

Yuji Hiramatsu

Hisashi Masuyama

Affiliations

Soon will be listed here.

Abstract

Aims/introduction: To measure longitudinal changes in resting energy expenditure and body composition of Japanese pregnant women with or without diabetes.

Materials And Methods: The study population consisted of women who had delivered a live singleton neonate after 22 weeks' gestation at Okayama University Hospital from July 2013 to June 2017. Resting energy expenditure and body composition were measured in the first trimester, second trimester, third trimester and postpartum.

Results: A total of 144 women participated in this study: 103 with normal glucose tolerance and 41 with diabetes. The resting energy expenditure (kcal/day) of pregnant women with normal glucose tolerance was significantly higher in the third trimester (1,644 ± 234) than in the first (1,461 ± 215) and second trimesters (1,491 ± 219), and postpartum (1,419 ± 254), whereas that of pregnant women with diabetes did not significantly change during all periods (1,568 ± 404, 1,710 ± 332, 1,716 ± 251, 1,567 ± 249). The resting energy expenditure of women with good glycemic control was lower than that of women with poor control. Fat-free mass was closely correlated with resting energy expenditure.

Conclusions: The resting energy expenditure of Japanese pregnant women with normal glucose tolerance was significantly increased in the third trimester. The resting energy expenditure of women with good glycemic control was lower than that of women with poor control. Resting energy expenditure and fat-free mass are potential indexes for medical nutrition therapy in pregnant women with diabetes.

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References

Butte N, Wong W, Treuth M, Ellis K, OBrian Smith E . Energy requirements during pregnancy based on total energy expenditure and energy deposition. Am J Clin Nutr. 2004; 79(6):1078-87. DOI: 10.1093/ajcn/79.6.1078. View

Berggren E, Presley L, Amini S, Hauguel-De Mouzon S, Catalano P . Are the metabolic changes of pregnancy reversible in the first year postpartum?. Diabetologia. 2015; 58(7):1561-8. PMC: 4703315. DOI: 10.1007/s00125-015-3604-x. View

. Executive summary: Standards of medical care in diabetes--2014. Diabetes Care. 2013; 37 Suppl 1:S5-13. DOI: 10.2337/dc14-S005. View

Melzer K, Schutz Y, Boulvain M, Kayser B . Pregnancy-related changes in activity energy expenditure and resting metabolic rate in Switzerland. Eur J Clin Nutr. 2009; 63(10):1185-91. DOI: 10.1038/ejcn.2009.49. View

Sanin Aguirre L, Reza-Lopez S, Levario-Carrillo M . Relation between maternal body composition and birth weight. Biol Neonate. 2004; 86(1):55-62. DOI: 10.1159/000077586. View

Willommet L, Schutz Y, Whitehead R, Jequier E, Fern E . Whole body protein metabolism and resting energy expenditure in pregnant Gambian women. Am J Physiol. 1992; 263(4 Pt 1):E624-31. DOI: 10.1152/ajpendo.1992.263.4.E624. View

Catalano P, McIntyre H, Cruickshank J, McCance D, Dyer A, Metzger B . The hyperglycemia and adverse pregnancy outcome study: associations of GDM and obesity with pregnancy outcomes. Diabetes Care. 2012; 35(4):780-6. PMC: 3308300. DOI: 10.2337/dc11-1790. View

Lowe L, Metzger B, Dyer A, Lowe J, McCance D, Lappin T . Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study: associations of maternal A1C and glucose with pregnancy outcomes. Diabetes Care. 2012; 35(3):574-80. PMC: 3322718. DOI: 10.2337/dc11-1687. View

Martin K, Wallace P, Rust P, Garvey W . Estimation of resting energy expenditure considering effects of race and diabetes status. Diabetes Care. 2004; 27(6):1405-11. DOI: 10.2337/diacare.27.6.1405. View

10.

Black M, Sacks D, Xiang A, Lawrence J . The relative contribution of prepregnancy overweight and obesity, gestational weight gain, and IADPSG-defined gestational diabetes mellitus to fetal overgrowth. Diabetes Care. 2012; 36(1):56-62. PMC: 3526206. DOI: 10.2337/dc12-0741. View

11.

Alawad A, Merghani T, Ballal M . Resting metabolic rate in obese diabetic and obese non-diabetic subjects and its relation to glycaemic control. BMC Res Notes. 2013; 6:382. PMC: 3850714. DOI: 10.1186/1756-0500-6-382. View

12.

Nair K, Halliday D, Garrow J . Increased energy expenditure in poorly controlled Type 1 (insulin-dependent) diabetic patients. Diabetologia. 1984; 27(1):13-6. DOI: 10.1007/BF00253494. View

13.

FELIG P, Wahren J, Hendler R . Influence of maturity-onset diabetes on splanchnic glucose balance after oral glucose ingestion. Diabetes. 1978; 27(2):121-6. DOI: 10.2337/diab.27.2.121. View

14.

Yu O, Rhee Y, Park T, Cha Y . Comparisons of obesity assessments in over-weight elementary students using anthropometry, BIA, CT and DEXA. Nutr Res Pract. 2010; 4(2):128-35. PMC: 2867223. DOI: 10.4162/nrp.2010.4.2.128. View

15.

Alam D, Hulshof P, Roordink D, Meltzer M, Yunus M, Salam M . Validity and reproducibility of resting metabolic rate measurements in rural Bangladeshi women: comparison of measurements obtained by Medgem and by Deltatrac device. Eur J Clin Nutr. 2005; 59(5):651-7. DOI: 10.1038/sj.ejcn.1602122. View

16.

Chihara H, Otsubo Y, Araki T . Resting energy expenditure in pregnant Japanese women. J Nippon Med Sch. 2002; 69(4):373-5. DOI: 10.1272/jnms.69.373. View

17.

Eto E, Maki J, Tamada S, Mitsui T, Hayata K, Hiramatsu Y . Assessment of resting energy expenditure and body composition in Japanese pregnant women with diabetes. J Diabetes Investig. 2017; 9(4):959-966. PMC: 6031507. DOI: 10.1111/jdi.12795. View

18.

Velazquez-Alva M, Irigoyen-Camacho M, Huerta-Huerta R, Delgadillo-Velazquez J . A comparison of dual energy x-ray absorptiometry and two bioelectrical impedance analyzers to measure body fat percentage and fat-free mass index in a group of Mexican young women. Nutr Hosp. 2014; 29(5):1038-46. DOI: 10.3305/nh.2014.29.5.7254. View

19.

Metzger B, Gabbe S, Persson B, Buchanan T, Catalano P, Damm P . International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 2010; 33(3):676-82. PMC: 2827530. DOI: 10.2337/dc09-1848. View

20.

Forsum E, Sadurskis A, Wager J . Resting metabolic rate and body composition of healthy Swedish women during pregnancy. Am J Clin Nutr. 1988; 47(6):942-7. DOI: 10.1093/ajcn/47.6.942. View