Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study

(1) <i>Background and Objective</i>: Excessive gestational weight gain is associated with serious complications such as pre-eclampsia, fetal macrosomia and a more frequent need for cesarean section. The aim of this study is to develop a simple screening model that includes maternal age,...

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Main Authors: Jelena Trifunovic-Kubat, Predrag Sazdanovic, Milos Ilic, Djordje Filipovic, Tamara Nikolic Turnic, Sladjana Mihajlovic
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/60/2/317
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author Jelena Trifunovic-Kubat
Predrag Sazdanovic
Milos Ilic
Djordje Filipovic
Tamara Nikolic Turnic
Sladjana Mihajlovic
author_facet Jelena Trifunovic-Kubat
Predrag Sazdanovic
Milos Ilic
Djordje Filipovic
Tamara Nikolic Turnic
Sladjana Mihajlovic
author_sort Jelena Trifunovic-Kubat
collection DOAJ
description (1) <i>Background and Objective</i>: Excessive gestational weight gain is associated with serious complications such as pre-eclampsia, fetal macrosomia and a more frequent need for cesarean section. The aim of this study is to develop a simple screening model that includes maternal age, BMI and nutritive habits in the second trimester in order to predict the risk of GDM in the population of pregnant women in the territory of the Republic of Serbia. (2) <i>Materials and Methods</i>: This single-center, prospective and case–control study was performed in the University Clinical Center “Dr. Dragisa Misovic Dedinje”, Belgrade, Serbia and included 54 women with singleton pregnancies during the second trimester from July 2023 to November 2023. We used basic demographic and socio-epidemiological data, as well as data of the present comorbidities and previous pregnancies/births. The Serbian version of the Nutritive Status Questionnaire (NSQ) was used to estimate the nutritive habits in GDM (<i>n</i> = 22) and non-GDM groups (<i>n</i> = 32). (3) <i>Results</i>: We observed less frequent vegetable and fruit consumption in the GDM group in comparison with the non-GDM group; meat and chicken intake was 2–3 times per week in both groups; meat products were consumed 2–3 times per week in the GDM group and 2–3 times per month in the non-GDM group; milk products were consumed once a day in 31.8% of GDM patients and twice per day in 24.1% of non-GDM patients. Sweets (cakes, ice creams, biscuits) were consumed very often (2–3 times per week) in the GDM group (36.4%), while in the non-GDM group this habit was less frequent (26.7%). Cronbach alpha and internal consistency for this instrument were very good (Cronbach alpha = 0.87). (4) <i>Conclusions</i>: We have found that a non-adequate intake of fruits/vegetables, dairy and whole grain, as well as an excessive intake of sugar/artificially sweetened beverages and dairy, was associated with a higher risk of gestational diabetes mellitus (OR = 0.04; 95% CI).
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spelling doaj.art-82911367e9424c76a96b083978423fa92024-02-23T15:26:44ZengMDPI AGMedicina1010-660X1648-91442024-02-0160231710.3390/medicina60020317Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical StudyJelena Trifunovic-Kubat0Predrag Sazdanovic1Milos Ilic2Djordje Filipovic3Tamara Nikolic Turnic4Sladjana Mihajlovic5University Clinical Center “Dr Dragisa Misovic Dedinje”, Heroja Milana Tepica 1, 11000 Belgrade, SerbiaDepartment of Gynaecology and Obstetrics, Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovica 69, 34000 Kragujevac, SerbiaUniversity Clinical Center “Dr Dragisa Misovic Dedinje”, Heroja Milana Tepica 1, 11000 Belgrade, SerbiaUniversity Clinical Center “Dr Dragisa Misovic Dedinje”, Heroja Milana Tepica 1, 11000 Belgrade, SerbiaDepartment of Pharmacy, Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovica 69, 34000 Kragujevac, SerbiaUniversity Clinical Center “Dr Dragisa Misovic Dedinje”, Heroja Milana Tepica 1, 11000 Belgrade, Serbia(1) <i>Background and Objective</i>: Excessive gestational weight gain is associated with serious complications such as pre-eclampsia, fetal macrosomia and a more frequent need for cesarean section. The aim of this study is to develop a simple screening model that includes maternal age, BMI and nutritive habits in the second trimester in order to predict the risk of GDM in the population of pregnant women in the territory of the Republic of Serbia. (2) <i>Materials and Methods</i>: This single-center, prospective and case–control study was performed in the University Clinical Center “Dr. Dragisa Misovic Dedinje”, Belgrade, Serbia and included 54 women with singleton pregnancies during the second trimester from July 2023 to November 2023. We used basic demographic and socio-epidemiological data, as well as data of the present comorbidities and previous pregnancies/births. The Serbian version of the Nutritive Status Questionnaire (NSQ) was used to estimate the nutritive habits in GDM (<i>n</i> = 22) and non-GDM groups (<i>n</i> = 32). (3) <i>Results</i>: We observed less frequent vegetable and fruit consumption in the GDM group in comparison with the non-GDM group; meat and chicken intake was 2–3 times per week in both groups; meat products were consumed 2–3 times per week in the GDM group and 2–3 times per month in the non-GDM group; milk products were consumed once a day in 31.8% of GDM patients and twice per day in 24.1% of non-GDM patients. Sweets (cakes, ice creams, biscuits) were consumed very often (2–3 times per week) in the GDM group (36.4%), while in the non-GDM group this habit was less frequent (26.7%). Cronbach alpha and internal consistency for this instrument were very good (Cronbach alpha = 0.87). (4) <i>Conclusions</i>: We have found that a non-adequate intake of fruits/vegetables, dairy and whole grain, as well as an excessive intake of sugar/artificially sweetened beverages and dairy, was associated with a higher risk of gestational diabetes mellitus (OR = 0.04; 95% CI).https://www.mdpi.com/1648-9144/60/2/317nutritional habitsgestational diabetes mellituspregnancyvalidation of questionnaire
spellingShingle Jelena Trifunovic-Kubat
Predrag Sazdanovic
Milos Ilic
Djordje Filipovic
Tamara Nikolic Turnic
Sladjana Mihajlovic
Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study
Medicina
nutritional habits
gestational diabetes mellitus
pregnancy
validation of questionnaire
title Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study
title_full Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study
title_fullStr Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study
title_full_unstemmed Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study
title_short Role of Nutritional Habits during Pregnancy in the Developing of Gestational Diabetes: A Single-Center Observational Clinical Study
title_sort role of nutritional habits during pregnancy in the developing of gestational diabetes a single center observational clinical study
topic nutritional habits
gestational diabetes mellitus
pregnancy
validation of questionnaire
url https://www.mdpi.com/1648-9144/60/2/317
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