Maternal Dietary Patterns and Gestational Diabetes Mellitus in a Multi-Ethnic Asian Cohort: The GUSTO Study
Gestational Diabetes Mellitus (GDM) is associated with an increased risk of perinatal morbidity and long term health issues for both the mother and offspring. Previous research has demonstrated associations between maternal diet and GDM development, but evidence in Asian populations is limited. The...
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MDPI AG
2016-09-01
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| Series: | Nutrients |
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| Online Access: | http://www.mdpi.com/2072-6643/8/9/574 |
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| author | Jamie de Seymour Airu Chia Marjorelee Colega Beatrix Jones Elizabeth McKenzie Cai Shirong Keith Godfrey Kenneth Kwek Seang-Mei Saw Cathryn Conlon Yap-Seng Chong Philip Baker Mary F. F. Chong |
| author_facet | Jamie de Seymour Airu Chia Marjorelee Colega Beatrix Jones Elizabeth McKenzie Cai Shirong Keith Godfrey Kenneth Kwek Seang-Mei Saw Cathryn Conlon Yap-Seng Chong Philip Baker Mary F. F. Chong |
| author_sort | Jamie de Seymour |
| collection | DOAJ |
| description | Gestational Diabetes Mellitus (GDM) is associated with an increased risk of perinatal morbidity and long term health issues for both the mother and offspring. Previous research has demonstrated associations between maternal diet and GDM development, but evidence in Asian populations is limited. The objective of our study was to examine the cross-sectional relationship between maternal dietary patterns during pregnancy and the risk of GDM in a multi-ethnic Asian cohort. Maternal diet was ascertained using 24-h dietary recalls from participants in the Growing up in Singapore towards healthy outcomes (GUSTO) study—a prospective mother-offspring cohort, and GDM was diagnosed according to 1999 World Health Organisation guidelines. Dietary patterns were identified using factor analysis, and multivariate regression analyses performed to assess the association with GDM. Of 909 participants, 17.6% were diagnosed with GDM. Three dietary patterns were identified: a vegetable-fruit-rice-based-diet, a seafood-noodle-based-diet and a pasta-cheese-processed-meat-diet. After adjusting for confounding variables, the seafood-noodle-based-diet was associated with a lower likelihood of GDM (Odds Ratio (95% Confidence Interval)) = 0.74 (0.59, 0.93). The dietary pattern found to be associated with GDM in our study was substantially different to those reported previously in Western populations. |
| first_indexed | 2024-04-12T20:00:20Z |
| format | Article |
| id | doaj.art-96f676bd5c264de58cdd962b156fcf30 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-04-12T20:00:20Z |
| publishDate | 2016-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-96f676bd5c264de58cdd962b156fcf302022-12-22T03:18:32ZengMDPI AGNutrients2072-66432016-09-018957410.3390/nu8090574nu8090574Maternal Dietary Patterns and Gestational Diabetes Mellitus in a Multi-Ethnic Asian Cohort: The GUSTO StudyJamie de Seymour0Airu Chia1Marjorelee Colega2Beatrix Jones3Elizabeth McKenzie4Cai Shirong5Keith Godfrey6Kenneth Kwek7Seang-Mei Saw8Cathryn Conlon9Yap-Seng Chong10Philip Baker11Mary F. F. Chong12Liggins Institute, The University of Auckland, Auckland 1023, New ZealandDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, SingaporeSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore 117609, SingaporeInstitute of Natural and Mathematical Sciences, Massey University, Auckland 0632, New ZealandLiggins Institute, The University of Auckland, Auckland 1023, New ZealandDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, SingaporeMedical Research Council Lifecourse Epidemiology Unit and NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton SO16 6YD, UKDepartment of Maternal Fetal Medicine, KK Women’s and Children’s Hospital, Singapore 229899, SingaporeSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, SingaporeSchool of Food and Nutrition, Massey University, Auckland 0632, New ZealandDepartment of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, SingaporeLiggins Institute, The University of Auckland, Auckland 1023, New ZealandSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore 117609, SingaporeGestational Diabetes Mellitus (GDM) is associated with an increased risk of perinatal morbidity and long term health issues for both the mother and offspring. Previous research has demonstrated associations between maternal diet and GDM development, but evidence in Asian populations is limited. The objective of our study was to examine the cross-sectional relationship between maternal dietary patterns during pregnancy and the risk of GDM in a multi-ethnic Asian cohort. Maternal diet was ascertained using 24-h dietary recalls from participants in the Growing up in Singapore towards healthy outcomes (GUSTO) study—a prospective mother-offspring cohort, and GDM was diagnosed according to 1999 World Health Organisation guidelines. Dietary patterns were identified using factor analysis, and multivariate regression analyses performed to assess the association with GDM. Of 909 participants, 17.6% were diagnosed with GDM. Three dietary patterns were identified: a vegetable-fruit-rice-based-diet, a seafood-noodle-based-diet and a pasta-cheese-processed-meat-diet. After adjusting for confounding variables, the seafood-noodle-based-diet was associated with a lower likelihood of GDM (Odds Ratio (95% Confidence Interval)) = 0.74 (0.59, 0.93). The dietary pattern found to be associated with GDM in our study was substantially different to those reported previously in Western populations.http://www.mdpi.com/2072-6643/8/9/574maternal nutritiongestational diabetesAsiadietary patternspregnancy |
| spellingShingle | Jamie de Seymour Airu Chia Marjorelee Colega Beatrix Jones Elizabeth McKenzie Cai Shirong Keith Godfrey Kenneth Kwek Seang-Mei Saw Cathryn Conlon Yap-Seng Chong Philip Baker Mary F. F. Chong Maternal Dietary Patterns and Gestational Diabetes Mellitus in a Multi-Ethnic Asian Cohort: The GUSTO Study Nutrients maternal nutrition gestational diabetes Asia dietary patterns pregnancy |
| title | Maternal Dietary Patterns and Gestational Diabetes Mellitus in a Multi-Ethnic Asian Cohort: The GUSTO Study |
| title_full | Maternal Dietary Patterns and Gestational Diabetes Mellitus in a Multi-Ethnic Asian Cohort: The GUSTO Study |
| title_fullStr | Maternal Dietary Patterns and Gestational Diabetes Mellitus in a Multi-Ethnic Asian Cohort: The GUSTO Study |
| title_full_unstemmed | Maternal Dietary Patterns and Gestational Diabetes Mellitus in a Multi-Ethnic Asian Cohort: The GUSTO Study |
| title_short | Maternal Dietary Patterns and Gestational Diabetes Mellitus in a Multi-Ethnic Asian Cohort: The GUSTO Study |
| title_sort | maternal dietary patterns and gestational diabetes mellitus in a multi ethnic asian cohort the gusto study |
| topic | maternal nutrition gestational diabetes Asia dietary patterns pregnancy |
| url | http://www.mdpi.com/2072-6643/8/9/574 |
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