Department of Quantitative Health Sciences; Department of Obstetrics and Gynecology; Meyers Primary Care Institute
Clinical Epidemiology | Dietetics and Clinical Nutrition | Epidemiology | Female Urogenital Diseases and Pregnancy Complications | Maternal and Child Health | Obstetrics and Gynecology | Women's Health
INTRODUCTION: Women with a history of gestational diabetes mellitus (GDM) have elevated risk of developing type 2 diabetes. Diet quality plays an important role in the prevention of type 2 diabetes. We compared diet quality among childbearing women with a history of GDM with the diet quality of childbearing women without a history of GDM.
METHODS: We used data from the National Health and Nutrition Examination Survey for 2007 through 2010. We included women without diabetes aged 20 to 44 years whose most recent live infant was born within the previous 10 years and who completed two 24-hour dietary recalls. The Healthy Eating Index (HEI)-2010 estimated overall and component diet quality. Multivariable linear regression models estimated the association between a history of GDM and current diet quality, adjusting for age, education, smoking status, and health risk for diabetes.
RESULTS: A history of GDM was reported by 7.7% of women. Compared with women without a history of GDM, women with a history of GDM had, on average, 3.4 points lower overall diet quality (95% confidence interval [CI], -6.6 to -0.2) and 0.9 points lower score for consumption of green vegetables and beans (95% CI, -1.4 to -0.4). Other dietary component scores did not differ by history of GDM.
CONCLUSION: In the United States, women with a history of GDM have lower diet quality compared with women who bore a child and do not have a history of GDM. Improving diet quality may be a strategy for preventing type 2 diabetes among childbearing women.
gestational diabetes, diet, women, NHANES, UMCCTS funding
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DOI of Published Version
Xiao RS, Simas TA, Person SD, Goldberg RJ, Waring ME. Diet quality and history of gestational diabetes mellitus among childbearing women, United States, 2007-2010. Prev Chronic Dis. 2015 Feb 26;12:E25. doi: 10.5888/pcd12.140360. PubMed PMID: 25719215; PubMed Central PMCID: PMC4344352. Link to article on publisher's site
Preventing chronic disease
Xiao R, Moore Simas TA, Person SD, Goldberg RJ, Waring ME. (2015). Diet quality and history of gestational diabetes mellitus among childbearing women, United States, 2007-2010. Population and Quantitative Health Sciences Publications. https://doi.org/10.5888/pcd12.140360. Retrieved from https://escholarship.umassmed.edu/qhs_pp/1134
Clinical Epidemiology Commons, Dietetics and Clinical Nutrition Commons, Epidemiology Commons, Female Urogenital Diseases and Pregnancy Complications Commons, Maternal and Child Health Commons, Obstetrics and Gynecology Commons, Women's Health Commons