Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/159384 |
Resumo: | OBJECTIVE: To investigate the relationship between the dietary patterns of pregnant women with maternal excessive body weight and gestational diabetes mellitus . METHODS: A cross-sectional study conducted with a convenience sample of 785 adult pregnant women attended by the Unified Health System of Ribeirão Preto, state of São Paulo, between 2011 and 2012. Two 24-hour dietary recalls, corrected by the multiple source method, were employed. For the classification of the body mass index and the diagnosis of gestational diabetes mellitus, the criteria by Atalah and the World Health Organization were used, respectively. Dietary patterns were obtained by principal component analysis using the Varimax rotation method. The relationship between adherence to patterns, overweight and obesity was analyzed by multinomial logistic regression models and the relationship with gestational diabetes mellitus by adjusted unconditional logistic regression models. RESULTS: We identified four dietary patterns: “traditional Brazilian”; “snacks”; “coffee” and “healthy”. Women with a higher adherence to the “Healthy” (OR = 0.52; 95%CI 0.33–0.83) and “Brazilian Traditional” patterns (OR = 0.61; 95%CI 0.38–0.96) presented a lower chance of obesity, when compared to women with lower adherence, regardless of confounding factors. After adjustment for maternal excessive body weight, there was no association between dietary patterns and gestational diabetes mellitus. CONCLUSIONS: Among the pregnant women, greater adherence to “traditional Brazilian” and “healthy” patterns was inversely associated with obesity, but no relationship was identified with gestational diabetes mellitus after adjusting for excessive body weight. Prospective studies are recommended to investigate the relationship between dietary patterns, overweight and gestational diabetes mellitus, reducing the chance of reverse causality |
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Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetesPadrões alimentares de gestantes, excesso de peso materno e diabetes gestacionalPregnant WomenGestational DiabetesFeeding BehaviorRisk FactorsPrenatal NutritionGestantes. DiabetesGestacionalComportamento AlimentarFatores de RiscoNutrição Pré-NatalOBJECTIVE: To investigate the relationship between the dietary patterns of pregnant women with maternal excessive body weight and gestational diabetes mellitus . METHODS: A cross-sectional study conducted with a convenience sample of 785 adult pregnant women attended by the Unified Health System of Ribeirão Preto, state of São Paulo, between 2011 and 2012. Two 24-hour dietary recalls, corrected by the multiple source method, were employed. For the classification of the body mass index and the diagnosis of gestational diabetes mellitus, the criteria by Atalah and the World Health Organization were used, respectively. Dietary patterns were obtained by principal component analysis using the Varimax rotation method. The relationship between adherence to patterns, overweight and obesity was analyzed by multinomial logistic regression models and the relationship with gestational diabetes mellitus by adjusted unconditional logistic regression models. RESULTS: We identified four dietary patterns: “traditional Brazilian”; “snacks”; “coffee” and “healthy”. Women with a higher adherence to the “Healthy” (OR = 0.52; 95%CI 0.33–0.83) and “Brazilian Traditional” patterns (OR = 0.61; 95%CI 0.38–0.96) presented a lower chance of obesity, when compared to women with lower adherence, regardless of confounding factors. After adjustment for maternal excessive body weight, there was no association between dietary patterns and gestational diabetes mellitus. CONCLUSIONS: Among the pregnant women, greater adherence to “traditional Brazilian” and “healthy” patterns was inversely associated with obesity, but no relationship was identified with gestational diabetes mellitus after adjusting for excessive body weight. Prospective studies are recommended to investigate the relationship between dietary patterns, overweight and gestational diabetes mellitus, reducing the chance of reverse causalityOBJETIVO: Investigar a relação entre os padrões alimentares de gestantes com o excesso de peso materno e o diabetes mellitus gestacional. MÉTODOS: Estudo transversal conduzido em uma amostra de conveniência de 785 gestantes adultas atendidas pelo Sistema Único de Saúde de Ribeirão Preto, SP, entre 2011 e 2012. Dois inquéritos recordatórios de 24 horas, corrigidos pelo multiple source method, foram empregados. Para a classificação do índice de massa corporal e do diagnóstico do diabetes mellitus gestacional, utilizou-se os critérios de Atalah e da Organização Mundial da Saúde, respectivamente. Os padrões alimentares foram obtidos por análise de componentes principais, utilizando o método de rotação Varimax. A relação entre a adesão aos padrões e sobrepeso e obesidade foi analisada por modelos de regressão logística multinomial e a relação entre adesão aos padrões e diabetes mellitus gestacional, por modelos de regressão logística não condicional ajustados. RESULTADOS: Identificamos quatro padrões alimentares: “tradicional brasileiro”; “lanches”; “café” e “saudável”. Observou-se que mulheres com maior adesão ao padrão “saudável” (OR = 0,52; IC95% 0,33–0,83) e “tradicional brasileiro” (OR = 0,61; IC95% 0,38–0,96) apresentaram menor chance de obesidade que as mulheres com menor adesão, independentemente de fatores de confusão. Após ajuste pelo excesso de peso materno, não houve associação entre os padrões alimentares e o diabetes mellitus gestacional. CONCLUSÕES: Entre as gestantes, a maior adesão aos padrões “tradicional brasileiro” e “saudável” foi inversamente associada à obesidade, mas nenhuma relação foi identificada com o diabetes mellitus gestacional após ajuste pelo excesso de peso. Estudos prospectivos são recomendados para investigar a relação entre padrões alimentares e excesso de peso e diabetes mellitus gestacional, reduzindo a chance de causalidade reversa.Universidade de São Paulo. Faculdade de Saúde Pública2019-06-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/15938410.11606/S1518-8787.2019053000909Revista de Saúde Pública; Vol. 53 (2019); 52Revista de Saúde Pública; Vol. 53 (2019); 52Revista de Saúde Pública; v. 53 (2019); 521518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/159384/154141https://www.revistas.usp.br/rsp/article/view/159384/154142https://www.revistas.usp.br/rsp/article/view/159384/154143Copyright (c) 2019 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessZuccolotto, Daniela Cristina CandelasCrivellenti, Lívia CastroFranco, Laércio JoelSarotelli, Daniela Saes2019-07-24T16:01:47Zoai:revistas.usp.br:article/159384Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-07-24T16:01:47Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes Padrões alimentares de gestantes, excesso de peso materno e diabetes gestacional |
title |
Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes |
spellingShingle |
Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes Zuccolotto, Daniela Cristina Candelas Pregnant Women Gestational Diabetes Feeding Behavior Risk Factors Prenatal Nutrition Gestantes. Diabetes Gestacional Comportamento Alimentar Fatores de Risco Nutrição Pré-Natal |
title_short |
Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes |
title_full |
Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes |
title_fullStr |
Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes |
title_full_unstemmed |
Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes |
title_sort |
Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes |
author |
Zuccolotto, Daniela Cristina Candelas |
author_facet |
Zuccolotto, Daniela Cristina Candelas Crivellenti, Lívia Castro Franco, Laércio Joel Sarotelli, Daniela Saes |
author_role |
author |
author2 |
Crivellenti, Lívia Castro Franco, Laércio Joel Sarotelli, Daniela Saes |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Zuccolotto, Daniela Cristina Candelas Crivellenti, Lívia Castro Franco, Laércio Joel Sarotelli, Daniela Saes |
dc.subject.por.fl_str_mv |
Pregnant Women Gestational Diabetes Feeding Behavior Risk Factors Prenatal Nutrition Gestantes. Diabetes Gestacional Comportamento Alimentar Fatores de Risco Nutrição Pré-Natal |
topic |
Pregnant Women Gestational Diabetes Feeding Behavior Risk Factors Prenatal Nutrition Gestantes. Diabetes Gestacional Comportamento Alimentar Fatores de Risco Nutrição Pré-Natal |
description |
OBJECTIVE: To investigate the relationship between the dietary patterns of pregnant women with maternal excessive body weight and gestational diabetes mellitus . METHODS: A cross-sectional study conducted with a convenience sample of 785 adult pregnant women attended by the Unified Health System of Ribeirão Preto, state of São Paulo, between 2011 and 2012. Two 24-hour dietary recalls, corrected by the multiple source method, were employed. For the classification of the body mass index and the diagnosis of gestational diabetes mellitus, the criteria by Atalah and the World Health Organization were used, respectively. Dietary patterns were obtained by principal component analysis using the Varimax rotation method. The relationship between adherence to patterns, overweight and obesity was analyzed by multinomial logistic regression models and the relationship with gestational diabetes mellitus by adjusted unconditional logistic regression models. RESULTS: We identified four dietary patterns: “traditional Brazilian”; “snacks”; “coffee” and “healthy”. Women with a higher adherence to the “Healthy” (OR = 0.52; 95%CI 0.33–0.83) and “Brazilian Traditional” patterns (OR = 0.61; 95%CI 0.38–0.96) presented a lower chance of obesity, when compared to women with lower adherence, regardless of confounding factors. After adjustment for maternal excessive body weight, there was no association between dietary patterns and gestational diabetes mellitus. CONCLUSIONS: Among the pregnant women, greater adherence to “traditional Brazilian” and “healthy” patterns was inversely associated with obesity, but no relationship was identified with gestational diabetes mellitus after adjusting for excessive body weight. Prospective studies are recommended to investigate the relationship between dietary patterns, overweight and gestational diabetes mellitus, reducing the chance of reverse causality |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/159384 10.11606/S1518-8787.2019053000909 |
url |
https://www.revistas.usp.br/rsp/article/view/159384 |
identifier_str_mv |
10.11606/S1518-8787.2019053000909 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/159384/154141 https://www.revistas.usp.br/rsp/article/view/159384/154142 https://www.revistas.usp.br/rsp/article/view/159384/154143 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 53 (2019); 52 Revista de Saúde Pública; Vol. 53 (2019); 52 Revista de Saúde Pública; v. 53 (2019); 52 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221800552988672 |