Dietary patterns of pregnant women, maternal excessive body weight and gestational diabetes

Detalhes bibliográficos
Autor(a) principal: Zuccolotto, Daniela Cristina Candelas
Data de Publicação: 2019
Outros Autores: Crivellenti, Lívia Castro, Franco, Laércio Joel, Sarotelli, Daniela Saes
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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spelling 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
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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
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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)
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instname_str Universidade de São Paulo (USP)
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repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
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