The Association of Maternal Body Composition and Dietary Intake with the Risk of Gestational Diabetes Mellitus during the Second Trimester in a Cohort of Chinese Pregnant Women |
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| Authors: | XU Qing GAO Zhi Ying LI Li Ming WANG Lu ZHANG Qian TENG Yue ZHAO Xia GE Sheng JING Hong Jiang YANG Yong Tao LIU Xiao Jun LYU Chun Jian MAO Lun YU Xiao Ming LIU Ying Hua KONG Ai Jing YANG Xue Yan LIU Zhao ZHANG Yong WANG Jin ZHANG Xin Sheng XUE Chang Yong LU Yan Ping |
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| Affiliation: | 1. Department of Nutrition, Chinese PLA General Hospital, Beijing 100853, China;2. Department of Gynaecology and 0bstetrics, Chinese PLA General Hospital, Beijing 100853, China;3. Sihai Huachen Technology Co., Ltd., Beijing 102629, China;4. Department of Nutrition, Beijing Hospital, Beijing 100730, China;5. Department of Nutrition, Beijing Tongren Hospital, Beijing 100005, China;6. Haidian District Health Center for Women and Children, Beijing 100080, China;7. Department of Nutrition, Jishuitan Hospital, Beijing 100035, China;8. Department of Nutrition, Sixth People’s Hospital, Shanghai 200233, China;9. Department of Nutrition, Chinese Air Force General Hospital, Beijing 100036, China;10. Department of Nutrition, People’s Hospital of Sichuan Province, Chengdu 610072, Sichuan, China;11. Department of Nutrition, Bethune International Peace Hospital, Shijiazhuang 130100, Hebei, China;12. Department of Nutrition, No.304 Chinese PLA Hospital, Beijing100037, China |
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| Abstract: | Objective To investigate the association of maternal body composition and dietary intake with the risk of gestational diabetes mellitus (GDM). Methods A total 154 GDM subjects and 981 controls were enrolled in a prospective cohort study in 11 hospitals from May 20, 2012 to December 31, 2013. Bioelectrical impedance analysis and dietary surveys were used to determine body composition and to evaluate the intake of nutrients in subjects at 21-24 weeks’ gestation (WG). Logistic regression analysis was applied to explore the relationships of maternal body composition and dietary intake with the risk of GDM morbidity. Results Age, pre-pregnant body weight (BW), and body mass index (BMI) were associated with increased risk of GDM. Fat mass (FM), fat mass percentage (FMP), extracellular water (ECW), BMI, BW, energy, protein, fat, and carbohydrates at 21-24 WG were associated with an increased risk of GDM. In contrast, fat free mass (FFM), muscular mass (MM), and intracellular water (ICW) were associated with a decreased risk of GDM. Conclusion Maternal body composition and dietary intake during the second trimester of pregnancy were associated with the risk of GDM morbidity. |
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| Keywords: | Gestational diabetes mellitus Body composition Dietary intake |
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